Financial Status Reporting Fiscal Year 2016

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

 

Category / Name 

Software 

Date/Version 

   
   
   

 

Instructions 

 

 

 1

Midyear Report - Instructions 

PDF

5/11/2016

 2    

Financial Status Report - Medicaid Contract Settlement Worksheet - Instructions 

PDF

2016-2

 3

Financial Status Report - Autism Benefit - Instructions - January - September 2016

PDF

1/1/2016-2

 4 Financial Status Report - Autism Benefit - Instructions - October - December 2015 PDF 10/1/2015-2
 5 Financial Status Report - Autism Benefit - Instructions - January - September 2016 Supplemental PDF 1/1/2016-2

 6

Financial Status Report - Health Home Services - Instructions

PDF 

2016-2

 7

Financial Status Report - All Non-Medicaid - Instructions

PDF 

 2016-2

 8 Financial Status Report - All Non-Medicaid Supplemental Instructions PDF 2016-2

 9

Financial Status Report -  Substance Use Disorder Services

PDF

2016-2

10 

Financial Status Report - Substance Use Disorder Services Supplemental

PDF

2016-2

11

Financial Status Report - Healthy Michigan Plan

PDF

2016-2

12  

Purchase of State Services & Local Costs, Reconciliation& Cash Analysis 

PDF

2016-2

13     

General Fund Contract Reconciliation and Cash Settlement- Instructions 

PDF

2016-2

14   

General Fund Contract Settlement Worksheet - Instructions 

PDF

2016-2

15   

Medicaid - Internal Service Fund - Instructions 

PDF

2016-2

16   

Medicaid Shared Risk Calculation & Risk Financing- Instructions 

PDF

2016-2

17   

Medicaid Contract Reconciliation and Cash Settlement - Instructions  

PDF

2016-2

18   

Financial Status Report - Medicaid- Instructions 

PDF

2016-2

19   

Financial Status Report - MI Health Link - Instructions 

PDF

2016-2

20   

PA2 Fund Balance Activity - Instructions 

PDF

2016-1

21   

Medicaid - Year End Accrual Schedule - Instructions 

PDF

9/30/15-1

22   

General Fund - Year End Accural Schedule - Instructions 

PDF

9/30/15-1

23

Substance Use Disorder Non-Medicaid - Year End Accural Schedule - Instructions

PDF

9/30/15-1

24 

County 10% BIlling Guidance - August 2013

PDF 

12/22/2015-3

25

226a (PA423) of the Mental Health Code

PDF

2016-2

26

Report Certification & Electronic Report Submission Guidelines

PDF

10/1/2015-2

 

Forms 

   

1

Midyear Report - Form

Excel

v 2016-1

Stand Alone Form

 

 2    

Financial Status Report - Medicaid - Form

Excel

v 2016-2

FSR Bundle - Tab 1

 

 3

Financial Status Report - Autism Benefit - Form

Excel

v 2016-2

FSR Bundle - Tab 7

 

 4

Financial Status Report - Health Home Services - Form

Excel

v 2016-2

FSR Bundle - Tab 6

 

 5

Financial Status Report - All Non-Medicaid - Form

Excel

v 2016-2

FSR Bundle - Tab 14

 

 6

Financial Status Report -  Substance Use Disorder Services

Excel

v 2016-2

FSR Bundle - Tab 8

 

 7

Financial Staus Report - Substance Use Disorder Services Supplemental

Excel

v 2016-2

FSR Bundle - Tab 9

 

 8

Financial Staus Report - Healthy Michigan Plan

Excel

v 2016-2

FSR Bundle - Tab 4

 

 9

ABW Guidance - April 2010  

Excel

v 2016-2

Stand Alone Form

 

10    

Purchase of State Services & Local Costs, Reconciliation& Cash Analysis - Form

Excel

v 2016-2

FSR Bundle - Tab 13

 

11     

General Fund Contract Reconciliation and Cash Settlement - Form

Excel

v 2016-2

FSR Bundle - Tab 15

 

12   

General Fund Contract Settlement Worksheet - Form

Excel

v 2016-2

FSR Bundle - Tab 16

 

13    

General Fund Contract Reconciliation and Cash Settlement - Form

Excel

12/14//2014-2.1

Stand Alone Form

 

14   

Medicaid - Internal Service Fund - Form

Excel

v 2016-2

FSR Bundle - Tab 11

 

15   

Medicaid Shared Risk Calculation & Risk Financing- Form

Excel

v 2016-2

FSR Bundle - Tab 12

 

16   

Medicaid Contract Reconciliation and Cash Settlement - Form

Excel

v 2016-2

FSR Bundle - Tab 2

 

17   

Financial Status Report - Medicaid- Form

Excel

v 2016-2

FSR Bundle - Tab 3

 

18   

Financial Status Report - MI Health Link - Form

Excel

v 2016-2

FSR Bundle - Tab 5

 

19   

PA2 Fund Balance Activity - Form

Excel

v 2016-2

FSR Bundle - Tab 10

 

20   

Pasted Certification Page - Form

Excel

v 2016-2

FSR Bundle - Tab 17

 

21

Additional Narrative - Form

Excel

v 2016-2

FSR Bundle - Tab 18

 

22   

Medicaid - Year End Accural Schedule - Form

Excel

v 2015-2

Stand Alone Form

 

23 

General Fund - Year End Accural Schedule - Form

Excel

v 2015-2

Stand Alone Form

 

24

Substance Use Disorder Non-Medicaid - Year End Accural Schedule - Form

Excel

v 2015-2

Stand Alone Form

 

25

Certification Form

Excet

v 2016-2

Stand Alone Form

 

26

Special Fund Account - Section 226a, PA423 of the MHC - Form

Excel

V 2016-2

Stand Alone Form

 

27

Executive Salaries and Benefit Compensation Report

Excel

V 2016-1

Stand Alone Form