Appendix I.xlsx

This file is a Budget Worksheet and Narrative Requirements template issued by the Santa Clara Valley Health & Hospital System Behavioral Health Department for submission of behavioral health service program budgets. The document provides standardized instructions and formatting for agencies proposing new or expanded mental health and substance abuse treatment services. The template requires detailed caseload projections including active capacity, average length of stay, and monthly estimates for MediCal and Non-MediCal clients during the program startup period through full capacity. Proposers must include comprehensive staffing plans with Full-Time Equivalent (FTE) positions, salary information, and benefits calculations, along with itemized operating expenses, administrative overhead, client supportive services, and one-time startup costs. The worksheet is organized as a phased budget with monthly columns spanning a full fiscal year, allowing the County to track revenue ramp-up and expense escalation as programs reach full operational capacity.

The budget template requires detailed revenue projections from multiple sources including MediCal, EPSDT/Realignment, MHSA (Mental Health Services Act), local funding, and other designated sources, with the County General Fund calculated to cover any shortfall between total expenses and external revenues. Proposers must explain the rationale for their startup schedule, percentage mix of MediCal versus Non-MediCal enrollees, and justification for all expense categories, particularly for unusually large operational costs such as facility rent. The template includes specific line items for various funding sources such as Drug MediCal, Short-Doyle MediCal, AB 109, CDCR, Medicare, SAMHSA, SAPT Federal Block Grant, and Behavioral Health Realignment Funds. Units of service measurement sections vary by program type, ranging from case management minutes and mental health service minutes to individual and group session counts, depending on whether the program is outpatient treatment or another service modality. The document serves as both an instruction manual and blank worksheet, with multiple template variations provided for different service types and fiscal years.