Fiscal Year 2019 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

Excel

Instructions

 3   

Communicable Disease

Excel

Instructions

 4

Injecting Drug Users 90% Capacity Treatment

Excel

Instructions

 5

Legislative Report - due 2/28/2020

Excel

Instructions

 6

Maintenance of Effort (MOE)

Excel

Instructions

 7

Notice of Excess or Insufficient Funds (NEIF)

Excel

Instructions

 8 PDS Outcomes Survey Data Excel Instructions

 9

Primary Prevention Expenditures by Strategy - due 2/28/2020

Excel

Instructions

 10

Priority Populations Waiting List Deficiencies

Excel

Instructions

11 SAHL DHH Report Excel Instructions

12  

Sentinel Events Data

Word

Instructions

13

Special Projects - Earmark Funded

Excel

Instructions

14

Strategic Enhancements Report to OROSC

Word

Instructions

15

SUD Budget Report

Excel

Instructions

16 SUD Quarterly Expenditure Report Excel Instructions

17   

Synar Coverage Study Canvassing

Excel

Instructions

18  

Tobacco/Formal Synar - Youth Access to Tobacco Compliance Checks

Excel

Instructions

19

Tobacco Retailer Master List - OROSC will provide customized form

Excel

Instructions

20 

Women's Specialty Services - Annual Report

Word

Instructions

21  

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

Excel

Instructions

22  

Youth Access to Tobacco Activity

Word

Instructions