Initial: within 30 days of contract Contract Provider Property Inventory Incorporated Initial; A.14 execution; Template: Incorporated Document 21, Page 3 Document 21 and Annually Annual: July 31 B. Required Financial Forms & Documents Managing Entity Operating and Capital Budget B.1 Template: Form CF-MH 1042, per ch. 65E-14, F.A.C. Attachment I 30 days after any Network Service Provider forms required pursuant As Needed Section B.5.c.(3). amendment to Exhibit E B.2 to ch. 65E-14, F.A.C. Templates available at Managing Entity Fixed Payment Invoice (Advance Attachment 1 B.3 Payment) Annually July 1 Section C.2.a. Template: Incorporated Document 25 Documentation of interest earned on advanced Attachment 1 B.4 Quarterly As Needed funds Section C.2.b. Managing Entity Monthly Fixed Payment Invoice B.5 Template: Incorporated Document 25 Attachment I 20th of month following service SAMH Managing Entity Monthly Progress Report Monthly; and B.6 Section C.2.e. and delivery Template Incorporated Document 22 FY Final: Annually Section C.3.a and FY Final: August 15 SAMH Managing Entity Monthly Expenditure Report B.7 Template Incorporated Document 26 Initial, and Initial: Within 30 days of execution; Cost Allocation Plan Attachment I Annual Update, and and Annual Update: July 31; B.8 Template Incorporated Document 28 Section C.4. Revisions as and Revisions: Within 20 days of needed notifying the Department Managing Entity Spending Plan for Carry Forward Attachment I Within 30 days of confirmation of B.9 Report Annually Section C.5.b. approved amount from the Department Template Incorporated Document 29 SAMH Managing Entity Monthly Carry Forward Attachment I 20th of month following service B.10 Expenditure Report Sections C.2.e. & Monthly delivery; Template Incorporated Document 27 C.3.a.(4) and FY Final: August 15 Incorporated B.11 BNet Statement of Program Cost Annually September 1 Document 12
A.14 Contract Provider Property Inventory Template: Incorporated Document 21, Page 3 Incorporated Document 21 Initial; and Annually Initial: within 30 days of contract execution; Annual: July 31 B. Required Financial Forms & Documents B.1 Managing Entity Operating and Capital Budget Template: Form CF-MH 1042, per ch. 65E-14, F.A.C. Attachment I Section B.5.c.(3). As Needed 30 days after any amendment to Exhibit E B.2 Network Service Provider forms required pursuant to ch. 65E-14, F.A.C. Templates available at B.3 Managing Entity Fixed Payment Invoice (Advance Payment) Template: Incorporated Document 25 Attachment 1 Section C.2.a. Annually July 1 B.4 Documentation of interest earned on advanced funds Attachment 1 Section C.2.b. Quarterly As Needed B.5 Managing Entity Monthly Fixed Payment Invoice Template: Incorporated Document 25 Attachment I Section C.2.e. and Section C.3.a Monthly; and FY Final: Annually 20th of month following service delivery and FY Final: August 15 B.6 SAMH Managing Entity Monthly Progress Report Template Incorporated Document 22 B.7 SAMH Managing Entity Monthly Expenditure Report Template Incorporated Document 26 B.8 Cost Allocation Plan Template Incorporated Document 28 Attachment I Section C.4. Initial, and Annual Update, and Revisions as needed Initial: Within 30 days of execution; and Annual Update: July 31; and Revisions: Within 20 days of notifying the Department B.9 Managing Entity Spending Plan for Carry Forward Report Template Incorporated Document 29 Attachment I Section C.5.b. Annually Within 30 days of confirmation of approved amount from the Department B.10 SAMH Managing Entity Monthly Carry Forward Expenditure Report Template Incorporated Document 27 Attachment I Sections C.2.e. & C.3.a.(4) Monthly 20th of month following service delivery; and FY Final: August 15 B.11 BNet Statement of Program Cost Incorporated Document 12 Annually September 1
Exhibit%20D%20-%20Reqd.%20Reports,%20Plans,%20and%20Functional%20Tasks.docx