AMENDMENT TO AGREEMENT A-07407 by 3YMS37H8

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									                      AMENDMENT NO. 2 TO AGREEMENT A-10959

     This Amendment No. 2 to Agreement A-10959 is made and entered into by and between
the COUNTY OF MONTEREY, hereinafter referred to as COUNTY, and KINSHIP
CENTER, hereinafter referred to as CONTRACTOR.

       Whereas COUNTY and CONTRACTOR have heretofore entered into Agreement
       A-10959 dated July 24, 2007 (Agreement), Amendment-1 to Agreement A-10959 dated
       May, 28, 2008 and;

       Whereas the parties desire to amend the Agreement as specified below,

       1. Increase Program 1(Mental Health Services) units of service and budget for In-
          County and Out of County Monterey County Children for FY 2008-09.

       2. Increase Program 2 (AAP Wraparound) units of service and budget for In-County and
          Out of County Monterey County Children for FY 2008-09.

       3. Modify Program 3 (MHSA) units of service and budget for Monterey County
          Children for FY 2008-09.

        NOW THEREFORE, in consideration of the mutual covenants and conditions contained
herein and in the Agreement, the parties agree as follows:

        1. EXHIBIT A of Agreement A-10959 is replaced with Amendment 2 to EXHIBIT A.
           All references in the Agreement to EXHIBIT A shall be construed to refer to
           Amendment 2 to EXHIBIT A.

        2. EXHIBIT B of Agreement A-10959 is replaced with Amendment 2 to EXHIBIT B.
           All references in the Agreement to EXHIBIT B shall be construed to refer to
           Amendment 2 to EXHIBIT B.

        3. PAYMENTS BY COUNTY, COUNTY shall pay the CONTRACTOR in accordance
           with the payment provisions set forth in EXHIBIT B, subject to the limitations set
           forth in this Amendment 2 to Agreement A-10959. The total amount payable by
           COUNTY to CONTRACTOR under this Agreement shall not exceed the sum of
           $5,065,788.

        4. The effective date of this Amendment is July 1, 2008 and shall remain in effect until
           June 30, 2010.

All other terms and conditions of Agreement A-10959 shall remain in full force and effect.




Kinship Center
Amendment No. 2 to Agreement A-10959
FY 2007-10_Page 1
   IN WITNESS WHEREOF, County and CONTRACTOR have executed this Amendment No. 2 to Agreement A-
   10959 as of the day and year written below.

             COUNTY OF MONTEREY:                                                   KINSHIP CENTER


 By:
           Mike Derr, Contracts/Purchasing Manager                             KINSHIP CENTER
Date:                                                                     Contractor’s Business Name*


 By:
                 Len Foster, Director of Health           By:
Date:                                                                   Carol Biddle, President and CEO



             APPROVED AS TO FORM

                                                                                 Name and Title
 By:
            Stacy L. Saetta, Deputy County Counsel       Date:
Date:


                                                     1
                                                          By:
        APPROVED AS TO FISCAL PROVISIONS
                                                                 (Signature of Secretary, Asst. Secretary, CFO, or
 By:                                                                             Asst. Treasurer)*
               Gary Giboney, Auditor/Controller
Date:
                                                                                 Name and Title

                                                         Date:
                                                     2
 APPROVED AS TO LIABILITY PROVISIONS

 By:
               Steven Mauck, Risk Management
Date:

          APPROVED AS TO CONTENT:


By:
        Wayne Clark, Behavioral Health Director

Date:



   Kinship Center
   Amendment No. 2 to Agreement A-10959
   FY 2007-10_Page 2
*INSTRUCTIONS: If CONTRACTOR is a corporation, including limited liability and non-profit corporations, the full legal name of the corporation shall be set
forth above together with the signatures of two specified officers. If CONTRACTOR is a partnership, the name of the partnership shall be set forth above together
with the signature of a partner who has authority to execute this Agreement on behalf of the partnership.

1
    Approval by Risk Management is necessary only if changes are made in paragraph 8 or 9.
2
    Approval by County Counsel is necessary only if changes are made to the standard provisions of the MHSA.

