Attachment E_Mobile Crisis Budget Template_07.2025.xlsx
XLSX spreadsheet 57 KB Posted
- Attached to
- Mobile Crisis Services State and local contract opportunity
- Solicitation number
- 2025-052
- Issued by
- Broome County, New York
About this file
The document is an Annual Operational Budget Template for Mobile Crisis Services issued by the Broome County Mental Health Department in New York State. The template is designed for a countywide, integrated Mobile Crisis Services program that will provide person-centered, trauma-informed behavioral support to individuals experiencing mental health and/or substance use disorder-related crises. The services must comply with current and future statutes, guidance, and standards from the NYS Offices of Mental Health (OMH), Addiction Services and Supports (OASAS), the NYS Department of Health (DOH), and federal agencies.
The budget template outlines potential expense categories including personnel services, equipment, other-than-personnel services (OTPS), rent, consultant/contractual services, administrative costs, and other expenses. The primary revenue source is projected to be $1,000,000.00 in State Aid/funding via a Local Government Unit (LGU) Contract, with potential additional revenue from Medicaid and private insurance claims. The template is structured to allow detailed line-item budgeting across various operational expense categories, with placeholders for specific items, costs, and staffing allocations. The budget appears designed to support a comprehensive mobile crisis intervention program with flexible financial planning capabilities.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment C_NYS OMH Mobile Crisis Program Guidance_09.20.2019.pdf | ||
| Attachment D_Mobile Crisis Guidelines for BC_07.2025.pdf | ||
| Attachment I_NYS OMH Telehealth Guidance_04.2023.pdf | ||
| Attachment J_RFP Evaluation Rubric_07.2025.pdf | ||
| Attachment A_NYS Crisis Intervention Benefit_02.2025.pdf | ||
| Attachment B_SPA Updates to Mobile Crisis Services_02.01.2024.pdf | ||
| Attachment H_Attestations A-B-C-D_07.2025.pdf | ||
| Attachment F_Mobile Crisis Costing Model_OMH.CCSI_04.2025.xlsx | XLSX spreadsheet | |
| Attachment G_Mobile Crisis Medicaid Reimbursement Rates_06.30.2025.xlsx | XLSX spreadsheet | |
| RFP-2025-052 - Mobile Crisis Services.pdf |
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Text version
1. Annual Operational Budget
| BUDGET TEMPLATE - Mobile Crisis Services | |
| 1 | Annual Operational Budget |
| A | EXPENSES | ||||
| 1 | PERSONNEL SERVICES | ||||
| Staff Title | FTE [0.0] | Salary [$] | |||
| Insert Title | $ | ||||
| Insert Title | $ | ||||
| Insert Title | $ | ||||
| Insert Title | $ | ||||
| Insert Title | $ | ||||
| Insert Title | $ | ||||
| Insert Title | $ | ||||
| Total Personnel Salaries | |||||
| Fringe | |||||
| Total Personnel Services |
| 2 | EQUIPMENT | ||
| Insert Item / Description | Cost [$] | ||
| Insert Item / Description | $ | ||
| Insert Item / Description | $ | ||
| Insert Item / Description | $ | ||
| Insert Item / Description | $ | ||
| Insert Item / Description | $ | ||
| Insert Item / Description | $ | ||
| Insert Item / Description | $ | ||
| Insert Item / Description | $ | ||
| Total Equipment |
| 3 | OTPS | ||
| Description | Cost [$] | ||
| Office supplies | $ | ||
| Program supplies | $ | ||
| Travel & lodging | $ | ||
| Training | $ | ||
| Phone expense | $ | ||
| Insert Item / Description | $ | ||
| Insert Item / Description | $ | ||
| Total OTPS | $ |
| 4 | RENT | ||
| Description | Cost [$] | ||
| Insert Item / Description | $ | ||
| Insert Item / Description | $ | ||
| Total Rent | $ |
| 5 | CONSULTANT / CONTRACTUAL SERVICES | ||
| Description | Cost [$] | ||
| Insert Item / Description | $ | ||
| Insert Item / Description | $ | ||
| Insert Item / Description | $ | ||
| Insert Item / Description | $ | ||
| Total Consultant / Contractual Services |
| 6 | ADMINISTRATIVE COSTS (not to exceed 15% of Personnel) | ||
| Description | Cost [$] | ||
| Insert Item / Description | $ | ||
| Insert Item / Description | $ | ||
| Total Administrative Costs |
| 7 | OTHER | ||
| Description | Cost [$] | ||
| Insert Item / Description | $ | ||
| Insert Item / Description | $ | ||
| Total Other Expenses |
A TOTAL EXPENSES
| B | REVENUE | |||
| Description | Revenue [$] | |||
| 1 | State Aid /Funding via LGU Contract | $ 1,000,000.00 | ||
| Medicaid Insurance Claims | ||||
| Private Insurance Claims | ||||
| Other - describe | ||||
| Other - describe | ||||
| Total Revenue |
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