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Mga tagubilin at template ng Appendix A at B

Mga kinakailangang dokumento para sa pagbuo ng Appendix A at B

Maligayang pagdating sa proseso ng pagkontrata sa San Francisco Department of Public Health (DPH). Ang mga sumusunod na dokumento ay magbibigay sa iyong ahensya ng mahahalagang impormasyon upang mag-navigate sa mga pamamaraan ng pagkontrata ng DPH. Tumuklas ng mga template na pupunan para ma-certify ang iyong kontrata at magkaroon ng access sa mga inilalaang pondo na iginawad sa pamamagitan ng pagpili ng RFP/Q. Sa pagtanggap ng abiso sa pagpopondo, isang maikling paglalarawan ng mga serbisyo at isang kaukulang badyet ay dapat isumite sa mga template ng Appendix A at Appendix B sa isang tinukoy na takdang petsa. Ang mga detalyadong tagubilin kung paano kumpletuhin ang mga apendise ay ibinigay din sa ibaba. Bukod pa rito, itatalaga ang isang Contract Development and Technical Assistance Program Manager (CDTA PM) upang sagutin ang mga tanong at gabayan ka sa proseso ng pagbuo ng kontrata.  

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Appendix B - Badyet

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:

  1. 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.
  2. Two-year budgets – Instructions on how to complete and submit two-year budgets
  3. 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

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