    ______________________________________________________________________




Kinship Center
Amendment No. 2 to Agreement A-10959
FY 2007-10_Page 3
                                    AMENDMENT 2 TO EXHIBIT A
                                     PROGRAM DESCRIPTION
      EXHIBIT A: PROGRAM DESCRIPTION

      I.     IDENTIFICATION OF PROVIDER
             Kinship Center
             124 River Road
             Salinas, CA 93908

             INCORPORATION STATUS/TYPE OF FACILITY LICENSE
             501 C 3 Corporation (Community Benefit Non-Profit)

II.         PROGRAM NARRATIVE

             Program 1 & 3: Mental Health Services and MHSA
             Kinship Center will provide Mental Health Services and Medication Support to youth who
             require outpatient services. The focus of the program will be permanency for children, the
             impact of adoption on a child and his/her family, and the impact on children being raised by a
             relative caregiver. Such services will reduce the possibility of future residential care, periodic
             inpatient hospitalization, placement at out-of–state facilities, or placement in a juvenile justice
             facility.

             The D’Arrigo Children’s Clinic will provide outpatient mental health services to eligible
             children and their families. Mental health services refer to those individual, family or group
             therapies and interventions that are designed to provide reduction of mental disability and
             improvement and maintenance of functioning consistent with the goals of learning,
             development, independent living and enhanced self-sufficiency.

             In addition, in response to the voter approved Mental Health Services Act (Proposition 63),
             Kinship Center will provide expanded and new service focused on Adoption Preservation.
             New services will include the integration of a “full service partnership” model for some
             families and the inclusion of evidence based and evidence informed parent education
             programs.

             Program 2: Adoptions Assistance Program (AAP) Wraparound Services
             Kinship will provide intensive wraparound services to eligible Monterey County AAP
             children. Wraparound services are defined as community-based intervention services that
             emphasize the strengths of the child and family and include the delivery of coordinated,
             highly individualized unconditional services to address needs and achieve positive outcomes
             in their lives.




      Kinship Center
      Amendment No. 2 to Agreement A-10959
      FY 2007-10_Exhibit A-1
III.         PROGRAM GOALS
              Program 1 & 3: Mental Health Services & MHSA
              A. To provide outpatient mental health services to eligible children and their families in
                 order to improve the child’s overall functioning, support the child’s parent/caregiver,
                 improve the family’s well-being, and address specific permanency issues that impact the
                 life of the child and his or her family.
              B. To focus on Adoption Preservation by integrating parental education course and
                 additional mental health services in accordance with the Full Service Partnership model
                 for eligible children and their families.
              C. To reduce parental stress as a result of the implementation of evidence based parent
                 education programs.
              Program 2: AAP Wraparound Services
            A. To provide children and their families a services alternative to group home care through
               the development of family-based services.
            B. To provide services that are individualized to build on the strengths of each eligible child
               and family tailored to address their unique and changing needs.
            C. To develop all plan through a child and Family Team.

IV.          PROGRAM OBJECTIVES
              Program 1 & 3: Mental Health Services
              A.      Improve the child’s functioning within his/her family, school, peer group and
                      community.
              B.      Support and empower the child’s parent(s)/caregiver(s) by providing skills and
                      strategies to provide continuity of care.
              C.      Address issues specific to adoption, foster care, relative families, and permanence for
                      both the child and the family.
              D.      Reduce the volume and level of parental stress as demonstrated by pre and post-tests.
              E.      Serve up to a minimum of 60 families and incorporate the “full service partnership
                      model for 10% of the families serviced.
              Program 2: AAP Wraparound Services
              A.      To provide mental health services which support the child in remaining in his/her own
                      home.
              B.      To link clients to services and help them navigate community resources that will build
                      supportive client family relationships and develop interpersonal skills as well as skills
                      to increase individual capacities.




