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Reporting Templates and Contract-Related Documents

2019-21 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&D60Start-UpStart-up expendituresVariesStart-Up Request and Expenditure Report Form
A&D62Supported Capacity for Dependent Children whose Parents are in Adult Substance Use Disorder Residential TreatmentAccounting report of financial assistanceQuarterlySupported Capacity Report
A&D63Peer-Delivered ServicesSummary of services deliveredQuarterlyPeer Delivered Services Report
A&D64Housing AssistanceAnnual reportAnnualOpioid Treatment Report
A&D64Housing AssistanceQuarterly reportQuarterlyHousing Assistance Quarterly Report
A&D65Intoxicated Driver Program FundSummary of services deliveredQuarterlyIDPF Invoice-Report - Contractor with no 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 Subcontracts
A&D66Community Behavioral and Substance Use Disorder ServicesSummaryAnnualOpioid Treatment Report
A&D66Community Behavioral and Substance Use Disorder ServicesSummaryQuarterlyOther Non-MOTS Reportable Services
A&D71Residential Treatment Services for YouthAcute Care Payment Authorization RequestPrior to receiving fundingOHA 8061 - Acute Care Payment Authorization Request
A&D80Problem Gambling Prevention ServicesFinal Report - Trauma-Informed CareBiennialReporting Tools for PGS Prevention Providers - Trauma Informed Care
A&D80Problem Gambling Prevention ServicesAnnual reportAnnualReporting Tools for PGS Prevention Providers
A&D80Problem Gambling Prevention ServicesQuarterly reportQuarterlyReporting Tools for PGS Prevention Providers
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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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