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 Invoice Form(s)

Required Reports & Timeframes

Monthly

Quarterly

Annual/Other

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

Invoice Form(s)

Required Reports & Timeframes

Monthly

Quarterly

Semi-Annual

Annual/Other


Required Reports & Timeframes

Monthly

    Quarterly

    Annual/Other

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

     

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • 2019-2020 Auburt SBIRT Financial Report
    • ASD Auburn Prevention Coalition Monthly Actual Expenditure Report Form

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • CDP Education Monthly Report (and supporting documentation)
    • Data Certification Letter
    • Data & Encounter Submission to the BHRD Management Information System
    • Diversion Interim Housing Monthly Report
    • Health Home Due Diligence Report
    • Outreach and Engagement at Matt Talbot Center - Monthly Staffing Report

    Quarterly

     Semi-Annual
    • CDP Education Semi-Annual Report

    Annual/Other

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

     Invoice Form(s)

    Required Reports & 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 Attestation
    • Disaster Recovery Business Continuity Plan
    • Weekly: Wraparound/WISe Referral/Screen Requests, Referrals Source, Enrollees, and Pending List

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other

    • Audited Financial Statement
    • Certificate of Insurance & Endorsement
    • Closure Dates Report
    • Current State of Washington Child Care License (for each branch site)
    • Disaster Recovery Business Continuity Attestation
    • Disaster Recovery Business Continuity Plan
    • Weekly Reports: Wraparound/WISe Referral/Screen Requests, Referrals Source, Enrollees, and Pending List

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Semi-Annual

    • None

    Annual/Other

    • Audited Financial Statement
    • Certificate of Insurance & Endorsement
    • Closure Dates Report
    • Disaster Recovery Business Continuity Attestation
    • Disaster Recovery Business Continuity Plan
    • DV-BH System Coordination Annual Outcomes Report

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other

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

     Invoice Form(s)

    Required Reports & 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 Attestation
    • Disaster Recovery Business Continuity Plan

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    •  CDP Education Monthly Report (and supporting documentation)

    Quarterly

    • Tribal Substance Use Disorder Treatment Services
    • Mental Health for Children, Adults, Older Adults, and Families
     Semi-Annual
    • CDP Education Semi-Annual Report
    • Disaster Recovery Business Continuity Attestation
    • Disaster Recovery Business Continuity Plan

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • Data Certification Letter
    • Data & Encounter Submission to the BHRD Management Information System
    • Emergency Telephone Services
      • Daily Crisis Log
      • Daily Crisis Log - CC Business Line
      • Daily Crisis Log - CC Crisis Line
      • Crisis Line Wait Time Intervals Monthly Reports
      • Monthly Crisis Line Caller Data Report
      • Next Day Appointment Monthly Report
      • Mobile Crisis Team Monthly Dispatch Report
      • CCPAR Line Volume & Outcomes Report
      • CCPAR Business Line Report
    • Patient Placement Coordination
      • PPC Placement Outcomes Summary Report
      • PPC Call Volumes Summary Report
    • Telephone Service for Crisis and Commitment Services
      • TSCCS Telephone Summary Report (Professional Line Report)
      • TSCCS Triage Summary Report (Public Line Report)
      • Sheena's Law Report
    • Warm Line
      • Warm Line Monthly Volunteer Report
      • Warm Line Monthly Call Report
      • Warm Line Profit & Loss Report
      • Warm Line Trial Balance Report

    Quarterly

    • Clinician Roster
    • Contractor Profile Update
    • Emergency Telephone Services
      • Quarterly Access Report
      • Quarterly Crisis Line Caller Data Report
      • Quarterly CCPAR Crisis Line Report
      • Quarterly CCPAR Business Line Report
    • Low-Barrier Buprenorphine
      • Low-Barrier Buprenorphine Treatment Expansion Quarterly Report
    • Third-Party Payment Report
    • Warm Line
      • Warm Line Quarterly Access Report
      • RH Call Status Report
      • Caller Data Report: Warm Line Quarterly Report
      • Quarterly Reconciliation Report

    Annual/Other

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

    Invoice Form(s)