       Kinship Center
       Amendment No. 2 to Agreement A-10959
       FY 2007-10_Exhibit A-2
V.         TREATMENT SERVICES
            A. Modes of Service:
                Outpatient Mental Health Services, Medication Support and Wraparound Services.
                For Wraparound Services: There is no limitation on units of service or the mix of units
                of service other than the maximum contract dollar amount found in Exhibit B of this
                contract. Contractor shall make a full accounting of all units of service and cost in
                accordance with Section XIII, Annual Cost Report.

            C. Delivery Site
                Kinship Center
                D’Arrigo Children’s Clinic
                124 River Road,
                Salinas, CA 93908

            D. Hours of Operation
                The clinic will operate six days per week, Monday – Saturday with evening hours on
                Monday – Thursday. Services will be made available, whenever possible, at the
                convenience of the child and his/her family. Services will be provided at the offices of
                Kinship Center in Salinas, but may also be available at additional community sites,
                including the child’s school or daycare, and the family home.

VII.        POPULATION\CATCHMENT AREA TO BE SERVED
            Program 1 & 3: All eligible residents of Monterey County who have full scope Medi-Cal.
            Program 2: The target population for wraparound services is six (6) AAP eligible children.
            AAP eligibility is described in Section 16120 of the Welfare and Institution Code (W&I).
            For FY 2009-10 (July 1, 2009 to December 31, 2009), no new clients will be referred until
            such time the Request for Proposal has taken place and funds have been awarded or should
            the County deem it appropriate and necessary to approve additional referrals.

 VIII.      FINANCIAL ELIGIBILITY
            Monterey County children and youth that are full scope Medi-Cal. Youth placed voluntarily
            pursuant to Section 7572.5 of the Government Code who do not have Medi-Cal may be
            eligible if wrap services are delineated in the youth’s Individualized Education Plan (IEP).

 IX.        LIMITATION OF SERVICE / PRIOR AUTHORIZATION
            Referrals for admission to this program will be initiated by Behavioral Health Children’s
            Program, Monterey County Department of Social Services, parent request, and referral from
            other medical, educational or social services organizations.
            Parents of children who are adopted, legal guardians and other adults that have the right to
            sign for treatment may self refer using a Monterey County full scope Medi-Cal card for which
     Kinship Center
     Amendment No. 2 to Agreement A-10959
     FY 2007-10_Exhibit A-3
       the child is eligible to receive as an Adoption Assistance Program (AAP) recipient. Screening
       criteria will be based on the degree of emotional or behavioral disturbance and a designated
       funding source. Admission for evaluation and subsequent treatment, if qualified by DSM IV
       diagnosis and medical necessity or the EPSDT rule, will be the sole authority of the
       CONTRACTOR. Mental Heath services offered in conjunction with wraparound services
       will require prior authorization and be screened by the Interagency Referral Team to insure
       that youth meet criteria for admission to wraparound and that family has given preliminary
       agreement to participate in Wraparound services.
        Medication Support, beyond two visits per month, requires prior authorization. These
       authorizations will be provided by the Program Manager of Children’s Behavioral Health or
       her designee in a format acceptable to the County. Additionally, the Contractor will comply
       with all Utilization Review requirements. The contracted duration of the treatment is limited
       to 12 months; any extension requires consultation with the Mental Health Case Manager and
       approval of the Contract Monitor.

