PHI/Bridge Contracting


Overview of the California Bridge Program

The California Bridge Program is establishing a culture of evidence-based medicine to treat substance use disorders through an accelerated training program for healthcare providers that supports, enhances, and increases access to 24/7 treatment in every California community.

Program Vision

The California Bridge Program develops hospitals and emergency rooms into primary access points for the treatment of acute symptoms of substance use disorders through motivation, resources, and encouragement for patients to enter and remain in treatment.

Site Expectations

Healthcare entities participating in the California Bridge Program will address substance use disorder as a treatable chronic illness, leveraging the healthcare system to begin treatment for patients with substance use disorder rather than looking outside of the standard medical facility for the initiation of evidence-based treatment. High risk patients with opioid use disorder currently present to emergency rooms and acute care hospitals. California Bridge sites will "meet patients where they are" by screening for opioid use disorder. Sites will create an environment that welcomes disclosure of opioid use, provide rapid, evidence-based treatment, and link patients to continued treatment.

This program provides 12 months of intensive training and technical support to achieve program participation and activities that include (but are not limited to):

  • Immediate hiring and on-boarding of a substance use navigator (SUN) who will attend an intensive training series throughout the course of the performance period

  • Clinical champion and site-level Bridge team participation at three in-person clinical trainings (September 2019, November 2019, and April 2020)

  • Buprenorphine on formulary

  • Addressing any barriers to treatment access and referral to ongoing care

DELIVERABLES FOR TREATMENT ACCESS PROGRAM SITE CONTRACTS 2019-2020 (Downloadable PDF)


Contracting process

  1. Confirm interest in program participation by response to the initial email from the Bridge program

  2. Submission of any pending items as requested by email to Contracts@BridgeToTreatment.org  

  3. Contingent upon funder approval, PHI/Bridge program makes an official notice of award

Budget

The Bridge Program Budget Template should guide budget revisions. The template includes costs that are suggested for successful implementation as outlined in the contract deliverables. Please revise costs according to your site vision and program plan. Basic costs for typical sites include:

  • Clinical Champion FTE. Successful work to implement a Bridge program generally depends on:

    • 0.1-0.2 FTE of a clinician time (MD, NP, or PA), and

    • 1.0 FTE for a Substance Use Navigator (SUN).

  • Fringe Benefits. Fringe benefits should be the standard package of benefits provided by your hospital to employees. Fringe benefits are typically budgeted as a percentage of base salary to account for the standard package of allowable benefits approved by the hospital (health care, leave, retirement, etc.). PHI/Bridge expects any and all fringe benefits costs incurred to be in accordance with your hospital’s policies for what is appropriate and allowable to be budgeted/incurred under fringe benefits.

  • Travel. As stated above, each site’s budget will include a specified amount for travel to Bridge program events including SUN trainings and Statewide Trainings. These funds must be applied towards the cost of site participants’ travel to Bridge events. You may supplement that amount with additional Bridge funds in accordance with your hospital’s travel policies as the Bridge program travel budget’s are developed in accordance with state travel guidelines.

  • Other Costs. These are any costs associated with the direct and immediate increase in the access to treatment. In the vision of what your site will need to get the program going, any associated costs that will support this vision should be included. Some example costs are: 

    • Cell Phones. The SUN may require a cell phone for communication with patients and with the Bridge program. We have included a plug figure, which you may revise according to your hospital’s specific arrangements.

    • Local Travel. Travel for the SUN for community outreach or other similar purposes associated with increasing access to treatment.

    • Office. Desk space, computer, supplies, depending on site-specific plan.

  • Consultant/Contractor. Based on review of the required deliverables and program goals, you may identify a need to budget for a consultant for the development of materials, pharmacy support, or other short-term resources. Alternatively, if your Clinical Champion is employed by a third party, you may choose to put the costs for your Champion’s time in the Consultant line.

  • Indirect Cost Rate. We will accept the appropriate and allowable indirect rate(s) outlined in your entity’s Negotiated Indirect Cost Rate Agreement (NICRA). To ensure that the majority of funding is allocated to the opioid response, it is our preference that sites would not include an indirect rate above and the de-minimus 10% rate specified in the Code of Federal Regulations, if possible. Applicants from the University of California system must adhere to the 25% indirect cost rate for off-campus other sponsored activities under the State of California.

ALLOWABLE costs:

  • Transportation vouchers to participants (e.g., bus or other public transit passes)

  • Childcare for participating parents

  • Incentives for x-waiver training

NOT ALLOWABLE costs under the CA Bridge program policies:

  • Incentives for patient referrals

  • Incentives for patient participation

  • Incentivizing buprenorphine starts

Data Universal Numbering System (DUNS)

Data Universal Numbering System, abbreviated as DUNS or D-U-N-S, is a proprietary system developed and regulated by Dun & Bradstreet (D&B) that assigns a unique nine-digit number, referred to as a "DUNS number" to a single business entity. A DUNS number is free to obtain and required for any entity receiving federal funding. A DUNS number is required for your hospital/healthcare entity to receive this award. The contracting and/or administrative officer at your hospital/healthcare entity should know your DUNS number.

Apply for a DUNS: https://www.dandb.com/free-duns-number/

DUNS Lookup: https://www.dandb.com/dunsnumberlookup/

System for Award Management (SAM)

System for Award Management or SAM is a federal government owned and operated free website that consolidates information about all registered entities that are eligible to receive government funding. To receive awards from the federal government, your entity must be registered in SAM. Entities are required to complete a one-time registration to provide basic information relevant to procurement and financial transactions. Entities must update or renew registration annually to maintain an active status. SAM registration is required for your hospital/healthcare entity to receive this award. The contracting and/or administrative officer at your hospital/healthcare entity should know your SAM number.

If your hospital is not yet registered in SAM, this does not disqualify you from becoming a Bridge site, but you will need to register in SAM to proceed. You can register in SAM at https://sam.gov. (You will need to first create a user account and then log in to register.)

If your registration is expired or your hospital does not have access to your account, you can renew your registration or update your Entity Administrator through the information at the link above. You can also contact the SAM Help Desk at 866-606-8220.

Employer Identification Number (FEIN)

The Employer Identification Number (EIN), also known as the Federal Employer Identification Number (FEIN), is a unique nine-digit number assigned by the Internal Revenue Service (IRS) to business entities operating in the United States for the purposes of identification.

A FEIN is free to obtain and required for any entity receiving federal funding who will be employing and compensating staff with the federal funding. A FEIN is required for your hospital to receive this award. The contracting and/or administrative officer at your hospital/healthcare entity should know your FEIN.


Questions and SUBMISSIONS:

Contracts@BridgeToTreatment.org  

(Please remember to include hospital name in subject heading)


Important CONTRACTING DATES SPECIFICALLY FOR ACCESS SITES (also Known as Cohort 2):

May 22: All required documentation submitted to the Bridge program

June 17: Tentative date for contract distribution, assuming receipt of all required documentation

June 26, 2:00pm PST: Subcontract orientation webinar (participation of hospital/site contracting representative required)


CONTRACT DETAILS for ACCESS SITES (COHORT 2):

Period of Performance: August 1, 2019 - July 31, 2020

Contract Amount: $125,000 + Travel Budget

Travel Budget: An additional amount will be provided to each hospital specifically for travel to Bridge program trainings and events. The travel funds will be provided to each site individually based on location and may be supplemented with funds from the overall budget.

Type of Contract: Fixed price, deliverables-based subcontract