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Please note NEW INVOICE SUBMISSION TIMEFRAMES for agencies with scopes that include Federal Funds:

*A BIP for scopes that use Federal funds received 30 days or more after the service month may not be accepted for payment.”


Provider List

Invoice Form(s)

Required Reports and Timeframes

Monthly

  • SUD Withdrawal Management Census Report
  • SUD Residential Census Report

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Disaster Recovery and Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • Community Driven BH Services MIDD data

Quarterly

  • Contractor Profile Update-MIDD-Local Version

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • MIDD Annual Narrative Report


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • Community Driven BH Services MIDD data

Quarterly

  • Contractor Profile Update-MIDD-Local Version

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • MIDD Annual Narrative Report


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • Community Driven BH Services MIDD data

Quarterly

  • Contractor Profile Update-MIDD-Local Version

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • MIDD Annual Narrative Report


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • Community Driven BH Services MIDD data

Quarterly

  • Contractor Profile Update-MIDD-Local Version

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • MIDD Annual Narrative Report


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • Community Driven BH Services MIDD data

Quarterly

  • Contractor Profile Update-MIDD-Local Version

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • MIDD Annual Narrative Report


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • Older Adult SUD Narrative Report regarding program challenges and successes

Annual/Other

  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity (DRBC) Plan
  • WASEC Healthcare Worker Services Program Annual Report
  • MIDD Annual Narrative Report

 

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement*
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)

 

Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

  • Minerva Quarterly Report

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • N/A

Annual/Other

  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • Closure Dates Report
  • Client Success Stories (upon request)
  • Disaster Recovery Business Continuity Plan Update(s)
  • Individual Vignette for DRS Interim Housing


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity (DRBC) Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • N/A

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance and Endorsement
  • Client Success stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)




Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

 

Semi-Annual

 

Annual/Other

 

 

Invoice Form(s)

Required Reports and Timeframes

Monthly

  • None

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement

 

Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other



Invoice Form(s)

Required Reports and Timeframes

Monthly

  • SUD Residential Census Report-Youth Intensive Inpatient
  • SUD Residential Census Report-Youth Co-Occurring Disorders

Quarterly

Semi-Annual

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Disaster Recovery Business Continuity Plan Update(s) 

 


Required Reports and Timeframes

Monthly

  • Census Report

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Attestation and Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • Enumclaw Monthly Actual Expenditure Report and Summary 2021-2023 v1
  • Monthly Minerva Report

Quarterly

  • Quarterly Minerva Report

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement


Required Reports and Timeframes

Monthly

  • Census Report

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity (DRBC) Plan Update(s)


Please contact your Provider Relations/Contract Specialist or Program Manager for information.

Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

 

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance and Endorsement
  • Closure Dates Report
  • Client Success stories upon request
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • SUD Residential Census Report

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Closure Dates Report
  • Client Success Stories (upon request)
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • N/A

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • GPS Family Support Organization Monthly Progress Report
  • GPS FSO MIDD Evaluation Data Report/ CORE Reporting

Quarterly

  • None

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance and Endorsement
  • Client Success Stories (Upon Request)
  • GPS Workplan and Year End Summary (Upon Request)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • MIDD Annual Narrative Report


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • SBIRT Emergency Department Services
    • Provide specific information for the MIDD Annual Report as requested by the County
  • Supported Employment Program
    • Provide specific information for the MIDD Annual Report as requested by the County as needed
  • Involuntary Treatment Triage
    • Involuntary Treatment Triage Annual Report
  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

  • None

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • MIDD Annual Narrative Report

Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

Annual/Other

  • Closure Dates Report
  • Consumer-Driven Services Report (upon request)
  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Disaster Recovery Business Continuity Plan Updates(s)
  • SEP MIDD (upon request)



Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Updates(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • FFT FTE Report
  • FFT Services and Activities Report
  • FFT Therapist Activities Report
  • ZYD Services Report

Quarterly

  • YSS Quarterly Narrative Report

Semi-Annual

  • None

Annual/Other

  • None

Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • N/A

Annual/Other

  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Updates(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • N/A

Annual/Other

  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • Client Success stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • Ombuds Service Monthly Report
  • Ombuds Service Monthly Time Sheet

Quarterly

Semi-Annual

  • Ombuds Service Semi-Annual Report

Annual/Other

  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • N/A

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)
  • MIDD Annual Narrative Report


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • MIDD Annual Narrative Report


Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • None

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement


Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • Community Driven BH Services MIDD data

Quarterly

  • Contractor Profile Update-MIDD-Local Version

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • MIDD Annual Narrative Report


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • PEACE Monthly Actual Expenditure Report and Summary 2021-2023
  • Minerva Monthly Report

Quarterly

  • Minerva Quarterly Report

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance and Endorsement
  • Client Success Stories (Upon Request)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • MIDD Annual Narrative Report


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • N/A

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • SUD Residential Census Report-Adult Intensive Inpatient

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

  • None

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • MIDD Annual Narrative Report


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • Recovery Support Services Reimbursement Summary

Quarterly

  • None

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • MIDD Annual Narrative Report


 

Invoice Forms

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Disaster Recovery and Business Continuity Plan Update(s)

 

Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

  • None

Semi-Annual

  • None

Annual/Other

  • None


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • CDFY Monthly Actual Expenditure Report and Summary 2021-2023
  • PSESD_SB_SBIRT_CPWI_Pilot_Project_Monthly_Report 2021-2022
  • Minerva Monthly Report

Quarterly

  • Minerva Quarterly Report

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance and Endorsement
  • Client Success Stories (Upon Request)


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • Community Driven BH Services MIDD data

Quarterly

  • Contractor Profile Update-MIDD-Local Version

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • MIDD Annual Narrative Report


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • MIDD data to Client Outcome Reporting Engine (CORE)
  • New Recovery Café Development Costs
  • Recovery Support Services (SABG) Billing Summary
  • Substance Use Disorder Peer Recovery Services Monthly FTE Report
  • WASEC Recovery Support Systems Monthly Report

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)
  • MIDD Annual Narrative Report
  • WASEC Recovery Support Systems Annual Report


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)
  • MIDD Annual Narrative Report


Please contact your Provider Relations/Contract Specialist or Program Manager for information.

Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)


 Invoice Form(s)

Required Reports & Timeframes

Monthly

  • SUD Residential Census Report

Quarterly

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Disaster Recovery and Business Continuity Plan Update(s)

Invoice Form(s)

Required Reports and Timeframes

Monthly

  • Data Certification Letter
  • Data and encounter submission to the BHRD Management Information System
  • Intensive Step-Down Program monthly census
  • SUD Residential Monthly Census Report-Adult Intensive Inpatient
  • SUD Residential Monthly Census Report-Youth Intensive Inpatient
  • SUD Residential Monthly Census Report-Youth Recovery House

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • Community Driven BH Services MIDD data

Quarterly

  • Contractor Profile Update-MIDD-Local Version

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • MIDD Annual Narrative Report


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance and Endorsement
  • Client Success stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)
  • Participate in County’s Annual Report to DBHR for HASAP


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statements
  • Certificate of Insurance and Endorsement
  • Client Success stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • HYCAN Monthly Actual Expenditure Report and Summary 2021-2023
  • SWSYA Monthly Actual Expenditure Report and Summary 2021-2023
  • Minerva Monthly Report
  • YSS Narrative Report
  • 2021-2022 Seattle SBIRT Financial Report

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance and Endorsement
  • Client Success Stories (Upon Request)


Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • None

Quarterly

  • None

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance and Endorsement
  • Annual Fidelity/ Support Meeting Summary


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • None

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

N/A

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • MIDD Annual Narrative Report
  • Closure Dates Report
  • Client Success Stories (upon request)
  • Disaster Recovery Business Continuity Plan Update

 

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)

 

Invoice Form(s)

Required Reports and Timeframes

Monthly

  • SBIRT-EDS FTE Report
  • SBIRT-EDS MIDD data spreadsheet uploaded to Client Outcome Reporting Engine (CORE)

Quarterly

  • None

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance and Endorsement
  • Annual Overall ED Admissions Demographic Report

 

Invoice Form(s)

Required Reports and Timeframes

Monthly

  • SBIRT-EDS FTE Report
  • SBIRT-EDS MIDD data spreadsheet uploaded to Client Outcome Reporting Engine (CORE)

Quarterly

  • None

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance and Endorsement
  • Annual Overall ED Admissions Demographic Report

 

 Invoice Form(s)

Required Reports & Timeframes

Monthly

  • SUD Residential Census Report

Quarterly

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)

Invoice Form(s)

Required Reports and Timeframes

Monthly

  • Data and encounter submission to the BHRD Management Information System
  • Data Certification

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement*
  • Closure Date Report
  • Certificate of Insurance & Endorsement*
  • Client Success Stories (upon request)
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • N/A

Annual/Other



Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Closure Dates Report
  • Client Success Stories (upon request)
  • Disaster Recovery Business Continuity Plan Update(s)


 

Invoice Forms

Required Reports and Timeframes

Monthly

  • SUD Residential Census Report and MAT Log

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Disaster Recovery and Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • Closure Dates Report
  • Client Success Stories (upon request)
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

  • VARSA Monthly Actual Expenditure Report and Summary 2021-2023
  • Minerva Monthly Report

Quarterly

  • Minerva Quarterly Report

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement

 

Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery and Business Continuity Attestation and Plan Update(s)


Please contact your Provider Relations/Contract Specialist or Program Manager for information.

Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • N/A

Annual/Other

  • Audited Financial Statement
  • Certificate of Insurance and Endorsement
  • Client Success stories (upon request)
  • Closure Dates Report
  • Disaster Recovery Business Continuity Plan Update(s)


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • None

Annual/Other

  • Closure Dates Report
  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Disaster Recovery Business Continuity (DRBC) Plan Update(s)
  • TRACE Project Evaluation


Invoice Form(s)

Required Reports and Timeframes

Monthly

Quarterly

Semi-Annual

  • N/A

Annual/Other

  • Audited Financial Statements
  • Certificate of Insurance & Endorsement
  • Client Success Stories (upon request)
  • Closure Dates Report
  • Disaster Recovery and Business Continuity Plan Update(s)


Contact Us

Phone 206-263-9000

TTY Relay: 711

Fax: 206-296-0583