X.     CLIENT DESCRIPTION/ CHARACTERISTICS
           Populations served are adopted children or youth in permanent placements, ages 4
           months to 21 years of age with:
              1.      Severe emotional and behavioral disturbances.
              2.      Axis I diagnosis indicating mental impairment or behavioral disturbance and
                      substantial impairment in two of the following areas:
                             a. Self care
                             b. Family relationships
                             c. Ability to function in the community
                             d. School functioning; and
              3.      One or all of the following:
                             a. Severe acting out episodes
                             b. History of self-destructive behavior
                             c. Catastrophic reactions to every day occurrences
                             d. History of inpatient hospitalization
               3.      Is receiving other specialty mental health services.
XI.    MEETINGS/COMMUNICATIONS
       The primary contact for the COUNTY shall convene a monthly meeting of the
       Administrative Oversight Team (AOT), which will be co-chaired by a contract administrator
       for the COUNTY and the CONTRACTOR. This meeting will include representation of all
       wraparound CONTRACTORS along with appropriate COUNTY representation. The
       purpose of these meetings shall be to oversee implementation of the contract; discuss
       contract issues; evaluate contract usage and effectiveness; and make recommendations for
       contract modifications. These meetings will also address maximization of sound internal
       processes to maintain fidelity to the wraparound model. The AOT does not have the
       authority to authorize changes requiring a contract amendment. The AOT monthly meeting
       shall occur in conjunction with the first Wraparound Community Team meeting of each
       month. A separate agreed upon agenda shall be distributed and followed for these meetings.
Kinship Center
Amendment No. 2 to Agreement A-10959
FY 2007-10_Exhibit A-4
XII.   Wraparound Services FY2009-10:
Due to a Request for Proposal (RFP) that will take place for Wraparound Services, In FY 2009-10,
Wraparound Services will be paid for a period of 6 months (July 1, 2009-December 31, 2009). After this
time, funding will be reviewed and reassessed based upon the outcome of the RFP.


XIII. DESIGNATED CONTRACT MONITOR
        Thomas Berg, Program Services Manager
        1000 S. Main Street, Suite 210B
        Salinas, CA 93906
        Tel: (831) 796-151




Kinship Center
Amendment No. 2 to Agreement A-10959
FY 2007-10_Exhibit A-5
                             AMENDMENT 2 TO EXHIBIT B
                               PAYMENT PROVISIONS
EXHIBIT B:
PAYMENT PROVISIONS

I.        PAYMENT TYPE
          Cost Reimbursed (CR) up to the maximum Agreement amount.

II.       PAYMENT CONDITIONS
          A       In order to receive any payment under this Agreement, CONTRACTOR shall
                  submit reports and claims in such form as may be required by the County of
                  Monterey’s Behavioral Health Division. Specifically, CONTRACTOR shall
                  submit its claims on a form acceptable to COUNTY so as to reach the Behavioral
                  Health Division no later than the 30th day of the month following the month of
                  service. Upon termination of this Agreement, CONTRACTOR shall submit its
                  final claim for payment no later than thirty (30) days after the completion of
                  services.
          B       If CONTRACTOR fails to submit claims for services provided under the term of
                  this Agreement as described above, the COUNTY may, at its sole discretion, deny
                  payment for that month of service and disallow the claim.
          C       COUNTY shall review and certify CONTRACTOR’s claim either in the
                  requested amount or in such other amount as COUNTY approves in conformity
                  with this Agreement, and shall then submit such certified claim to the COUNTY
                  Auditor. The Auditor shall pay the claim in the amount certified by the
                  COUNTY.
          D       If COUNTY certifies payment at a lesser amount than the amount requested,
                  COUNTY shall immediately notify the CONTRACTOR in writing of such
                  certification and shall specify the reason for it. If the CONTRACTOR desires to
                  contest the certification, the CONTRACTOR must submit a written notice of
                  protest to the COUNTY within 20 days after the CONTRACTOR's receipt of the
                  COUNTY notice. The parties shall thereafter promptly meet to review the
                  dispute and resolve it on a mutually acceptable basis. No court action may be
                  taken on such a dispute until the parties have met and attempted to resolve the
                  dispute in person.

          E.      Cost Control: CONTRACTOR shall not exceed by more than twenty (20) percent
                  any contract expense line item amount in the budget without the approval of
                  COUNTY, given by and through the Contract Administrator or Contract
                  Administrator’s designee. CONTRACTOR shall submit an amended budget with
                  its request for such approval. Such approval shall not permit CONTRACTOR to
                  receive more than the maximum total amount payable under this contract.
                  Therefore, an increase in one line item will require corresponding decreases in
                  other line items.

