2-Form 3 DHHS91286 Budget Utilization Form.xlsx
XLSX spreadsheet 40 KB Posted
- Attached to
- Outreach and Healthcare Access SUD
- Solicitation number
- DHHS91286
- Issued by
- Utah
About this file
The document is a Budget Utilization Form for DHHS#91286 Outreach and Healthcare Access for Substance Use Disorders, spanning fiscal years 2026-2028 for the state of Utah. The project aims to identify individuals with opioid and/or stimulant use disorders and their families, assist them in qualifying for public health plans, provide health plan market information, and support enrollment processes. The contract opportunity covers three fiscal years with varying annual budgets: $300,000 in FY 2026, $400,000 in FY 2027, and $100,000 in FY 2028.
The budget forms are currently blank, with no specific personnel or non-personnel costs populated. The total budget across the three fiscal years is $800,000, indicating a significant investment in substance use disorder outreach and healthcare access. The project is specifically targeting Utah's public health system, focusing on connecting eligible individuals with appropriate healthcare plans and subsidies. While the budget utilization forms do not provide detailed line-item expenses, they serve as a template for potential contractors to outline their proposed staffing and operational costs for implementing the outreach and enrollment assistance program.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-Form 1 IRS Form W-9.pdf | ||
| 6-DHHS Client Service Terms.docx | DOCX document | |
| 4-Form 2b Conflict of Interest Certification UGE.pdf | ||
| 3-Form 2a DHHS91286 Conflicts of Interest Dislosure Statement.pdf | ||
| 7-DHHS91286 Outeach and Healthcare Access SUD RFP.docx | DOCX document | |
| 9-RFP Instructions and Checklist 25CR162.docx | DOCX document | |
| 5-DHHS91286 Att B SOW UHPP 25CR162.docx | DOCX document | |
| 8-DHHS91286 Score Sheet.xls | XLS spreadsheet |
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Text version
Fiscal Year 2026
| DHHS#91286 |
| Outreach and Healthcare Access for Substance Use Disorders |
| Budget Utilization Form |
Organization Name:
Annual Budget $300,000
| PERSONNEL COSTS | ||||
| Employee Name & Position | % of time assigned to project | Hourly Rate | Estimated Hours | Cost |
| $ - 0 | ||||
| $ - 0 | ||||
| $ - 0 | ||||
| $ - 0 | ||||
| Total Personnel Cost | $ - 0 |
| NON-PERSONNEL COSTS: Add expense categories as applicable to your program. Use the extra colums if needed. | |
| Description | Cost |
Total Non-Personnel Cost
TOTAL COST $ - 0
Fiscal Year 2027
| DHHS#91286 |
| Outreach and Healthcare Access for Substance Use Disorders |
| Budget Utilization Form |
Organization Name:
Annual Budget $400,000
| PERSONNEL COSTS | ||||
| Employee Name & Position | % of time assigned to project | Hourly Rate | Estimated Hours | Cost |
| $ - 0 | ||||
| $ - 0 | ||||
| $ - 0 | ||||
| $ - 0 | ||||
| Total Personnel Cost | $ - 0 |
| NON-PERSONNEL COSTS: Add expense categories as applicable to your program. Use the extra colums if needed. | |
| Description | Cost |
Total Non-Personnel Cost
TOTAL COST $ - 0
Fiscal Year 2028
| DHHS#91286 |
| Outreach and Healthcare Access for Substance Use Disorders |
| Budget Utilization Form |
Organization Name:
Annual Budget $100,000
| PERSONNEL COSTS | ||||
| Employee Name & Position | % of time assigned to project | Hourly Rate | Estimated Hours | Cost |
| $ - 0 | ||||
| $ - 0 | ||||
| $ - 0 | ||||
| $ - 0 | ||||
| Total Personnel Cost | $ - 0 |
| NON-PERSONNEL COSTS: Add expense categories as applicable to your program. Use the extra colums if needed. | |
| Description | Cost |
Total Non-Personnel Cost
TOTAL COST $ - 0
File details come from the government source that posted it. Updated .