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2021 Invoices Forms - coming soon!

If you have any questions, please reach out to your contract monitor.

Provider List

 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


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
    • 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

    • COVID Relief Fund Report
    • 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

    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

    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)
    •  Childhaven Invoice Form

    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


     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

    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

    Quarterly

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

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • COVID Relief Fund Report
    • 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)

     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

    • 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)
    • Closure Dates Report
    • 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

    • COVID Relief Fund Report
    • 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

    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

    • 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

    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
    • 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

     

     

     

     

     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    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

    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

    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

    • 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

    • 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

     

     

     

     

     

     

     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

    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
    • 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 Attestation 
    • Disaster Recovery Business Continuity Plan

    Invoice Form(s)

    Required Reports & Timeframes

    Monthly

     

     

     

     

    Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • TBD

    Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Semi-Annual

    Annual/Other


     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Semi-Annual

    • 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

     

     

     

     

     

     

     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

    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)
    • 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

    • COVID Relief Fund Report
    • 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
    • Sobering Adult CM CDI 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

    • 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
    • WASEC Recovery Supports Systems Program 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

    Quarterly

    Annual/Other

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

    Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    Quarterly

    Annual/Other


     Invoice Form(s)

    Required Reports & Timeframes

    Monthly

    • COVID Relief Fund Report
    • Data Certification Letter
    • Data & Encounter Submission to the BHRD Management Information System
    • 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)
    • Saint Anne Hospital Invoice Form

    Required Reports & Timeframes

    Annual/Other


         Invoice Form(s)

        Required Reports & Timeframes

        Annual/Other


             Invoice Form(s)

            Required Reports & Timeframes

            Monthly

            Quarterly

            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

             

             

             

             

             

             

             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)
            • 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


             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

            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)

            Southwest Youth & Family Services Invoice Form

             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

            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

            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

            • Adult Inpatient Diversion Bed Monthly Report
            • COVID Relief Fund 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

            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
            • 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

            Washington Recovery Alliance Invoice Form

             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

            Annual/Other

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

            Contact Us

            Phone 206-263-9000

            TTY Relay: 711

            Fax: 206-296-0583