Kinship Center:
Amendment No. 2 to Agreement A-10959
FY 2007-10                                                                     EXHIBIT B-1
III.      PAYMENT RATE
          A        Services shall be paid at the SMA Rate which shall be provisional, and subject to
                   all the cost report provisions set forth in Section XIII of this original agreement.
                   Additionally:
                   1. Kinship Center assumes responsibility for verifying health insurance coverage
                      for all individuals approved for services during the term of this Agreement and
                      forwarding this information to County Behavioral Health Billing Section
                   2. Kinship Center assumes fiscal responsibility for services provided to all
                      individuals who have been found to have health insurance coverage during the
                      term of this Agreement and whose information was not forwarded to Monterey
                      County Behavioral Health Billing staff.
                   3. Kinship Center assumes responsibility for verifying full-scope Medi-Cal
                      eligibility for all individuals approved for services during the term of this
                      agreement and assumes fiscal responsibility for services provided to all
                      individuals who do not have full-scope Medi-Cal or are not Medi-Cal eligible
                      during the term of this Agreement.
                   4. Kinship Center assumes responsibility for obtaining prior authorization for
                      services provided to out of county children and assumes fiscal responsibility for
                      any unpaid match for these services if authorization is not obtained.

B         Maximum Agreement Liability for services per Fiscal Year:
                     FY 2007-08: $1,498,000
                     FY 2008-09: $1,800,894
                     FY 2009-10: $1,766,894



          The following tables depict the Maximum Annual Liability per Fiscal Year:

              FOR FISCAL YEAR 2007-2008:


                               Program 1: Mental Health Services (In-County Clients)
                  Description of                             Units        Estimated          Total
                                       Mode        SFC
                    Services                                FY 07-08      SMA Rate          FY 07-08
              Mental Health
              Services                  15      40   280,659    XSMA                          $752,167
              Medication Support        15      40    13,773    XSMA                           $68,319
              Case                                              XSMA
              Mgmt/Brokerage            15      40    35,560                                   $73,964
                    FY 07-08 TOTAL ANNUAL MAXIMUM FOR PROGRAM 1 (In-County)                    $894,450




Kinship Center:
Amendment No. 2 to Agreement A-10959
FY 2007-10                                                                          EXHIBIT B-2
                                  Program 1: Mental Health Services (In-County Clients)
                     Description of                              Units       Estimated          Total
                                           Mode       SFC
                       Services                                 FY 07-08     SMA Rate          FY 07-08

              Mental Health Services   15      40   34,650            xSMA                        $ 92,862
              Medication Support       15      40    1,783            xSMA                          $8,844
              Case Mgmt/Brokerage      15      40    4,272            xSMA                          $8,844
                FY 07-08 TOTAL ANNUAL MAXIMUM FOR PROGRAM 1 (Out-of- County)                      $110,550


                              Program 2: Wraparound Services for six (6) In-County clients

                                                      Service
                                           Mode of               Units     Estimated          Total
                   Service Description               Function
                                           Service              FY 07-08   SMA Rate         FY 2007-08
                                                       Code

                   Case Management/          15        01                    x SMA            $63,000
                   Brokerage (Minutes)


                    Collateral (Minutes)     15        10                    x SMA            $19,250

                  Assessment/Evaluation      15        30        Not to      x SMA            $8,750
                                                                 Exceed
                       Rehabilitation        15        45       $175,000     x SMA            $68,250
                        (Minutes)
                         Group               15        50                    x SMA            $7,000
                     Plan Development        15        45                    x SMA            $8,750
                        (Minutes)


                           FY 07-08 ANNUAL MAXIMUM FOR PROGRAM 2 (In-County)                      $175,000



                               Program 2: Wraparound Services for (Out of County) clients

                                                      Service              FY 2007-08
                                           Mode of               Units                         Total
                   Service Description               Function              Estimated
                                           Service              FY 07-08                    FY 2007-08
                                                       Code                SMA Rate

                   Case Management/          15        01        Not to      xSMA             $7,200
                   Brokerage (Minutes)                          Exceed
                                                                $20,000


                    Collateral (Minutes)     15        10                    xSMA             $2,200

                  Assessment/Evaluation      15        30                    xSMA             $1,000

