REPORTSREPORTS. 35 A. CONTRACTOR shall maintain records and make statistical reports as required by 36 ADMINISTRATOR and the California State Department of Mental HealthDHCS on forms provided by 37 either agency. 1 B. FISCAL 2 1. CONTRACTOR shall submit monthly Expenditure and Revenue Reports to 3 ADMINISTRATOR. These reports will be on a form acceptable to, or provided by, 4 ADMINISTRATOR and will report actual costs and revenues for CONTRACTOR's program described 5 in the Services paragraphParagraph of this Exhibit A to thisthe Agreement. Such reports will also 6 include actual productivity as defined by ADMINISTRATOR. The reports will be received by 7 ADMINISTRATOR no later than the twentieth (20th) day following the end of the month being 8 reported. CONTRACTOR must request in writing any extensions to the due date of the monthly 9 required reports. If an extension is approved by ADMINISTRATOR, the total extension will not exceed 10 more than five (5) calendar days. 11 2. CONTRACTOR shall submit monthly Year-End Projection Reports to 12 ADMINISTRATOR. These reports will be on a form acceptable to, or provided by, 13 ADMINISTRATOR and will report anticipated year-end actual costs and revenues for 14 CONTRACTOR’s program described in the Services paragraphParagraph of this Exhibit A to thisthe 15 Agreement. Such reports will include actual monthly costs and revenue to date and anticipated monthly 16 costs and revenue to the end of the fiscal year. Year-End Projection Reports will be submitted in STAFFING - – C CONTRACTOR’s 17 conjunction with the Monthly Expenditure and Revenue Reports. 18 C. 19 These ONTRACTOR shall submit monthly Staffing Reports to ADMINISTRATOR. reports shall contain required information, and be on a form acceptable to, or 20 provided by, ADMINISTRATOR and shall, at a minimum, report the actual FTEs of the positions 21 stipulated in the Staffing subparagraph of Exhibit A to this Agreement, staff hours worked by position, 22 DSH provided by position, case load by position, and shall include the employees' names, licensure 23 status, bilingual and bicultural capabilities, budgeted monthly salary, actual salary, and hire and/or ADMINISTRATOR, the total extension will not exceed more than five (5) calendar days. writing any extensions to the due date of the monthly required reports. If an extension is approved by CONTRACTOR must request in CONTRACTOR shall submit these 24 termination date, and any other pertinent information as may be required by ADMINISTRATOR. The. 25 reports will be received by ADMINISTRATOR no later than twenty 26 (20) calendar days following the end of the month being reported. 27 29 D. PROGRAMMATIC -– Throughout the term of this Agreement, CONTRACTOR shall submit 30 monthly programmatic reports to ADMINISTRATOR, which shall be received by ADMINISTRATOR 31 no later than twenty (20) calendar days following the end of the month being reported. Programmatic 32 reports shall be in a format(s) approved by ADMINISTRATOR and shall include a description of
Appears in 1 contract
Samples: Agreement for Provision of Services
REPORTSREPORTS. 35 13 A. CONTRACTOR shall maintain records and make statistical reports as required by 36 ADMINISTRATOR and the California State Department of Mental HealthDHCS on forms provided by 37 either agency.
1 B. FISCAL
2 14 1. CONTRACTOR shall submit monthly Expenditure and Revenue Reports to 3 15 ADMINISTRATOR. These reports will shallwill be on a form acceptable to, or provided by, 4 16 ADMINISTRATOR and will shallwill report actual costs and revenues for CONTRACTOR's program 17 described 5 in the Services paragraphParagraph Paragraph of this Exhibit A to thisthe the Agreement. Such reports Any changes, modifications, or 18 deviations to any approved budget line item must be approved in advance and in writing 19 will also 6 include actual productivity as defined by ADMINISTRATOR. The reports will be received by 7 ADMINISTRATOR no later than the twentieth (20th) day following the end of the month being 8 reported. CONTRACTOR must request in writing any extensions to the due date of and annotated on the monthly 9 required reports. If an extension is approved by ADMINISTRATOR, the total extension will not exceed 10 more than five (5) calendar days.