    Reporting Requirements and Timeframes

    Monthly

    Quarterly

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other


     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other

    • Audited Financial Statement
    • Certificate of Insurance & Endorsement
    • Client Success Stories (upon request)
    • Closure Dates Report
    • CRP Annual Staffing Plan
    • Disaster Recovery Business Continuity Attestation
    • Disaster Recovery Business Continuity Plan
    • PATH Annual Report
    • SEP MIDD Client Success Stories (as requested)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • SUD Residential Census Report
    • SUD Withdrawal Management Census Report

    Quarterly

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other

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

     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 Business Continuity Attestation
    • Disaster Recovery Business Continuity Plan

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • CDP Education Monthly Report (and supporting documentation)
    • Data Certification Letter
    • Data & Encounter Submission to the BHRD Management Information System
    • Wraparound Contract Monthly Summary
    • Wraparound Monthly Flex Fund Expenditures
    • Wraparound Flex Fund Request Form
    • Wraparound Flex Fund Request Interpreter Form
    • Wraparound Flex Fund Request Special Event Form
    • Youth Support Services (YSS) FTE Report

    Quarterly

    Semi-Annual
    • CDP Education Semi-Annual Report

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • Guided Pathways Family Support Organization Monthly Progress Report
    • GPS FSO MIDD Evaluation Data Report

    Quarterly

    • TBD

    Annual/Other

    • Audited Financial Statement
    • Certificate of Insurance & Endorsement
    • Client Success Stories (upon request)
    • Closure Dates Report
    • Disaster Recovery Business Continuity Attestation
    • Disaster Recovery Business Continuity Plan
    • GPS Workplan and Year-End Summary

    Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other


     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • CDP Education Monthly Report (and supporting documentation)
    • Data Certification Letter
    • Data & Encounter Submission to the BHRD Management Information System
    • Emergency Department/Psych Emergency Services Care Manager
      • ED PES Care Manager Monthly FTE Report
      • ED PES Care Manager Monthly Voucher Detail Report
    • Emergency Department Utilization Management (EDUM) Behavioral Health Rapid Response Team
      • EDUM Monthly Report
    • HARPS
      • HARPS Commerce Funds Subsidy Log
      • HARPS Participant Log
    • Involuntary Treatment Triage
      • Involuntary Treatment Triage Monthly Report
    • Peer Bridger Program
      • Peer Bridger Program Monthly Voucher Report
      • Peer Bridger Program Monthly FTE Report
    • Screening, Brief Intervention, and Referral to Treatment (SBIRT) Emergency Department Services
      • SBIRT EDS Monthly FTE Report
    • Supported Employment Program (SEP)
      • SEP Specialty Employment Provider Monthly Report
      • SEP Specialty Employment Provider Supplemental Monthly Report

    Quarterly

    • Clinician Roster
    • Contractor Profile Update
    • Emergency Department/Psych Emergency Services Care Manager
      • ED PES Care Manager Quarterly Log
    • Emergency Department Utilization Management (EDUM) Behavioral Health Rapid Response Team
      • A report of activities, trainings, and expenditures in a format approved by the County, if applicable
    • HARPS
      • HARPS Quarterly Report
    • Supported Employment Program (SEP)
      • SEP Specialty Employment Provider Quarterly Report
    • Third-Party Payment Report
    Semi-Annual
    • CDP Education Semi-Annual Report

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • SUD Residential Census Report - Youth Intensive Inpatient

    Quarterly

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • Clubhouse Monthly Census Log
    • Consumer-Driven Services Clubhouse Monthly Census Log
    • Data Certification Letter
    • Data & Encounter Submission to the BHRD Management Information System
    • Monthly progress note to Outpatient Benefit holder for each enrolled consumer served
    • SEP Monthly Report
    • SEP Supplemental Report (as needed)

    Quarterly

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • Data Certification Letter
    • Data & Encounter Submission to the BHRD Management Information System
    • Health Home Due Diligence Tracking Report

    Quarterly

    Annual/Other

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

     Invoice Form(s)

    Required Reports & 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 Attestation 
    • Disaster Recovery Business Continuity Plan