                       Rehabilitation        15        45                    xSMA             $7,800
                        (Minutes)
                         Group               15        50                    xSMA              $800
                     Plan Development        15        45                    xSMA             $1,000
                        (Minutes)
                      FY 07-08 ANNUAL MAXIMUM FOR PROGRAM 2 (Out-of-County)                           $20,000

Kinship Center:
Amendment No. 2 to Agreement A-10959
FY 2007-10                                                                              EXHIBIT B-3
                                      Program 3: Mental Health Services Act (MHSA)
                                                                Units        Est. SMA          Total
                  Description of Services   Mode      SFC
                                                               FY07-08         Rate           FY 07-08
               Mental Health Services  15        40        61,157   X SMA                 $    163,900
               Medication Support      15        40        1,201    X SMA                 $      5,960
               Case Mgmt/Brokerage     15        40        54,442   X SMA                 $    113,240
               FY 2007-08 Program 3 Services                                              $    283,100
               FY 2007-08 Parenting Classes and Child Care Costs                          $      14,900
               FY2007-08 Maximum Obligation of the County Program 3                       $    298,000



   FOR FISCAL YEAR 2008-2009:
FY 2007-08 expenses that were paid out of FY 2008-09 due to cost report reconciliation for FY 2007-08
during FY 2008-09.

                              Program 1: Mental Health Services for FY 2007-08
             Description of                               Units       Estimated          Total
                                    Mode        SFC
               Services                                  FY 07-08     SMA Rate          FY 07-08
       Mental Health
       Services                  15      40   Not to     XSMA
       Medication Support        15      40  Exceed      XSMA                           $34,000
       Case                                  $34,000     XSMA
       Mgmt/Brokerage            15      40
             FY 07-08 TOTAL ANNUAL MAXIMUM FOR PROGRAM 1 (In-County)                    $34,000




Kinship Center:
Amendment No. 2 to Agreement A-10959
FY 2007-10                                                                          EXHIBIT B-4
Program 1: Mental Health Services

 Population to be
     Served                Description of                          Units       Estimated     Total
                                              Mode       SFC
                             Services                             FY 08-09     SMA Rate     FY 08-09

                           Mental Health
                                                15        40      306,034       XSMA        $798,749
                             Services
 Monterey County
                            Medication
  Residents (In-                                15        40       15,188       XSMA         $73,205
                             Support
 County Clients)
                              Case
                                                15        40       42,067       XSMA         $84,975
                          Mgmt/Brokerage
                                                                             Total Amount   $956,929
                          Description of                           Units       Estimated     Total
                                              Mode       SFC
                             Services                             FY 08-09     SMA Rate     FY 08-09
                           Mental Health
                                                15        40       36,750       XSMA         $ 95,918
                             Services
 Monterey County
                            Medication
 Residents (Other                               15        40        5,465       XSMA         $26,343
                             Support
 County Medi-Cal)
                              Case
                                                15        40       10,698       XSMA         $21,609
                          Mgmt/Brokerage
                                                                             Total Amount   $143,870
                     Maximum Contract Amount Match/Liability Breakdown FY 2008-09
                                                                     Max                       Max
                                                                               5% Match
                                                                   Contract                   County
                                                                                Amount
                                                                   Amount                    Liability
                                        Monterey County Match $788,525           $39,426     $788,525
                                                     KSSP Match $168,404          $8,420     $159,983
                                            Other County Match $143,870           $7,194     $143,870
                   Maximum Contract/Match/Liability of the County $1,100,799     $55,040    $1,092,378
                                                   Maximum Contract Amount FY 2008-09       $1,100,799




 Kinship Center:
 Amendment No. 2 to Agreement A-10959
 FY 2007-10                                                                         EXHIBIT B-5
Program 2: Wraparound Services FY 2008-09

