Fiscal Year 2017 SUD (Non-Medicaid) Reporting Instructions and Forms

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

               Karolyn Jones, Instructions & Forms (517) 373-1634

 

 

Reports / Forms

Software 

Instructions (PDF)

 1

Charitable Choice

Excel

Instructions

 2

Child Referral

Word

Instructions

 3   

Communicable Disease 

Excel

Instructions

 4

Financial Status Report (FSR)

Excel

Instructions

 5

Injecting Drug Users 90% Capacity Treatment

Word

Instructions

 6

Legislative Report

Excel

Instructions

 7

Maintenance of Effort (MOE)

Excel

Instructions

 8

Notice of Excess or Insufficient Funds (NEIF)

Excel

Instructions

 9

Primary Prevention Expenditures by Strategy

Excel

Instructions

10  

Priority Populations Waiting List Deficiencies

Excel

Instructions

11   

Sentinel Events Data

Word

Instructions

12 

Special Projects - Earmark Funded

Excel

Instructions

13

SUD Budget Report - Supplemental FSR

Excel

Instructions

14    

Synar Coverage Study Canvassing

Excel

Instructions

15   

Tobacco/Formal Synar - Youth Access to Tobacco Compliance Checks

Excel

Instructions

16

Tobacco Retailer Master List Updates

Excel

Instructions

17  

Women's Specialty Services (WSS)

Word

Instructions

18   

Women's Specialty Services (WSS) Mid-Year Status Report

Excel

Instructions

19   

Youth Access to Tobacco Activity

Word

Instructions