Fiscal Year 2016 SUD (Non-Medicaid) Reporting Instructions and Forms

Contact: John Duvendeck, Contracts & Policy (517) 241-5218

     Brittany Pazdan, Instructions & Forms, (517) 373-1634      
          
         
 

FY 2016 SUD Financial Planning Exceprt 
Updated 9/30/2015

     
         

 

Category / Name 

Software 

Date/Version 

 

 

Instructions 

     

 1

Charitable Choice

PDF 

10/1/2014-1 

 

 2

Communicable Disease 

PDF

10/1/2014-1

 

 3   

Establishing Administrative Cost Within and Across the PIHP

PDF

10/1/2014-1

 

 4

Financial Status Report

PDF

9/30/2015-1

 

 5

Injecting Drug Users 90% Capacity Treatment

PDF

10/1/2014-1

 

 6

Legislative Report Instructions

PDF 

9/30/2015-1

 

 7

Maintenance of Effort

PDF 

10/1/2014-1

 

 8

Notice of Excess or Insuffient  

PDF

10/1/2014-1

 

 9  

Preliminary Close Out

PDF

10/1/2014-1

 

10   

Primary Prevention Expenditures by Strategy

PDF

10/1/2014-1

 

11 

Priority Populations Waiting List

PDF

10/1/2014-1

 

12    

Substance Use Disorder (SUD) Budget Report Instructions

PDF

9/30/2015-1

 

13   

Sentinel Events Data

PDF

10/1/2014-1

 

14

Special Projects - Earmark Funded

PDF 

10/1/2014-1 

 

15  

Synar Coverage Study Canvassing

PDF

10/1/2014-1

 

16   

Tobacco/Formal Synar - Youth Access to Tobacco Compliance Checks

PDF

10/1/2014-1

 

17   

Tobacco Retailer Master List Updates

PDF

10/1/2014-1

 

18   

Women's Specialty Services

PDF

10/1/2014-1

 

19   

Youth Access to Tobacco Activity

PDF

10/1/2014-1

 

 

       
 

Forms 

   

 

 1

Charitable Choice

Excel

9/30/2015-1

 

 2    

Communicable Disease

Excel

9/30/2015-1

 

 3

Financial Status Report

 Excel

9/30/2015-1

 

 4

Injecting Drug Users 90% Capacity Treatment

 Word

9/30/2015-1

 

 5

Legislative Report

 Excel

9/30/2015-1

 

 6   

Maintenance of Effort

Excel

9/30/2015-1

 

 7

Notice of Excess or Insufficient

 Excel

9/30/2015-1

 

 8   

Preliminary Close Out

Excel

9/30/2015-1

 

 9    

Primary Prevention Expenditures by Strategy 

Excel

9/30/2015-1

 

 10    

Priority Populations Waiting List 

Excel

9/30/2015-1

 

 11  

Substance Use Disorder (SUD) Budget Report

Excel

9/30/2015-1

 

 12 

Sentinel Events Data

Word

9/30/2015-1

 

 13

Special Projects - Earmark Funded

Excel

3/24/2017-2

 

 14   

Synar Coverage Study Canvassing

Excel

9/30/2015-1

 

 15   

Tobacco/Formal Synar - Youth Access to Tobacco Compliance Checks

Excel

9/30/2015-1

 

 16   

Tobacco Retailer Master List Updates

Excel

9/30/2015-1

 

 17  

Women's Specialty Services

Word

9/30/2015-1

 

 18 

Women's Specialty Services Mid-Year Status Report 

 Word

9/30/2015-1

 

 19  

Youth Access to Tobacco Activity

Word

9/30/2015-1