DMH Program Budget Form Non-POS~3.doc

DOC document 83 KB Posted

Attached to
Early Psychosis Coordinated Specialty Care Program Staff Enhancement and Evidence Based MA RFA
Solicitation number
BD-23-1022-DMH08-8210C-87233
Issued by
Massachusetts

About this file

The document is a Program Budget Form for a Department of Mental Health (DMH) fiscal year program, which appears to be for a non-Purchase of Service (non-POS) contract. The form outlines the budget categories and line items for the program, including staff costs, occupancy expenses, other direct care/program support costs, and administrative expenses. This document is related to a state and local contract opportunity from the Massachusetts Department of Mental Health (DMH) for an Early Psychosis Coordinated Specialty Care Program (EP CSC Program) staff enhancement and evidence-based practice implementation. The contract opportunity aims to establish a pool of existing or planned EP CSC Programs to which DMH can award grants to enhance staffing or assist with the implementation of evidence-based practices.

The Program Budget Form provides a detailed breakdown of the program's projected costs, including the number of full-time equivalent (FTE) staff, their respective salaries and benefits, as well as other operational and administrative expenses. The contract opportunity appears to focus on providing funding to support and strengthen EP CSC Programs in Massachusetts, though the specific budget amounts and funding sources are not detailed in the provided documents.

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Text version

FY:

Contractor Name:

DMH FISCAL YEAR PROGRAM BUDGET FORM (non-POS)

Current
Amend. Change
Total Budget
FTE
Amount
FTE
Amount
FTE
Amount
COST REIMBURSEMENT ONLY

Component

Offset
Source
Reimbursable

Cost

Direct Care/Program Support Staff/Overtime/

Shift Differential & Relief

SUBTOTAL STAFF

Payroll Taxes

Fringe Benefits

Total Direct Care/Program Staff

Occupancy

Program Facilities

Fac. Oper/Main/Furn

Total Occupancy

Other Direct

Care/Program Support

Direct Care Consultant

Temporary Help

Clients/Caregivers. Reimb/Stipends

Subcontract Dir.Care

Staff Training

Staff Mileage/Travel

Meals

Contracted Client Trans.

Vehicle Expenses

Vehicle Depreciation

Incid. Health/Med Care

Client Per. Allowances

Prov. of Material Good

Direct Client Wages

Other Commercial Prod. & Svs.

Program Supplies/Mat

Total Other Direct Care/Program

Direct Admin Expenses

Program Support

Other Direct Administrative Expenses

Total Direct Administrative Exp.

SUBTOTAL PROGRAM COSTS

Agency Admin. Support Allocation
% $

PROGRAM TOTAL

Updated 7/11/18 Sensitivity level - low

File details come from the government source that posted it. Updated .