Contracting with Department of Public Health

All health service providers are required to have a National Provider Identifier (NPI) Number. If you do not have one, you can apply for one. NPI Numbers are mandated by the Health Insurance Portability and Accountability Act (HIPAA). 

*If you are a Mental Health or Substance Use Disorder Services Provider, you must register with the State of California and the City and County of SF

This will detail the amount of funds allocated to your organization and assist you in creating your Appendix A and B.

It will also identify a Contract Development and Technical Assistance (CDTA) Program Manager (PM) as your principal point of contact. Your designated CDTA PM will field all questions regarding your DPH contract, and if he/she does not have a specific answer, then a referral will be made to one of the appropriate DPH sections.

Find a guide to reading your funding notification letter

Use this form for all BHS and non-BHS programs

• 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)
• Maternal, Child and Adolescent Health (MCAH)
• Primary Care 
• HIV Health Services (HHS)
• Community Health Equity & Promotion (CHEP)
• Fiscal Intermediary and or Program Management

Use this form for: 

• Health Access Point Programs (HAP)

Instructions for completing Appendix A

Use this form for Behavioral Health Services (BHS) programs:

• 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)

Instructions for completing BHS Appendix B

Use the BHS- FY24-25 Outpatient Blended Rate Template and Level of Intensity for Outpatient Programs document to determine your FY 24/25 Blended Rate and Units of Service (UOS) for SMH/SUD programs ONLY.

Use this form for all other programs: (instructions included in form)

• Maternal, Child and Adolescent Health (MCAH)
• Primary Care 
• HIV Health Services (HHS)
• Community Health Equity & Promotion (CHEP)
• Fiscal Intermediary and or Program Management 

Use this form for:

• Health Access Programs (HAP)

Use this checklist to make sure you've completed all steps. 

The final draft of your Appendix A and B should be submitted to cdtaunit@sfdph.org and send a copy to your designated CDTA program manager.  

Your CDTA program manager will review your documents, work with you to make revisions as necessary and circulate your documents to the individual Systems of Care and Business Office for review and approval. Once reviewed, your contract will be certified and processed by the contracts unit.

You will receive a copy of your final contract for signing through Docusign. Please sign these documents as soon as possible for final processing.

SF Department of Public Health Budget Unit will issue invoices once the contract is processed and certified.

Complete instructions for invoicing the SF Department of Public Health

DPH Invoice processing FAQ

Types of DPH Invoices

Invoice acceptance policy

Invoice variance request form

Invoice variance form instructions and rules

Invoice variance flow chart

contact us at cdtaunit@sfdph.org