11 2. CONTRACTOR shall submit monthly Year-End Projection Reports to 12 ADMINISTRATOR. These reports will be on a form acceptable to, or provided by, 13 ADMINISTRATOR and will report anticipated year-end actual costs and revenues for 14 CONTRACTOR’s program described in the Services paragraphParagraph of this Exhibit A to thisthe 15 Agreement. Such reports will include actual monthly costs and revenue to date and anticipated monthly 16 costs and revenue to the end of the fiscal year. Year-End Projection Reports will be submitted in STAFFING - – C CONTRACTOR’s 17 conjunction with the Monthly 20 Expenditure and Revenue Reports.
18 C. 19 These ONTRACTOR shall submit monthly Staffing Reports to ADMINISTRATOR. reports shall contain required information, and be on a form acceptable toReport, or 20 provided by, ADMINISTRATOR and shall, at a minimum, report the actual FTEs of the positions 21 stipulated in the Staffing subparagraph of Exhibit A said cost deviations may be subject to this Agreement, staff hours worked disallowance. Such approved by position, 22 DSH provided by position, case load by position, and shall include the employees' names, licensure 23 status, bilingual and bicultural capabilities, budgeted monthly salary, actual salary, and hire and/or ADMINISTRATOR, the total extension will not exceed more than five (5) calendar days. days request in writing any extensions to the due date of the monthly required reports. If an extension is approved by CONTRACTOR must request in CONTRACTOR the twentieth (20th) day 21 reports shall submit these 24 termination date, and any other pertinent information as may be required by ADMINISTRATOR. The. 25 reports will be received by bysubmitted to ADMINISTRATOR no later than twenty (20) calendar 22 days 23 24 following the end of the month being reported
25 2. CONTRACTOR shall submit Year-End Projection Reports to 26 ADMINISTRATOR. These reports shallwill be on a form acceptable to, or provided by, 27 ADMINISTRATOR and shallwill report anticipated year-end actual costs and revenues for 28 CONTRACTOR’s program described in the Services Paragraph of this Exhibit A to the Agreement. 29 Such reports shallwill include actual monthly costs and revenue to date and anticipated monthly costs 30 and revenue to the end of the fiscal year, and shall include a projection narrative justifying the year-end 31 projections.. Year-End Projection Reports shallwill be submitted in conjunction with the Monthly 32 Expenditure and Revenue Reports.
33 B. STAFFING REPORT – CONTRACTOR shall submit monthly Staffing Reports to 34 ADMINISTRATOR. CONTRACTOR’sThese reports shall contain required information, and be on a 35 form acceptable to, or provided by, ADMINISTRATOR. CONTRACTOR shall submit these reports no 36 later than twenty (20) calendar days following the end of the month being reported. 27
29 D. PROGRAMMATIC CONTRACTOR 37 // 16 of 21 EXHIBIT A X:\CONTRACTS - 2016 -\2016-– Throughout the term of this Agreement2018\BH\SMR OP-MHSUD FY 16-18 VW.DOC SMR04BHKK18 ADMINISTRATOR, CONTRACTOR shall submit 30 monthly programmatic reports including a program narrative and Performance Outcome report, on a form acceptable to or provided by ADMINISTRATOR, which shall will be received by submitted to ADMINISTRATOR 31 no later than twenty (20) calendar days following the end of the month being reported. Programmatic 32 , unless otherwise programmatic reports shall be in a format(s) approved by ADMINISTRATOR and shall include a description ofto
Appears in 1 contract
REPORTSREPORTS. 35 8 A. CONTRACTOR shall maintain records and make statistical reports as required by 36 9 ADMINISTRATOR and the California State Department of Mental HealthDHCS on forms provided by 37 10 either agency.