     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • CDP Education Monthly Report (and supporting documentation)
    • Data Certification Letter
    • Data & Encounter Submission to the BHRD Management Information System

    Quarterly

    Semi-Annual

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • Ombuds Services Monthly Report
    • Ombuds Services Monthly Time Sheet

    Quarterly

    • Grievances & Fair Hearings Quarterly Report
    • Ombuds Services Quarterly Telephone Contact Log
    • Quarterly Update Package
    • Third-Party Payment Report
    Semi-Annual
    • Ombuds Service Semi-Annual Report

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • CDP Education Monthly Report (and supporting documentation)
    • Gain QA Report
    • Youth Diversion Services Tracking Report
    • Youth Support Services FTE Report

    Quarterly

    Semi-Annual
    • CDP Education Semi-Annual Report

    Annual/Other

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

    Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other


    Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other


     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other

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

    Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Semi-Annual

    Annual/Other


     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • CDP Education Monthly Report (and supporting documentation)
    • Data Certification Letter
    • Data & Encounter Submission to the BHRD Management Information System
    • GAIN QA Report (as needed)
    • HARPS Housing Bridge Subsidy
    • ICSRP Census
    • ICSRP Engagement Log
    • LTR Billing Report
    • PACT Monthly Report
    • Peer Bridger Staffing Report
    • Peer Bridger Voucher Report
    • Residential Invoice Report
    • SEP
    • SEP Supplemental
    • SSH Report
    • WTR Registered Users
    • Youth Support FTE Report

    Quarterly

    Semi-Annual

    • CDP Education Semi-Annual Report
    • PACT Transition Assessment Scale

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • NEH PEACE Monthly Actual Expenditure Report Form
    • Minerva Monthly Report

    Quarterly

    • Minerva Monthly Report

    Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other


     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • SUD Residential Monthly Census Report - Adult Long-Term Care
    • SUD Residential Monthly Census Report - Adult Recovery House
    • SUD Residential Monthly Census Report - Pregnant & Parenting Women

    Quarterly

    Annual/Other

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

    Invoice Form(s)

    Required Reports & 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 & Timeframes

    Monthly

    Annual/Other


     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • Data Certification Letter
    • Diversion and Reentry Services Care Coordination
    • HARPS Housing Bridge Subsidy
    • HARPS Participant Log
    • Housing Services for King County Regional Mental Health Court
    • PACT Monthly Report
    • PACT Transition Assessment Scale
    • SUD Assessments - Therapeutic Courts & Jail Health Release Planning
    • SUD Residential Census Report
    • TRP Monthly Data Log

    Quarterly

    Semi-Annual

    • PACT Transition Scale

    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

    Quarterly

    • Minerva Quarterly Report

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • New Recovery Cafe Development Costs
    • SOR Recovery Support Services Opiate Use Disorder Billing Summary
    • SOR Recovery Support Services Substance Use Disorder Billing Summary
    • Substance Use Disorder Peer Recovery Services Monthly FTE 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 & Timeframes

    Monthly

    Quarterly

    Annual/Other


     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • CDP Education Monthly Report
    • Data Certification Letter
    • Data & Encounter Submission to the BHRD Management Information System
    • GAIN QA Report (as needed)
    • Health Homes
      • Health Homes Due Diligence Report
      • Juvenile Justice Assessment Team (JJAT)
    • Medication-Assisted Treatment (MAT)
      • Co-pay Deductible Report (as funding is available)
      • MAT Out-of County Report
    • New Journeys Demonstration Project
      • New Journeys Demonstration Project Monthly Report
    • Outstation/Recovery School Youth Support Services (YSS)
      • YSS FTE 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)
    • Health Homes

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • CDP Education Monthly Report (and supporting documentation)
    • Data Certification Letter
    • SUD Residential Census Report
    • Withdrawal Management with Linkages to Treatment - Census Report

    Quarterly

    Semi-Annual

    • CDP Education Semi-Annual Report

    Annual/Other

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

    Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Semi-Annual

    • CDP Education Semi-Annual Report

    Annual/Other

    • Audited Financial Statement
    • Certificate of Insurance & 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 & Timeframes

