Special Reporting Requirements Clause Samples

Special Reporting Requirements. Using the OHA prescribed “Start-Up Request & Expenditure Form,” County shall prepare and submit electronically, to ▇▇▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, a request for disbursement of allowable Start-Up funds as identified in a special condition in a particular line of Exhibit C, “Financial Assistance Award.” The reports must be prepared in accordance with forms prescribed by OHA and procedures described in Exhibit K, “Start-Up Procedures.” Forms are located at ▇▇▇▇://▇▇▇.▇▇▇▇▇▇.▇▇▇/OHA/HSD/AMH/Pages/Reporting-Requirements.aspx.

Special Reporting Requirements. County shall notify OHA Problem Gambling Services Manager within 10 business days of any changes related to designated Problem Gambling A&D 82 Services program staff. County shall submit the following information to OHA regarding Individuals receiving A&D 82 Services. All Providers of A&D 82 Services shall comply with the current OHA PG Net data collection system and manual, located at ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇.▇▇▇/oha/HSD/Problem-Gambling/Pages/PG-Net.aspx.

Special Reporting Requirements. County shall prepare and electronically submit, to ▇▇▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, written quarterly summary reports on the delivery of A&D 64 Services no later than 45 calendar days following the end of each subject quarter for which financial assistance is awarded through this Agreement. Reports must be prepared using forms and procedures prescribed by OHA. Forms are located at ▇▇▇▇://▇▇▇.▇▇▇▇▇▇.▇▇▇/OHA/HSD/AMH/Pages/Reporting-Requirements.aspx. Each report shall provide the following information: (1) Information and data as required on the OHA-provided reporting template; (2) Provide, for financial settlement purposes, the total amount expended during the subject quarter for the following: (a) Amount expended for staff positions (Housing Coordination) (b) Amount expended for administration. (c) Amount expended for move-in and barrier removal services (Residential Costs); (d) Amount expended for Rental Assistance and (3) All required reports submitted must be complete and accurate to the satisfaction of OHA. If a report is found to be incomplete or not accurate, it will be returned for correction and resubmission. Failure to submit complete and accurate reports could result in the withholding of future payment of Financial Assistance.

Special Reporting Requirements. Reports must be prepared using forms and procedures prescribed by OHA. Forms are located at ▇▇▇▇://▇▇▇.▇▇▇▇▇▇.▇▇▇/OHA/HSD/AMH/Pages/Reporting- Requirements.aspx. (1) Acute Psychiatric Inpatient Services:

Special Reporting Requirements. (1) County shall prepare and electronically submit, to ▇▇▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, written quarterly reports on the delivery of MHS 12 Services no later than 45 calendar days following the end of each subject quarter for which financial assistance is awarded through this Agreement. Reports must be prepared using forms and procedures prescribed by OHA. Forms are located at ▇▇▇▇://▇▇▇.▇▇▇▇▇▇.▇▇▇/OHA/HSD/AMH/Pages/Reporting- Requirements.aspx. (2) For financial use, each report shall provide the following information for the subject quarter totals: (a) Amount expended for move-in and barrier removal services; (b) Amount expended for housing rental; (c) Amount expended for staff positions and administration; and (d) The number of housing slots rent was paid for MHS 12 Individuals.

Special Reporting Requirements. County shall prepare and electronically submit, to ▇▇▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, written quarterly reports no later than 45 calendar days following the end of each subject quarter for which financial assistance is awarded through this Agreement. Reports must be prepared using forms and procedures prescribed by OHA. Forms are located at ▇▇▇▇://▇▇▇.▇▇▇▇▇▇.▇▇▇/OHA/HSD/AMH/Pages/Reporting-Requirements.aspx. County shall: (1) Meet data reporting requirements and deadlines, unless otherwise arranged with OHA; (2) Administer the Adult Hope Scale located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/sites/default/files/hopescale.pdf as an outcome measurement tool, or provide an alternative measure of a consistent nature to be approved by OHA.

Special Reporting Requirements. County shall prepare and electronically submit through secure e-mail as described in the Security and Privacy Agreement, to ▇▇▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, written quarterly reports on the delivery of MHS 09 Services no later than 45 calendar days from the end of each subject quarter for which financial assistance is awarded through this Agreement. Reports must be prepared using forms and procedures prescribed by OHA. Forms are located at ▇▇▇▇://▇▇▇.▇▇▇▇▇▇.▇▇▇/OHA/HSD/AMH/Pages/Reporting- Requirements.aspx. Each quarterly report shall include, but is not limited to, the following: (1) For Individuals receiving MHS 09 Services, report the following: (a) Individuals name; (b) Gender; (c) Date of birth; (d) Medicaid identification number (if applicable); (e) Race; (f) Ethnicity; (g) Whether the Individual has an SPMI diagnosis; (h) Identify whether the Individual received pre or post booking Services; (i) Number of times Individual was arrested during the reporting period; (▇) ▇▇▇▇▇▇▇ Individual was arrested for during the reporting period; and (k) Description of Service provided. (2) Report the number of incidences where charges were dismissed or dropped as a result of MHS 09 Services. (3) Report the number of crisis consultations provided by mental health staff in pre-booking diversions. (4) Provide a detailed description of any MHS 09 Service created prior to the current reporting period. (5) Provide information regarding any activities related to MHS 09 Services that involved law enforcement agencies, jails, circuit and municipal courts, community corrections, and local mental health providers.

Special Reporting Requirements. County shall submit the following information to OHA regarding Individuals receiving A&D 83 Services. Information to be submitted to ▇▇▇▇▇▇▇ and ▇▇▇▇▇, OHA/PGS data collection evaluation contractor. All Providers of A&D 83 Services shall comply with the current GPMS User Manual located at: ▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/treatment-resources/.

Special Reporting Requirements. County shall prepare and electronically submit, to ▇▇▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, written quarterly summary reports on the delivery of MHS 05 Services no later than 45 calendar days following the end of each subject quarter for which financial assistance is awarded through this Agreement. Reports must be prepared using forms and procedures prescribed by OHA. Forms are located at ▇▇▇▇://▇▇▇.▇▇▇▇▇▇.▇▇▇/OHA/HSD/AMH/Pages/Reporting-Requirements.aspx. Each report shall provide the following information: (1) Individuals served; (2) Individuals who are homeless at any point during a quarter; (3) Individuals with safe stable housing for 6 months; (4) Individuals using emergency departments during each quarter for a mental health reason; (5) Individuals hospitalized in OSH or in an acute psychiatric facility during each quarter; (6) Individuals hospitalized in an acute care psychiatric facility during each quarter; (7) Individuals in jail at any point during each quarter; (8) Individuals receiving Supported Employment Services during each quarter; (9) Individuals who are employed in Competitive Integrated Employment; and (10) Individuals receiving MHS 05 Services who are not enrolled in Medicaid Referrals and Outcomes, including the following: (a) Number of referrals received during each quarter; (b) Number of Individuals accepted during each quarter; (c) Number of Individuals admitted during each quarter; and (d) Number of Individuals denied during each quarter and the reason for each denial.