Population to
 be Served               Description of                             Units      Estimated         Total
                                                 Mode     SFC
                           Services                                FY 08-09    SMA Rate         FY 08-09
                       Case Management/
  Monterey             Brokerage (Minutes)        15       01                   XSMA               $89,292
   County              Collateral (Minutes)       15       10                   XSMA               $29,916
  Residents           Assessment/Evaluation       15       30       Not to      X SMA              $11,966
                                                                   Exceed:
 w/Monterey           Rehabilitation (Minutes)    15       45      $250,611     X SMA              $99,720
County Medi-                   Group              15       50                   X SMA              $9,329
    Cal                 Plan Development
                            (Minutes)             15       45                   X SMA              $10,388
                                                                            Total Amount        $250,611
                         Description of                             Units     Estimated          Total
                                                 Mode     SFC
                           Services                                FY 08-09   SMA Rate          FY 08-09
  Monterey               Mental Health
                                                  15       40       63,236      XSMA            $165,047
   County                  Services
  Residents
(Other County        Case Mgmt/Brokerage          15       40       12,037      XSMA               $24,314
  Medi-Cal)
                                                                          Total Amount          $189,361
                   Maximum Contract Amount Match/Liability Breakdown FY 2008-09
                                                                   Max                            Max
                                                                            5% Match
                                                                 Contract                        County
                                                                             Amount
                                                                 Amount                         Liability
                                        Monterey County Match $250,611                          $250,611
                                           Other County Match $189,361        $9,468            $189,361
                  Maximum Contract/Match/Liability of the County $439,972     $9,468            $439,972
                                                  Maximum Contract Amount FY 2008-09            $439,972



                                    Program 3, Mental Health Services Act (MHSA)

          Description of              Mode       SFC     Units      Est. SMA       Total FY08-09
          Services                                       FY08-09    Rate
          Mental Health         15        40        67,597   X SMA                 $     176,430
          Services
          Medication Support    15        40        3,409    X SMA                 $      16,433
          Case                  15        40        10,868   X SMA                 $      21,954
          Mgmt/Brokerage
          FY 2008-09 Program 3 Services                                            $     214,817
          FY 2008-09 Parenting Classes and Child Care Costs                        $      11,306
          FY 2008-09 Maximum Obligation of the County Program 3                    $     226,123




Kinship Center:
Amendment No. 2 to Agreement A-10959
FY 2007-10                                                                             EXHIBIT B-6
          FOR FISCAL YEAR 2009-2010:

             Program 1: Mental Health Services

Population to be
    Served                Description of                          Units       Estimated     Total
                                             Mode       SFC
                            Services                             FY 09-10     SMA Rate     FY 09-10

                          Mental Health
                                               15        40      306,034       XSMA        $798,749
                            Services
Monterey County
                           Medication
 Residents (In-                                15        40       15,188       XSMA         $73,205
                            Support
County Clients)
                             Case
                                               15        40       42,067       XSMA         $84,975
                         Mgmt/Brokerage
                                                                            Total Amount   $956,929
                         Description of                           Units       Estimated     Total
                                             Mode       SFC
                            Services                             FY 09-10     SMA Rate     FY 09-10
                          Mental Health
                                               15        40       36,750       XSMA         $ 95,918
                            Services
Monterey County
                           Medication
Residents (Other                               15        40        5,465       XSMA         $26,343
                            Support
County Medi-Cal)
                             Case
                                               15        40       10,698       XSMA         $21,609
                         Mgmt/Brokerage
                                                                            Total Amount   $143,870
                    Maximum Contract Amount Match/Liability Breakdown FY 2009-10
                                                                    Max                       Max
                                                                              5% Match
                                                                  Contract                   County
                                                                               Amount
                                                                  Amount                    Liability
                                       Monterey County Match $788,525           $39,426     $788,525
                                                    KSSP Match $168,404          $8,420     $159,983
                                           Other County Match $143,870           $7,194     $143,870
                  Maximum Contract/Match/Liability of the County $1,100,799     $55,040    $1,092,378
                                                  Maximum Contract Amount FY 2009-10       $1,100,799




Kinship Center:
Amendment No. 2 to Agreement A-10959
FY 2007-10                                                                         EXHIBIT B-7
Program 2: Wraparound Services: Due to a Request for Proposal (RFP) that will take place for
Wraparound Services, In FY 2009-10, Wraparound Services will be paid for a period of 6 months (July 1,
2009-December 31, 2009) at an amount not to exceed $219,986. After this 6 month period, funding will
be reviewed and reassessed based upon the outcome of the RFP.

