Fiscal Year 2020 SUD (Non-Medicaid) Reporting Instructions and Forms

Contact: MDHHS BDHHA Contracts Management at MDHHS-BHDDA-Contracts-MGMT@michigan.gov

 

 

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 3/15/2021

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 2/28/2021

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 - no longer required

Word

Instructions

15

SUD Budget Report - no longer required

Excel

Instructions

16 SUD Quarterly Expenditure Report - no longer required 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