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Return to Community Mental Health Contracts
Authority Contracts
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FY 2009 Performance Contract
FY 2009 Performance Contract
Performance Contract Download Files: Archive of 2009 Files
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General Provisions
(MS Word)
Executive Overview
(MS Word)
Table Of Contents
(MS Word)
Attachments
Adult Program Attachment
(MS Word)
Children And Adolescent Program Attachment
(MS Word)
Authority Program Attachment
(MS Word)
Reports
Report I.A Service Performance Report – Mental Health
(MS Excel)
Report II Outcome Performance Report – Mental Health
(MS Word)
Report III Budget Report
(MS Excel)
Report IV In-Kind Local Match Report
(MS Word)
Forms
Form A Affidavit of Board Member
(MS Word)
Form B Affidavit of Executive Director
(MS Word)
Form C Request to Amend Performance Contract
(MS Word)
Form E Rural Border Intervention Project
(MS Excel)
Form F PESC Service Delivery
(MS Excel)
Form G Financial Statement Certification
(MS Word)
Form H Exhibit A Monthly Tracking Report/ OCR Pilot Program
(MS Excel)
Form I Exhibit B Annual Budget Expenditures/ OCR Program Pilot
(MS Excel)
Form J HUB Subcontracting Plan
(MS Word)
Form L Expenditures for Title XX
(MS Excel)
Form M PESC Expenditure Summary
(MS Excel)
Form O Residential Outcome
(MS Word)
Form S Contact List
(MS Excel)
Form V New Generation Medication Report
(MS Word)
Form X Community Hospital Report
(MS Excel)
Form Y Signature Delegation
(MS Word)
Information Items
Information Item C Instructions for Report II
(MS Word)
Information Item D Instructions for Report III
(MS Word)
Information Item E Instructions for Report IV
(MS Word)
Information Item H Client Benefits Plan
(MS Word)
Information Item I Local Service Area, Benefits, Diversion Action
(MS Word)
Information Item K Relevant Rules Grid
(MS Word)
Information Item L Voter Registration
(MS Word)
Information Item M MOU - CRCG
(MS Word)
Information Item Q Fair Hearing Procedures
(MS Word)
Information Item R RDM Waiting List Maintenance Manual
(MS Word)
Information Item S Submission Calendar
(MS Word)
Information Item T Jail Booking List Cross-Reference
(MS Excel)
Information Item V Crisis Service Standards
(MS Word)
Information Item W Urban and Rural ACT Designation
(MS Excel)
Last updated
November 10, 2011