FY 2009-10
Population to
 be Served               Description of                                  Units       Estimated         Total
                                                 Mode        SFC
                           Services                                     FY 09-10     SMA Rate         FY 09-10
                       Case Management/
  Monterey             Brokerage (Minutes)        15          01                      XSMA            $89,292
   County              Collateral (Minutes)       15          10                      XSMA            $29,916
  Residents           Assessment/Evaluation       15          30         Not to       X SMA           $11,966
                                                                        Exceed:
 w/Monterey           Rehabilitation (Minutes)    15          45        $250,611      X SMA           $99,720
County Medi-                   Group              15          50                      X SMA           $9,329
    Cal                 Plan Development
                            (Minutes)             15          45                      X SMA           $10,388
                                                                                 Total Amount         $250,611
                         Description of                                  Units     Estimated           Total
                                                 Mode        SFC
                           Services                                     FY 09-10   SMA Rate           FY 09-10
  Monterey               Mental Health
                                                  15          40         63,236       XSMA            $165,047
   County                  Services
  Residents
(Other County        Case Mgmt/Brokerage          15          40         12,037       XSMA            $24,314
  Medi-Cal)
                                                                          Total Amount                $189,361
                   Maximum Contract Amount Match/Liability Breakdown FY 2009-10
                                                                   Max                                  Max
                                                                            5% Match
                                                                 Contract                              County
                                                                             Amount
                                                                 Amount                               Liability
                                        Monterey County Match $250,611                                $250,611
                                           Other County Match $189,361        $9,468                  $189,361
                  Maximum Contract/Match/Liability of the County $439,972     $9,468                  $439,972
                                                  Maximum Contract Amount FY 2009-10                  $439,972

                             Program 3, Mental Health Services Act (MHSA)

Description of               Mode         SFC           Units FY09-10     Est. SMA     Total FY09-10
Services                                                                  Rate
Mental Health          15       40           67,597                       X SMA        $    176,430
Services
Medication Support     15       40           3,409                        X SMA        $      16,433
Case Mgmt/Brokerage 15          40           10,868                       X SMA        $    21,954
FY 2009-10 Program 3 Services                                                          $    214,817
FY 2009-10 Parenting Classes and Child Care Costs                                      $     11,306
FY 2009-10 Maximum Obligation of the County Program 3                                  $    226,123




Kinship Center:
Amendment No. 2 to Agreement A-10959
FY 2007-10                                                                                 EXHIBIT B-8
          MAXIMUM OBLIGATION OF COUNTY:
          A.  Subject to the limitations set forth herein, COUNTY shall pay to CONTRACTOR
              during the term of this Agreement a maximum amount of $5,065,788 for services
              rendered under this Agreement.
          B       If, as of the date of signing this Agreement, CONTRACTOR has already received
                  payment from COUNTY for services rendered under this Agreement, such
                  amount shall be deemed to have been paid out under this Agreement and shall be
                  counted towards COUNTY’s maximum liability under this Agreement.
          C       If for any reason this Agreement is canceled, COUNTY’s maximum liability shall
                  be the total utilization to the date of cancellation not to exceed the maximum
                  amount listed above.

          D       If for any reason this Agreement is canceled, COUNTY’s maximum liability shall
                  be the total utilization to the date of cancellation not to exceed the maximum
                  amount listed above.

V.        PAYMENT METHOD
          A   County will pay CONTRACTOR for the services provided by CONTRACTOR
              that have been authorized pursuant to this agreement, as hereinafter set forth.

          B       CONTRACTOR will submit a monthly claim for services rendered to:
                      Monterey County Health Department
                      Behavioral Health Division
                      1270 Natividad Road, Room 200
                      Salinas, CA 93906
                      ATTN: Accounts Payable




Kinship Center:
Amendment No. 2 to Agreement A-10959
FY 2007-10                                                                     EXHIBIT B-9

								
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