Managing Entities FY22-23 Templates

Unless otherwise indicated, these documents are effective July 1, 2022. Comments questions or suggestions should be directed to: @email

CONTRACT DOCUMENTS

ME Standard Contract

Standard Contract Part 1

* Exhibits C1, C2, F1 and F2 are unique documents for each Managing Entity and will be distributed separately.

Exhibits

Exhibit A - Special Provisions Revised 1/1/2023

Exhibit A1 - Program and Service Specific Terms

Exhibit A2 - SAMH Programmatic State and Federal Laws, Rules, and Regulations

Exhibit B - Scope of Work

Exhibit B1 - Federal Block Grant Requirements

Exhibit C - Task List Revised 1/1/2023

Exhibit C1 - Additional Region-Specific Tasks *

Exhibit C2 - Region-Specific Appropriations *

Exhibit C3 - ME Required Reports, Plans, and Functional Tasks Revised 1/1/2023

Exhibit D - Deliverables

Exhibit E - Minimum Performance Measures Revised 1/1/2023

Exhibit F - Method of Payment

Exhibit F1 - ME Schedule of Funds *

Exhibit F2 - Schedule of Payments *

Guidance Documents

Guidance 1 Evidence Based Guidelines

Guidance 2 Tangible Property Requirements

Guidance 3 Managing Entity Expiration, Termination and Transition Planning Requirements

Guidance 4 Care Coordination Revised 8/1/2022

Guidance 5 Residential Mental Health Treatment for Children and Adolescents

Guidance 6 Outpatient Forensic Mental Health Services

Guidance 7 State Mental Heath Treatment Facility Admission and Discharge Processes

Guidance 8 Assisted Living Facilities with Limited Mental Health (ALF LMH) Licensure

Guidance 9 Supplemental Security Income/Social Security Disability Insurance (SSI/SSDI) Outreach Access, and Recovery (SOAR)

Guidance 10 Prevention Services

Guidance 11 Juvenile Incompetent to Proceed (JITP)

Guidance 12 Behavioral Health Network (BNet) Guidelines and Requirements

Guidance 13 Indigent Drug Program (IDP)

Guidance 14 Prevention Partnership Grants (PPG)

Guidance 15 Projects for Assistance to Transition from Homelessness (PATH)

Guidance 16 Florida Assertive Community Treatment (FACT) Handbook Revised 8/1/2022

Guidance 17 Temporary Assistance for Needy Families (TANF) Funding Guidance

Guidance 18 Family Intensive Treatment (FIT) Model Guidelines and Requirements

Guidance 19 Child Welfare Integration

Guidance 20 Local Review Team

Guidance 21 Housing Coordination

Guidance 22 Federal Grant Financial Management Requirements

Guidance 23 Crisis Counseling Program

Guidance 24 Performance Outcomes Measurement Manual

Guidance 25 National Voter Registration Act Guidance

Guidance 26 Women's Special Funding, Substance Abuse Services for Pregnant Women and Mothers

Guidance 27 Central Receiving Systems Grant

Guidance 28 Forensic Multidisciplinary Team

Guidance 29 Transitional Voucher

Guidance 32 Community Action Treatment (CAT) Team Revised 8/1/2022

Guidance 33 HIV Early Intervention Services

Guidance 34 Mobile Response Team (MRT) Revised 8/1/2022

Guidance 35 Recovery Management Practices

Guidance 36 LATTERS Teams Effective 1/1/2023

Guidance 37 Family First Prevention Services Act (FFPSA) Teams Effective 1/1/2023

Guidance 38 CAT Team for Ages 0 10 Effective 1/1/2023

Guidance 39 Multidisciplinary Child Welfare Teams Effective 1/1/2023

Reporting Templates

Template 1 - Provider Tangible Property Inventory Form

Template 2 - SAMH Block Grant Reporting Template - Revised 3/10/2023

Template 3 - Narrative Report for the Substance Abuse and Mental Health Block Grant

Template 4 - Managing Entity Annual Business Operations Plan

Template 5 - ALF-LMH Forms

Template 6 - Behavioral Health Network Participant Forms

Template 7 - BNet Alternative Service Forms

Template 9 - Local Match Calculation Form

Template 10 - Managing Entity Monthly Fixed Payment Invoice

Template 11 - Managing Entity Monthly Progress Report

Template 12 - Managing Entity Monthly Expenditure Report - Revised 3/10/2023

Template 13 - Managing Entity Monthly Carry Forward Expenditure Report - Revised 10/10/2022

Template 14 Cost Allocation Plan 2022 07 01

Template 14 - Addendum 1 - Cost Allocation Plan - Effective 11/3/2022
Template 14 - Addendum 2 - Cost Allocation Plan - Effective 2/2/2023
Template 14 - Addendum 3 - Cost Allocation Plan - Effective 4/17/2023

Template 15 - Managing Entity Spending Plan for Carry Forward Report - Revised 8/9/2022

Important Message for Florida SNAP Recipients

CONTRACT DOCUMENTS

ME Standard Contract

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