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Managing Entities FY19-20 Templates

Unless otherwise indicated, these documents are effective July 1, 2019.

Comments, questions or suggestions should be directed to @email.

ME STANDARD CONTRACT
Standard Contract Part 1
EXHIBITS
Exhibit A - Special Provisions - EH003
Exhibit A - Special Provisions
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 - Revised 3/4/2020
Exhibit C - Task List - Revised 7/30/2019
Exhibit C1 - Additional Region-Specific Tasks *
Exhibit C2 - Region-Specific Appropriations *
Exhibit C3 - ME Required Reports, Plans, and Functional Tasks, Revised 7/19/2019
Exhibit D - Deliverables - Revised 8/1/2019
Exhibit E - Minimum Performance Measures - Revised 8/1/2019
Exhibit F - Method of Payment - Revised 8/1/2019
Exhibit F1 - ME Schedule of Funds *
Exhibit F2 - Sample Schedule of Payments *

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

GUIDANCE DOCUMENTS
Guidance 1 - Evidence-Based Guidelines
Guidance 2 - Tangible Property Requirements
Guidance 3 - Managing Entity Expiration, Termination and Transition Planning Requirements - Revised 11/1/2019
Guidance 4 - Care Coordination - Revised 11/1/2019
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) - Revised 2/25/2020
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
Guidance 17 - Temporary Assistance for Needy Families (TANF) Funding Guidance
Guidance 18 - Family Intensive Treatment (FIT) Model Guidelines and Requirements - Revised 7/18/2019
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, Revised 7/18/2019
Guidance 25 - National Voter Registration Act Guidance - Revised 11/1/2019
Guidance 26 - Women's Special Funding, Substance Abuse Services for Pregnant Women and Mothers - Revised 11/1/2019
Guidance 27 - Central Receiving Systems Grant
Guidance 28 - Forensic Multidisciplinary Team - Revised 1/1/2020
Guidance 29 - Transitional Voucher - Revised 11/1/2019
Guidance 30 - Partnership for Success
Guidance 31 - Children's Mental Health System of Care (CMHSOC) Grant
Guidance 32 - Community Action Treatment (CAT) Team - Revised 1/22/2020
Guidance 33 - HIV Early Intervention Services - Revised 7/12/2019
REPORTING TEMPLATES
Template 1 - Provider Tangible Property Inventory Form
Template 2 - SAMH Block Grant Reporting Template - Revised 2/4/2020
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 8 - Discontinued 11/3/2016
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 5/1/2020
Template 13 - Managing Entity Monthly Carry Forward Expenditure Report - Revised 4/23/2020
Template 14 - Cost Allocation Plan - Revised 5/1/2020
Template 15 - Managing Entity Spending Plan for Carry Forward Report - Revised 9/20/2019
Template 16 - Women’s Special Funding Report
Template 17 - FIT Reporting Template - Revised 7/26/2019
Template 18 - Discontinued Effective 5/18/2017
Template 19 - PFS Drug Epidemiology Network (DEN) Report
Template 20 - CMHSOC Reporting Template
Template 21 - Care Coordination Monthly Report - Revised 9/18/2019
Template 22 - Conditional Release Report
Template 23 - Forensic Diversion Report
Template 24 - DBH Supplemental Invoice and Expenditure Report
Template 25 - Forensic Multidisciplinary Team Report - Revised 11/1/2019
Template 26 - Regional Action Steps to Forensic Goals
Template 27 - PFS School-Based Prevention Quarterly Report