Current Mental Health Performance Contract

Performance Contract Download Files

FY 2012-13 Performance Contract

• Executive Overview (PDF)
• General Provisions (MS Word) Updated May 7, 2012
• Performance Contract Notebook Program Attachment (MS Word) Updated May 7, 2012

Reports

• Report I.A Service Performance Report (MS Excel)
• Report III-IV (MS Excel) Updated March 12, 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)
• Form F PESC Service Delivery Report (MS Excel)
• Form G Financial Statement Certification (MS Word)
• Form H OCR Monthly Tracking Report (MS Excel)
• Form I OCR Annual Budget Expenditures (MS Excel)
• Form K Security Administrator Attestation (MS Word)
• Form L Expenditures for Title XX (MS Excel) Updated May 7, 2012
• Form M PESC Expenditure Summary (MS Excel)
• Form N Consumer Operated Services Program Report (MS Excel)
• Form O (MS Excel)
• Form S Contact List (MS Excel)
• 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 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) NEW May 7, 2012
• Information Item C Service Targets, Outcomes, and Performance Measures (MS Word) Updated May 7, 2012
• Information Item D Instructions for Report III (MS Word) Updated May 7, 2012
• 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) Updated December 29, 2011
• Information Item H Client Benefits Plan (MS Word)
• Information Item I Local Planning (MS Word)
• Information Item M CRCG MOU (MS Word)
• Information Item O PASRR Process and Reimbursement Guidelines (MS Word) Updated November 21, 2011
• Information Item Q Fair Hearing Procedures (MS Word)
• Information Item R RDM Waiting List Maintenance Manual (MS Word) Updated December 29, 2011
• Information Item S Submission Calendar (MS Excel) Updated October 11, 2011
• Information Item T Data Exchange and COC Guidelines (MS Word)
• Information Item V Crisis Service Standards (MS Word)
• Information Item W Urban and Rural ACT Designation (MS Excel)

FY 2010-11 Performance Contract

• Complete FY 2010-11 Performance Contract

This page was last modified September 1, 2011