1 11 B. FISCAL
2 12 1. CONTRACTOR shall submit monthly Expenditure and Revenue Reports to 3 13 ADMINISTRATOR. These reports will be on a form acceptable to, or provided by, 4 14 ADMINISTRATOR and will report actual costs and revenues for CONTRACTOR's program described 5 15 in the Services paragraphParagraph pParagraph of this Exhibit A to thisthe thise Agreement. Such reports will also 6 include actual 16 productivity as defined by ADMINISTRATOR. The reports will be received by 7 ADMINISTRATOR no 17 later than the twentieth (20th) day following the end of the month being 8 reported. CONTRACTOR must 18 request in writing any extensions to the due date of the monthly 9 required reports. If an extension is 19 approved by ADMINISTRATOR, the total extension will not exceed 10 more than five (5) calendar days.
11 20 2. CONTRACTOR shall submit monthly Year-End Projection Reports to 12 21 ADMINISTRATOR. These reports will be on a form acceptable to, or provided by, 13 22 ADMINISTRATOR and will report anticipated year-end actual costs and revenues for 14 23 CONTRACTOR’s program described in the Services paragraphParagraph pParagraph of this Exhibit A to thisthe 15 thise Agreement. 24 Such reports will include actual monthly costs and revenue to date and anticipated monthly 16 costs and 25 revenue to the end of the fiscal year. Year-End Projection Reports will be submitted in STAFFING - – C CONTRACTOR’s 17 conjunction with 26 the Monthly Expenditure and Revenue Reports.
18 27 C. 19 These ONTRACTOR STAFFING -– CONTRACTOR shall submit monthly Staffing Reports to ADMINISTRATOR. 28 These reports shall contain required information, and willshall be on a form acceptable to, or 20 provided by, ADMINISTRATOR and shallwillshall, at 29 a minimum, report the actual FTEs of the positions 21 stipulated in the Staffing subparagraph subpParagraph of this 30 Exhibit A to this the Agreement, staff hours worked by position, 22 DSH provided by position, case load by 31 position, and shall willshall include the employees' names, licensure 23 status, bilingual and bicultural 32 capabilities, budgeted monthly salary, actual salary, and hire and/or ADMINISTRATOR, the total extension will not exceed more than five (5) calendar days. writing any extensions to the due date of the monthly required reports. If an extension is approved by CONTRACTOR must request in CONTRACTOR shall submit these 24 termination date, and any other 33 pertinent information as may be required by ADMINISTRATOR. The. 25 The reports will be received by 34 ADMINISTRATOR no later than twenty 26 (20) calendar days following the end of the month being reported. 27
29 D. PROGRAMMATIC -– Throughout the term of this Agreement, CONTRACTOR shall submit 30 monthly programmatic reports to ADMINISTRATOR, which shall be received by ADMINISTRATOR 31 no later than twenty (20) calendar days following the end of the month being 35 reported. Programmatic 32 36
1 D. PROGRAMMATIC 2 – Throughout the term of the Agreement, 1. CONTRACTOR shall submit monthly 3 programmatic reports to ADMINISTRATOR, on a form acceptable to or provided by unless otherwise specified.. 4 ADMINISTRATOR, which shall be received by ADMINISTRATOR no later than twenty (20) calendar be in a format(s) approved by ADMINISTRATOR and shall 5 days following the end of the month/quarter being reported 6 reports shall Programmatic include a description ofof 7 CONTRACTOR's progress in implementing the provisions of thise Agreement, report of placement and 8 movement of clients along the continuum of services using guidelines for monthly report of the number 9 of participants, voluntary and involuntary hospitalizations, special incidences, vocational programs, from the program, in addition to, details of outreach activities and their results, client’s admitted/ 10 educational programs, direct service hours by staff, chart complianceactive cases, number of contacts per 11 member, number of referrals and clients 12 discharged any pertinent facts or interim findings, staff changes, status , and if not, shall specify what steps are being it is ate whether it is or is not scheduled meetings with ADMINISTRATOR and shall st be prepared to present and discuss their programmatic reports at their monthly 13 of licenses and/or certifications, changes in population served and reasons for any such changes.
Appears in 1 contract
REPORTSREPORTS. 35 A. CONTRACTOR shall maintain records and make statistical reports as required by 36 ADMINISTRATOR and the California State Department of Mental HealthDHCS DHCS on forms provided by 37 either agency.