    Monthly

    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 & Timeframes

    Monthly

    • Minerva Monthly Report
    • Seattle SBIRT Financial Report
    • SPS HYCAN Monthly Actual Expenditure Report Form
    • YSS FTE Report

    Quarterly

    • Minerva Quarterly Report
    • YSS Quarterly Narrative Report

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other


     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • Adult Crisis Services Report
    • Assisted Outpatient Services Program
    • Benson Heights Monthly Report
    • CDP Education Monthly Report (and supporting documentation)
    • CDVRT Monthly Summary Report
    • Data Certification Letter
    • Data & Encounter Submission to the BHRD Management Information System
    • GAIN QA Report (as needed)
    • Long-Term Rehabilitation Services Billing Report Services Monthly Summary
    • Long-Term Rehabilitation Services Residential Invoice Report
    • Path Monthly Report
    • Reaching Recovery
      • FIRST Report
      • ORCS REport
      • Reaching Recovery Housing Monthly Log
    • SEP Monthly Report
    • South King County Housing First Monthly Move-In Report
    • South King County Housing First Monthly Move-Out Report
    • Standard Supportive Housing Monthly Report
    • STAR Program Monthly Status Report
    • SUD Outpatient Monthly Transportation Back-up (as needed)
    • Transition Support Program Linkage Report
    • Transition Support Program Monthly Staffing Report
    • Wraparound Contract Monthly Summary
    • Wraparound Flex Fund Request Form
    • Wraparound Flex Fund Request Interpreter Form
    • Wraparound Flex Fund Request Special Event Form
    • Wraparound Monthly Flex Fund Expenditures

    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 & Timeframes

    Monthly

    • SUD Census Report
    • 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 & Timeframes

    Monthly

    • SUD Residential Census Report

    Quarterly

    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 & Timeframes

    Monthly

    Quarterly

    Annual/Other

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • Census
    • Admission/Denial Log
    • Discharge Planner Report

    Quarterly

    Semi-Annual

    • Seclusion & Restraint

    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

    Quarterly

    Semi-Annual

    Annual/Other


     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • Adult Inpatient Diversion Bed Monthly Report
    • Data Certification Letter
    • Data & Encounter Submission to the BHRD Management Information System
    • Long-Term Residential Monthly Billing Report Services
    • Long-Term Residential Monthly Residential Invoice Monthly 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 & Timeframes

    Monthly

    • SUD Residential Census Report & MAT Log

    Quarterly

    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 & Timeframes

    Monthly

    • Adult Crisis Services Log
    • CDP Education Monthly Report (and supporting documentation)
    • Data Certification Letter
    • Health Home Due Diligence Tracking
    • Mental Health First Aid (MHFA) FTE Report
    • Mental Health First Aid (MHFA) Monthly Performance Report
    • New Journeys Demonstration Project
    • Specialty Employment (SEP) Monthly Report
    • Specialty Employment (SEP) Monthly Report - Part 1 Outcomes
    • Standard Supportive Housing Rental Assistance
    • SUD Residential Census Report
    • SUD Census Report - Withdrawal Management with Linkages to Treatment
    • Wraparound
      • Contract Monthly Summary Report
      • Family Treatment Court Wraparound FTE Report
      • Flex Fund Request
      • Flex Fund Request - Interpreter Form
      • Flex Fund Request - Special Event
      • Monthly Flex Fund Expenditures Report

    Quarterly

    Semi-Annual

    • CDP Education Semi-Annual Report

    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

    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 & Timeframes

    Monthly

    Quarterly

    Annual/Other

    • Audited Financial Statement
    • Certificate of Insurance & Endorsement
    • Client Success Stories (upon request)
    • Closure Dates Report

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    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 & Timeframes

    Monthly

    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)
    • Weekly Reports: Wraparound/WISe referral/screen requests, referrals source, enrollees, and pending list

     Invoice Form(s)

    Required Reports & 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)

    Starting in March 2020, households across our region and across the country will have the opportunity to participate in the 2020 Census. Your participation matters. Learn how you can promote a fair and accurate census at kingcounty.gov/census.

    Contact Us

    Phone 206-263-9000

    TTY Relay: 711

    Fax: 206-296-0583