Current Mental Health Performance Contract

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Performance Contract Download Files

FY 2012-13 Performance Contract

 

Document

Date

Performance Contract Documents

Executive Overview (PDF)

 

General Provisions (MS Word) 

Update posted August 6, 2012

Performance Contract Notebook Program Attachment (MS Word)

Updated posted February 5, 2013

 Reports

Report I.A Service Performance Report (MS Excel)

 

Report III-IV (MS Excel)

Updated June 8, 2012

Forms

Form A Affidavit of Board Member (MS Word)

 

Form B Affidavit of Executive Director (MS Word)

 

Form C MHD Quarterly Reporting Form (MS Excel)

 

Form D Voter Registration (MS Word)

 

Form E Rural Border Intervention Project (MS Excel)

Update posted August 6, 2012

Form F PESC Service Delivery Report (MS Excel)

Update posted February 7, 2013

Form G Financial Statement Certification (MS Word)

 

Form H OCR Monthly Tracking Report (MS Excel)

Update posted August 6, 2012

Form I OCR Annual Budget Expenditures (MS Excel)

 

Form J Disaster Behavioral Health Conference Expenditures (MS Word)

Posted August 31, 2012

Form K Security Administrator Attestation (MS Word)

Update posted February 5, 2013

Form L Expenditures for Title XX (MS Excel)

Updated November 21, 2012

Form M PESC Expenditure Summary (MS Excel)

 

Form N Consumer Operated Services Program Report (MS Excel)

Update posted February 5, 2013

Form O (MS Excel)

 

Form S Contact List (MS Excel)

 Update posted August 6, 2012

Form T Disaster Contact List (MS Word)

 

Form V New Generation Medication Report (MS Word)

Updated December 29, 2011

Form V-Vet Electronic Assessment (MS Word)

Updated December 29, 2011

Form V-Vet Hard Copy (MS Word)

Updated December 29, 2011

Form V-Vet Expenditures (MS Excel)

Updated October 11, 2011

Form V-Vet JDTR Expenditures (MS Excel)

New; Posted February 7, 2013

Form V-Vet Service Delivery (MS Excel)

Updated October 11, 2011

Form X Community Hospital Report (MS Excel)

Updated November 21, 2011

Form Z Forensic Clearinghouse Monthly Report (MS Excel)

Updated December 29, 2011

Information Items

Information Item B Procedures for Title XX (MS Word) 

Update posted August 6, 2012

Information Item C Service Targets, Outcomes, and Performance Measures (MS Word)

Update posted February 5, 2013

Information Item D Instructions for Report III (MS Word)

Update posted February 5, 2013

Information Item E Instructions for Report IV (MS Word)

 

Information Item F TCM and Rehab Payment Method (MS Word)

 

Information Item G Service Definitions (MS Word)

Update posted February 5, 2013

Information Item H Client Benefits Plan (MS Word)

Update posted August 6, 2012

Information Item I Local Planning (MS Word)

 

Information Item M CRCG MOU (MS Word)

 

Information Item O PASRR Process and Reimbursement Guidelines (MS Word)

Update posted August 6, 2012

Information Item Q Fair Hearing Procedures (MS Word)

 

Information Item R RDM Waiting List Maintenance Manual (MS Word)

Update posted August 6, 2012

Information Item S Submission Calendar (MS Excel)

Update posted February 5, 2013

Information Item T Data Exchange and COC Guidelines (MS Word)

Update posted August 6, 2012

Information Item V Crisis Service Standards (MS Word)

Update posted August 6, 2012

Information Item W Urban and Rural ACT Designation (MS Excel)

 
   

FY 2010-11 Performance Contract

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Last updated February 07, 2013