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Reporting Templates and Contract-Related Documents

2017-19 Service Element Reporting Requirements

The following table lists the reporting requirements for each Service Element (SE) currently funded in Financial Assistance Agreements with the Oregon Health Authority.

  • To sort or filter by service type, SE, or more, click the column heading.
  • Report Type "N/A" means there is no reporting requirement for the Service Element.
  • For reports with a specific frequency, the Contract Reporting Frequency fact sheet lists specific due dates by subject month, quarter, and year.
  • Report Link provides a link to the forms you must complete for the requirement. If this field is blank, this means there is no standard form that you need to use in order to complete the requirement.

To learn more about specific reporting requirements for any SE, please refer to your financial pages.

  
  
  
  
  
  
A&D03System Management and CoordinationN/AN/A
A&D60Special ProjectsN/AN/A
A&D60Housing AssistanceSummary of services deliveredQuarterlyHousing Report
A&D60Intoxicated Driver Program FundSummary of services deliveredQuarterlyIntoxicated Driver Program Fund Report
A&D60Problem Gambling Client Finding Outreach ServicesReport in GPMSN/A
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2019-21 Service Element Reporting Requirements

The Service Element (SE) reporting requirements effective July 1, 2019, are posted below for review.

  
  
  
  
  
  
MHS15Youth Adult Hub ProgramsN/AN/AHope Scale
MHS26Non-Residential Services for Youth and Young Adults in TransitionQuarterly reportQuarterlyNon-Residential Community MH Service for Youth and Young Adults in Transistion
MHS16Veterans Peer Delivered ServicesQuarterly reportQuarterlyVeterans Peer Delivered Services
MHS16Peer-Delivered ServicesQuarterly reportQuarterlyPeer Delivered Services
MHS07Commercial Sexual Exploitation of Children (CSEC) Residential Treatment ServicesAccounting report of financial assistanceAnnualCSEC Quarterly Report
A&D83Problem Gambling Respite TreatmentReport in GPMSVariesResources for Treatment Providers
A&D83Problem Gambling Respite TreatmentFinal Report - Trauma-Informed CareBiennialReporting Tools for PGS Prevention Providers - Trauma Informed Care
A&D82Problem Gambling Residential ServicesFinal Report - Trauma-Informed CareBiennialReporting Tools for PGS Prevention Providers - Trauma Informed Care
A&D81Problem Gambling Treatment ServicesFinal Report - Trauma-Informed CareBiennialReporting Tools for PGS Prevention Providers - Trauma Informed Care
A&D80Problem Gambling Prevention ServicesFinal Report - Trauma-Informed CareBiennialReporting Tools for PGS Prevention Providers - Trauma Informed Care
A&D84Problem Gambling Client Finding Outreach ServicesQuarterly reportQuarterlyProblem Gambling Client Finding Outreach Services
A&D65Intoxicated Driver Program FundSummary of services deliveredQuarterlyIDPF Invoice-Report - Contractor with Subcontracts
A&D65Intoxicated Driver Program FundSummary of services deliveredQuarterlyIDPF Invoice-Report - Contractor with no Subcontracts serving multiple counties
A&D65Intoxicated Driver Program FundSummary of services deliveredQuarterlyIDPF Invoice-Report - Contractor with no Subcontracts
A&D66Community Behavioral and Substance Use Disorder ServicesSummaryQuarterlyOther Non-MOTS Reportable Services
A&D03System Management and CoordinationN/AN/A
MHS39Projects for Assistance in Transition from Homelessness (PATH)Online report on the activities conducted and services provided during the year with the funds awarded through this AgreementQuarterlyPATH Financial Report
MHS36Pre-Admission Screening and Resident Review Services (PASARR)AMH 0438Upon review0438 Mental Illness Screening Form
MHS36Pre-Admission Screening and Resident Review Services (PASARR)AMH 0440Upon review0440 - Data Sumary
MHS01System Management and CoordinationN/AN/A
MHS14Tribal-Based Mental Health ServicesPlanAnnual and biennialTribal Implementation Plan
MHS09Jail DiversionDelivery of servicesQuarterlyJail Diversion Services Quarterly Report
MHS06Choice Model ServicesAMHI Statement of Revenue and ExpensesQuarterlyChoice Model Services Quarterly Report
MHS04Aid and Assist Client ServicesDelivery of Restoration ServicesQuarterlyAid and Assist Data Workbook
MHS35Services for Older or Disabled AdultsFinancial summary and program narrativeQuarterlyMHS 35 Quarterly Financial Reporting Requirement
MHS31Enhanced Care and Enhanced Care OutreachECS Data Base Part IIUpon discharge from programECS Data Base Part II
MHS31Enhanced Care and Enhanced Care OutreachECS Data Base Part IUpon admission to programECS Data Base Part I
MHS31Enhanced Care and Enhanced Care OutreachEnhanced Care Services Census ReportMonthlyECS Census Report
MHS26AEarly Assessment and Support Alliance (EASA)Accounting report of financial assistanceQuarterlyhttp://www.easacommunity.org/resources-for-professionals.php
MHS25Community Crisis Services for Adults and ChildrenDelivery of Mobile Crisis ServicesQuarterlyMobile Crisis Unit Response Time Tracker
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Other contract forms and requirements

  
  
  
  
  
  
  
  

 

Manuals and resources

  
  
  
  
  
  
  

 

Also visit the Measures and Outcomes Tracking System (MOTS) website for:

User Manual: Children's Progress Review System has information for the following:

  • Level of Service Intensity Determination Data
  • Integrated Service Array (ISA) Progress Review Report

Program Contact:
HSD Contracts Team

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