Division of Mental Health Services
Community Services Contracting


Annex A - Program Commitments


Contracted Program Commitments for DMHS contracts should be prepared, stored, and submitted utilizing the various Microsoft Word templates listed below. For those programs included in your DMHS contract:

  1. choose the appropriate Annex A forms;
  2. using the "tab" or "arrow" keys to cycle through the entry boxes, enter descriptive data and contract commitment figures in the pre-set data entry boxes;
  3. save the forms with your own unique filename; and,
  4. submit the proposed Annex A commitments to both your Regional Program Analyst and Contracts Administrator.

Note:    Use the tab key or arrow keys to enter data, and move between data boxes (do not use the "enter" key).

Should you have any questions, or difficulty with this format, please call your Contract Administrator at 609-777-0628.

 

BUDGET CODE PROGRAM
13 Designated Screening Center Services
15 Emergency Services
18 & 20 Outpatient Services (rev. July 2007)

Outpatient Services
19 Bilingual, Bicultural Community and Outreach Services (rev. July 2007)

Bilingual, Bicultural Community and Outreach Services
21 & 23 Partial Care/Partial Hospitalization (rev. July 2007)

Partial Care/Partial Hospitalization
24 Residential Services (adult, licensed) (rev. July 2007)

Residential Services (adult, licensed)
27 Supportive Housing (rev. July 2007)

Supportive Housing
28 Community Advocate/POST
28 Legal Services
31 PACT - Programs in Assertive Community Treatment
32 ICMS - Integrated Case Management Services (rev. July 2007)

ICMS - Integrated Case Management Services
33 PATH - services for the homeless (rev. July 2007)

PATH - services for the homeless
34 Supported Employment
35 IFSS - Intensive Family Support Services
36 Self-Help Centers
37 Welfare to Work - services to TANF/GA recipients (rev. July 2007)

Welfare to Work - services to TANF/GA recipients
38 Criminal Justice Program
38 Jail Diversion Services


  ANNEX A COVERPAGE / INSTRUCTIONS
  PROGRAM AND UNIT OF SERVICE DEFINITIONS
  INFORMATION SHEET (required for each contracted Program)
  PROGRAM COMMITMENTS SUMMARY (lists key Program figures)
  CLIENTS CONTRACTED LEVEL OF SERVICE PROFILE