1 B. FISCAL
2 1. Expenditure and Revenue Report. CONTRACTOR shall submit monthly Expenditure and Revenue Reports to 3 ADMINISTRATOR. These reports will be on a form acceptable to, or provided by, 4 by ADMINISTRATOR and will report actual year-to-date incurredactual costs and revenues for CONTRACTOR's program described 5 in the Services paragraphParagraph Paragraph of this Exhibit A to thisthe the Agreement. Such reports will also 6 include actual productivity as defined by ADMINISTRATOR.
2. Year-End Projections. In conjunction with the Expenditure and Revenue Report, CONTRACTOR shall provide monthly year-end projections that shall include year-to-date incurred costs and revenues and anticipated year-end actual costs to be incurred and revenues for CONTRACTOR’s program described in the Services Paragraph of this Exhibit A to the Agreement.
3. The reports will Expenditure and Revenue and Year-End Projection report shall be received by 7 ADMINISTRATOR no later than the twentieth (20th) day following the end of the month being 8 reported. CONTRACTOR must request in writing any extensions to the due date of the monthly 9 required reports. If an extension is approved by ADMINISTRATOR, the total extension will not exceed 10 more than five (5) calendar days.
11 2. C. STAFFING – CONTRACTOR shall submit monthly Year-End Projection Reports to 12 ADMINISTRATOR. These reports will be on a form acceptable to, or provided by, 13 ADMINISTRATOR and will report anticipated year-end actual costs and revenues for 14 CONTRACTOR’s program described in the Services paragraphParagraph of this Exhibit A to thisthe 15 Agreement. Such reports will include actual monthly costs and revenue to date and anticipated monthly 16 costs and revenue to the end of the fiscal year. Year-End Projection Reports will be submitted in STAFFING - – C CONTRACTOR’s 17 conjunction with the Monthly Expenditure and Revenue Reports.
18 C. 19 These ONTRACTOR shall submit monthly Staffing Reports to ADMINISTRATOR. These reports shall contain required information, and be on a form acceptable to, or 20 provided by, by ADMINISTRATOR and shall, at a minimum, report the actual overall FTEs of the positions 21 stipulated in the Staffing subparagraph Paragraph of this Exhibit A to this the Agreement, and staff hours worked by position, 22 DSH provided by position, case load by position, and shall include the employees' names, licensure 23 status, bilingual and bicultural capabilities, budgeted monthly salary, actual salary, and hire and/or ADMINISTRATOR, the total extension will not exceed more than five (5) calendar days. writing any extensions to the due date of the monthly required reports. If an extension is approved by CONTRACTOR must request in CONTRACTOR shall submit these 24 termination date, and any other pertinent information as may be required by ADMINISTRATOR. The. 25 The reports will be received by ADMINISTRATOR no later than twenty 26 (20) calendar days following the end of the month being reported. 27
29 D. PROGRAMMATIC -– Throughout the term of this Agreement, CONTRACTOR shall submit 30 monthly programmatic reports to ADMINISTRATOR, which shall be received by ADMINISTRATOR 31 no later than twenty (20) calendar days following the end of the month being reported. Programmatic 32 prior written authorization. for all Participants whose services were not billed to Medi-Cal that month and confirmation of County’s The report shall include detailed, written information to explain why Medi-Cal was not billed
D. PROGRAMMATIC – Throughout the term of the Agreement, CONTRACTOR shall submit monthly programmatic reports to ADMINISTRATOR, which shall be in a format(sreceived by ADMINISTRATOR no later than twenty (20) approved by calendar days following the end of the month being reported. CONTRACTOR shall be prepared to present and discuss their programmatic reports at their monthly scheduled meetings with ADMINISTRATOR and shall include a description ofstate whether or not it is progressing satisfactorily in achieving all the terms of the Agreement, and if not, shall specify what steps are being taken to achieve satisfactory progress.
Appears in 1 contract
Samples: Agreement for Provision of Services