Behavioral Health Network Required Reports Name Due Date Number of Copies Send to: Within 15 calendar Monthly Data Required by SAMH Headquarters as appropriate days after end of Electronic Submission CFP 155-2 month One (1) hard copy, Or Alternative Services Provision Regional Office Contract Within 15 calendar One (1) copy, Documentation Manager/BNet Coordinator/ BNet days after end of or unit at SAMH Headquarters (Other than Pharmaceuticals) month One (1) encrypted attachment to an email to each recipient. One (1) hard copy, Or Alternative Services Provision Regional Office Contract Within 15 calendar One (1) faxed copy, Documentation Manager/BNet Coordinator / BNet days after end of or unit at SAMH Headquarters (Pharmaceuticals only) month One (1) encrypted attachment to an to each recipient. One (1) hard copy, Or September 1 Regional Office Contract One (1) faxed copy, following close of Statement of Program Cost Manager/BNet Coordinator/ BNet or the contract year unit at SAMH Headquarters One (1) encrypted (June 30) attachment to an email to each recipient. Monthly, by the fifth Regional SAMH Auxiliary Aid Service Record business day of the 1 to Circuit SAMH Headquarters month
Behavioral Health Network Required Reports Name Due Date Number of Copies Send to: Monthly Data Required by CFP 155-2 Within 15 calendar days after end of month Electronic Submission SAMH Headquarters as appropriate Alternative Services Provision Documentation (Other than Pharmaceuticals) Within 15 calendar days after end of month One (1) hard copy, Or One (1) copy, or One (1) encrypted attachment to an email to each recipient. Regional Office Contract Manager/BNet Coordinator/ BNet unit at SAMH Headquarters Alternative Services Provision Documentation (Pharmaceuticals only) Within 15 calendar days after end of month One (1) hard copy, Or One (1) faxed copy, or One (1) encrypted attachment to an to each recipient. Regional Office Contract Manager/BNet Coordinator / BNet unit at SAMH Headquarters Statement of Program Cost September 1 following close of the contract year (June 30) One (1) hard copy, Or One (1) faxed copy, or One (1) encrypted attachment to an email to each recipient. Regional Office Contract Manager/BNet Coordinator/ BNet unit at SAMH Headquarters Auxiliary Aid Service Record Monthly, by the fifth business day of the month 1 to Circuit Regional SAMH SAMH Headquarters
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