Instrucciones y plantillas de los apéndices A y B

Documentos necesarios para elaborar los Apéndices A y B

Bienvenido al proceso de contratación con el Departamento de Salud Pública de San Francisco (DPH). Los siguientes documentos le brindarán a su agencia información esencial para navegar por los procedimientos de contratación del DPH. Descubra las plantillas que debe completar para obtener la certificación de su contrato y obtener acceso a los fondos asignados otorgados a través de la selección de RFP/Q. Al recibir una notificación de financiación, se debe enviar una breve descripción de los servicios y un presupuesto correspondiente en las plantillas del Apéndice A y Apéndice B antes de una fecha de vencimiento específica. A continuación, también se proporcionan instrucciones detalladas sobre cómo completar los apéndices. Además, se asignará un Gerente del Programa de Desarrollo de Contratos y Asistencia Técnica (CDTA PM) para responder preguntas y guiarlo a través del proceso de desarrollo del contrato.

Documentos

Apéndice A - Narrativa del programa

Contract Checklist for Providers

Go through this list to make sure all contract development requirements have been completed before submitting the Appendix A and B.

2024-08-08

Appendix A - Narrative Instructions (All Sections)

Follow the Appendix A instructions based on the system of care (SOC) solicitation.

2023-05-10

Appendix A - Narrative Template (All Sections)

A description of services for each program must be submitted on the designated system of care Appendix A template. Select the correct template based on the mode of service(s) in the RFP/Q solicitation.

2024-10-17

A Guide to Reading Your Funding Notification

Comprehending the details of your funding notification is crucial for accurately filling out the Appendix A and B template.

2024-08-08

Appendix A - Narrative Template (CHEP Health Access Point (HAP) Programs Oly)

Use this Appendix A template for CHEP programs only.

Apéndice B - Presupuesto

Appendix B - Non-BHS Budget Template

This Appendix B - Non-BHS Budget template and instructions should be used only for the following Systems of Care (SOC): Primary Care, HIV Health Services (HHS), Community Health Equity and Promotions (CHEP), Maternal, Child and Adolescent Health (MCAH), and Fiscal Intermediary and or Program Management

2024-03-11

CHEP HAP Appendix B - Budget Template

This Appendix B - Budget Template should be used for Community Health Equity and Promotions (CHEP) Health Access Programs (HAP) Only.

2022-08-15

Appendix B - BHS Budget Instructions (New)

The updated Appendix B and instructions has the following main updates:

CalAIM efforts/ Blended Rate for Outpatient programs – Steam line App B by removing CalAIM LOE Tab and instead collects practitioner type through revised “Salaries and Benefits” tab.
Two-year budgets – Instructions on how to complete and submit two-year budgets
Units of Services/Unduplicated Clients (UOS/UDC) allocation table from App A to App B – UOS/UDC allocation tab now in App B IF SOC requires agency to complete

2024-11-06

Appendix B - BHS Budget Template (posted 11/4/24)

Please carefully review the revised Appendix B instructions before completing your FY2024-25 Appendix B and only use this template for the following Systems of Care (SOC) program services: Adult and Older Adult (AOA), Children Youth and Families (CYF), Mental Health Services Act (MHSA), Residential Programs, Substance Use Disorder Services (SUD), Transitional Aged Youth (TAY) If you have any questions, please contact your CDTA Program Manager.

2024-08-20

Level of Intensity for Outpatient Programs (New)

2024-11-06

BHS - FY24-25 Outpatient Blended Rate Template

This template is a tool to help providers determine their FY 24/25 Blended Rate and Units of Service for their Outpatient SMH/SUD Programs.

2024-11-07