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MH Fiscal Reporting Forms and Templates
SFY 2016 MHA-Board Level Budget Report

The MHA-Board Level Budget Report report is completed annually by each Alcohol, Drug Addiction and Mental Health board, Community Mental Health board, and Alcohol & Drug Addiction Services board (ADAMH, CMH, and ADAS) and submitted to OhioMHAS. The data provides a complete picture of the types of services provided by the contracted mental health and addiction serving agencies and the corresponding expenditures and revenue in the mental health and addiction system.

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FY 2017 Probate Court Billing Reimbursement
Section 5122.43 of the Ohio Revised Code authorizes that certain county probate court costs and expenses of proceedings held under Chapter 5122 may be reimbursed by the Ohio Department of Mental Health and Addiction Services (OhioMHAS).

Beginning with FY 2017, Probate Courts will be required to enter and submit an online Allocation Application within the OhioMHAS Grant and Funding Management System (GFMS).  A User Guide with registration and submission instructions was mailed to the Courts.  Please continue to submit monthly requests for reimbursement in the same manner in which you have in the past.

Section 5122.43 defines the costs and expenses of proceedings eligible for reimbursement, and in accordance, probate courts will be reimbursed for allowable costs and expenses for those cases related to mental health commitments or involving mental health clients.  The following are the FY2017 Probate Court Allocation letter, FY2017 Probate Court Allocations, instructions, and forms necessary in submitting those monthly billings to OhioMHAS; and the User Guide with instructions for registering with the OhioMHAS Grant and Funding Management System (GFMS).


MHA-FY 2015 Community Medication Allocation Budget Request Form

Board Budget Template for Meds

This worksheet template is the Board’s budget determination for the amount of psychotropic (mental health) and opiate addiction treatment medications through the Office of Support Services Central Pharmacy Outpatient (CPO) and Pharmacy Services Center (PSC). The worksheet is due to OhioMHAS by July 31, 2014 to Dalon Myricks via email to Dalon.Myricks@mha.ohio.gov 

Please do not insert additional columns into the budget form.

SFY 2015 "Hot Spot" Collaborative Prjects

The budget template will be used to initiate a timeline for when the funds will be disbursed, by fiscal quarter, in order to support the specific project. Additionally, the data will be compiled to report on projects by name, location,  target population, or service activity.

The FY 15 Hot Spots are funded from two GRF sources (421 and 507). Each collaborative workbook template has two worksheets; one for 421 and one for 507. The template is designed to be Project specific so please be aware of which worksheet is being used. Please submit budgets to MH-SOT-Brdreports@mha.ohio.gov to receive funding.

 

 

MHA-Board Level Budget Report

The MHA-Board Level Budget Report report is completed annually by each Alcohol, Drug Addiction and Mental Health board, Community Mental Health board, and Alcohol & Drug Addiction Services board (ADAMH, CMH, and ADAS) and submitted to OhioMHAS. The data provides a complete picture of the types of services provided by the contracted mental health and addiction serving agencies and the corresponding expenditures and revenue in the mental health and addiction system.

SFY 2014 "505 Hot Spot" Collaborative Project

The data will be used to provide a detailed description of how 505 project funds will be used to initiate specific activities of the project; and on what timeline 505 funds will be drawn, by fiscal quarter, in order to support the specific project. Additionally, the data will be compiled to report on projects by name, location, target population, or service activity.

MHA-FIS-040 Report
The DMH-FIS-040 report is completed annually by each alcohol, drug addiction and mental health (ADAMH) board and community mental health board and submitted to OhioMHAS. The data provides a complete picture of the types of services provided by mental health agencies and the corresponding expenditures and revenue in the mental health system. This information is used to develop of the Annual Report, which provides the number and types of services available to severely mentally disabled people through state-operated services and community mental health agencies.