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Behavioral Health Quality Assurance Section:
Forms

FY17 - Posted 7/11/2016

Quarterly Report Submission Requirement Checklist

Quarterly Reporting Forms

Results Based Accountability Quarterly Reporting

DBH is working to develop FY17 Results Based Accountability (RBA) Measures to provide consistent information and minimize effort from providers. Guidance about FY17 RBA reporting will be posted as soon as possible.

Substance Use Disorder Travel Assistance Forms - Updated 10/17/2016

 

Medicaid Client Forms

Non-Medicaid Client Forms