Monthly Progress Reporting. A. The Provider will complete and submit a monthly report within ten (10) business days following each month in which the services were provided. B. Monthly reports shall be submitted to the Buyer’s case manager. Electronic submission via a secure email transmission is strongly encouraged. C. The monthly report submitted on the Provider’s letterhead shall include the following: 1) Provider’s legal name, email, and phone number 2) Home-based worker’s legal name, email and phone number 3) Identifying client information to include name of youth and family 4) Service Initiation Date 5) Reporting Period 6) Duration/times of service 7) Missed Appointments and reasons why 8) Location of service 9) Individuals present for service 10) Itemize administrative/indirect vs. direct service hours 11) Progress on goals; Progress towards discharge/transition 12) Barriers to treatment 13) Significant incidents affecting the youth/family 14) Change in therapist, medication and/or agencies/service involvement with youth/family 15) Current functioning in major life domains (e.g., school, home, community, legal) ▇. ▇▇▇▇▇▇ reports/communication with the Buyer do not substitute for the required monthly progress reports.
Appears in 2 contracts
Sources: Agreement for Purchase of Services, Agreement for Purchase of Services