Managing Entities FY25-26 Templates

Unless otherwise indicated, these documents are effective July 1, 2025. Comments, questions, or suggestions should be directed to: @email and copy the Contract Manager.

CONTRACT DOCUMENTS

ME Standard Contract

Standard Contract Part 1

EXHIBITS
Exhibit A – Special Provisions
Exhibit B – Scope of Work
Exhibit C – Task List
Exhibit C2 – ME Required Reports, Plans, and Functional Tasks
Exhibit D – Deliverables
Exhibit E – Minimum Performance Measures
Exhibit F – Method of Payment
Exhibit F2 – Schedule of Payments

GUIDANCE DOCUMENTS
Guidance 2 – Tangible Property Requirements
Guidance 3 – Managing Entity Expiration, Termination and Transition Planning Requirements
Guidance 5 – Residential Mental Health Treatment for Children and Adolescents
Guidance 6 – Outpatient Forensic Mental Health Services
Guidance 8 – Assisted Living Facilities with Limited Mental Health (ALF-LMH) Licensure
Guidance 12 – Behavioral Health Network (BNet) Guidelines and Requirements
Guidance 17 – Temporary Assistance for Needy Families (TANF) Funding Guidance
Guidance 20 – Local, Regional, and State Review Teams
Guidance 22 – Federal Grant Financial Management Requirements
Guidance 23 – Crisis Counseling Program
Guidance 24 – Performance Outcomes Measurement Manual
Guidance 25 – National Voter Registration Act Guidance
Guidance 26 – Women’s Special Funding, Substance Abuse Services for Pregnant Women and Mothers
Guidance 29 – Transitional Voucher
Guidance 34 – Mobile Response Team (MRT)
Guidance 40 – Family Support Teams (FST), Community Action Treatment (CAT) Team Variation

Reporting Templates
Template 1 – Provider Tangible Property Inventory Form
Template 2 – SAMH Block Grant Reporting Template Overview and Instructions
Template 3 – Narrative Report for the Substance Abuse and Mental Health Block Grant
Template 4 – Managing Entity Annual Business Operations Plan
Template 5 – ALF-LMH Forms
Template 6 – BNet Participant Forms
Template 7 – BNet Alternative Service Forms
Template 9 – Local Match Calculation Form
Template 10 – Managing Entity Monthly Fixed Payment Invoice
Template 11 – Managing Entity Monthly Progress Report
Template 12 – Managing Entity Monthly Expenditure Report
Template 13 – Managing Entity Monthly Carry Forward Expenditure Report
Template 14 – Cost Allocation Plan Template 14 – Cost Allocation Plan Addendum 1 Template 14 – Cost Allocation Plan Addendum 2 10/31/2024 Template 14 – Cost Allocation Plan Addendum 3 01/24/2025 Template 14 – Cost Allocation Plan Addendum 4 03/07/2025
Template 15 – Managing Entity Spending Plan for Carry Forward Report
Template 22 – Forensic Mental Health Services Report
Template 23 – Forensic Diversion Report
Template 24 – CCP Supplemental Invoice and Expenditure Report
Template 30 – Proviso Project Return on Investment Report
Template 33 –Community Forensic Beds Report
Template 34 – SOR Reports
Template 36 - ME Sustainability Plan

Managing Entities FY25-26 Templates

CONTRACT DOCUMENTS

ME Standard Contract

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