Common use of SUBMISSION SCHEDULE AND REPORTING REQUIREMENTS Clause in Contracts

SUBMISSION SCHEDULE AND REPORTING REQUIREMENTS. A. Grantee will submit all documents identified below to the System Agency by the applicable due date outlined below. The following reports below must be submitted to System Agency through Clinical Management For Behavioral Health Services (CMBHS) and/or any alternative method required by System Agency. Grantee is required to maintain access to required systems or platforms for the term of this Grant Agreement. B. If the due date is on a weekend or a holiday, the due date is the following business day. C. All reporting communications should include ▇▇▇▇▇▇▇’s Contract Number, legal entity name, and purpose in the email subject line. D. Grantee will submit CMBHS Security Attestation Form biannually, according to dates set by the System Agency. E. Grantee shall respond to System Agency requests and provide information and/or data meeting federal and state legislative requirements as requested and within the timelines specified. F. Grantee will comply when System Agency may require additional deliverables that do not constitute an additional cost in excess of the existing funding, to comply with federal and/or state mandates. System Agency will provide written notice to the Grantee as soon as practicable but no later than ten (10) business days prior to the effective date of additional deliverables. G. Submission requirements will survive the termination or expiration of the contract. H. The reports to submit each fiscal year are as follows: Requirement Deliverable Due Date Submission System Deliverable Naming Convention Section V (H) Sustainability Plan Each FY October 15th CMBHS FY2X Sustainability Plan Section V (K) and (L) Media Evaluation Plans for the Opioid Misuse Public Awareness Campaign and PMP Campaign Each FY September 15th CMBHS FY2X Media Evaluation Plans Section V (O) Annual Report Each FY September 15th CMBHS FY2X Annual Report Attachment B CloseOut Each FY October 15th CMBHS FY2X Close Out Section VII CMBHS Security Attestation Each FY September 15th and March 15th CMBHS FY2X Sept CMBHS Attestation Form FY2X Mar CMBHS Attestation Form Each FY Section V (J) Quality Management Activities Report Q1: December 15th Q2: March 15th Q3: June 15th Q4: September 15th CMBHS FY2X QX QM Monitoring Activity Report Each FY Attachment B Financial Status Reports (FSRs) Q1: December 31st Q2: March 31st Q3: June 30th Q4: September 30th CMBHS FY2X QX FSR Each FY Attachment B General Ledger Q1: December 31st Q2: March 31st Q3: June 30th Q4: September 30th CMBHS FY2X QX General Ledger Attachment B FSR to General Ledger Worksheet Each FY CMBHS FY2X QX FSR to GL Worksheet Q1: December 31st Q2: March 31st Q3: June 30th Q4: September 30th Section VIII Performance Measures The 15th of the month following the month being reported CMBHS FY2X Month Performance Measure Section V (O) Monthly Report The 15th of the month following the month being reported CMBHS FY2X Month Monthly Report Grantee shall: A. Designate a Security Administrator and a back-up Security Administrator responsible for the following: B. Implement and maintain a system for managing user account access and user roles to ensure that all the CMBHS user accounts are current; C. Ensures that access to CMBHS is restricted to authorized users. All users are required to update their passwords every 90 days. The Security Administrators must change their passwords every 60 days; and D. Reset access if a user account becomes disabled due to inactivity. Within twenty-four

SUBMISSION SCHEDULE AND REPORTING REQUIREMENTS. A. Grantee will submit all documents identified below to the System Agency by the applicable due date outlined below. The following reports below must be submitted to System Agency through Clinical Management For Behavioral Health Services (CMBHS) and/or any alternative method required by System Agency. Grantee is required to maintain access to required systems or platforms for the term of this Grant Agreement. B. If the due date is on a weekend or a holiday, the due date is the following business day. C. All reporting communications should include ▇▇▇▇▇▇▇’s Contract Number, legal entity name, and purpose in the email subject line. D. Grantee will submit CMBHS Security Attestation Form biannually, according to dates set by the System Agency. E. Grantee shall respond to System Agency requests and provide information and/or data meeting federal and state legislative requirements as requested and within the timelines specified. F. Grantee will comply when System Agency may require additional deliverables that do not constitute an additional cost in excess of the existing funding, to comply with federal and/or state mandates. System Agency will provide written notice to the Grantee as soon as practicable but no later than ten (10) business days prior to the effective date of additional deliverables. G. Submission requirements will survive the termination or expiration of the contract. H. The reports to submit each fiscal year are as follows: Requirement Deliverable Due Date Submission System Deliverable Naming Convention Report Name Section V (H) Sustainability Plan Each FY October 15th CMBHS FY2X Sustainability Plan Section V (K) and (L) Media Evaluation Plans for the Opioid Misuse Public Awareness Campaign and PMP Campaign Each FY September 15th CMBHS FY2X Media Evaluation Plans Section V (O) Annual Report Each FY September 15th CMBHS FY2X Annual Report Attachment B CloseOut Close Out Each FY October 15th CMBHS FY2X Close Out Section VII CMBHS Security Attestation Each FY September 15th and March 15th CMBHS FY2X Sept CMBHS Attestation Form FY2X Mar CMBHS Attestation Form Each FY Section V (J) Quality Management Activities Report Each FY Q1: December 15th Q2: March 15th Q3: June 15th Q4: September 15th CMBHS FY2X QX QM Monitoring Activity Report Each FY Attachment B Financial Status Reports (FSRs) Each FY Q1: December 31st Q2: March 31st Q3: June 30th Q4: September 30th CMBHS FY2X QX FSR Each FY Attachment B General Ledger Each FY Q1: December 31st Q2: March 31st Q3: June 30th Q4: September 30th CMBHS FY2X QX General Ledger Attachment B FSR to General Ledger Worksheet Each FY CMBHS FY2X QX FSR to GL Worksheet Q1: December 31st Q2: March 31st CMBHS FY2X QX FSR to GL Worksheet Q3: June 30th Q4: September 30th Section VIII Performance Measures The 15th of the month following the month being reported reported. CMBHS FY2X Month Performance Measure Section V (O) Monthly Report The 15th of the month following the month being reported reported. CMBHS FY2X Month Monthly Report Grantee shall: shall A. Designate a Security Administrator and a back-up Security Administrator responsible for the following: B. Implement and maintain a system for managing user account access and user roles to ensure that all the CMBHS user accounts are current; C. Ensures that access to CMBHS is restricted to authorized users. All users are required to update their passwords every 90 days. The Security Administrators must change their passwords every 60 days; and D. Reset access if a user account becomes disabled due to inactivity. Within twenty-four

SUBMISSION SCHEDULE AND REPORTING REQUIREMENTS. Grantee will: A. Grantee will submit all documents identified below to Use the System Agency by CMBHS system for documenting OBT-related activities, services, and testing; B. Use the applicable due date outlined below. The following reports below must be submitted to CMBHS components and/or functionality, in accordance with System Agency through Clinical Management For Behavioral Health Services (CMBHS) instructions. Grantee will use the updated components and/or any alternative method required functionality as directed by System Agency. Grantee is required to maintain access to required systems or platforms for the term of this Grant Agreement. B. If the due date is on a weekend or a holiday, the due date is the following business day. C. All reporting communications should include ▇▇▇▇▇▇▇’s Contract Number, legal entity name, and purpose in duty to submit documents survives the email subject linetermination or expiration of this Contract. D. C. Grantee will meet required number of clients served per year based on funded amount; D. Perform and submit CMBHS Security Attestation Form biannuallyGovernmental Performance and Results Act (GPRA) assessments for all participants who are engaged in treatment services. Assessments must be conducted face to face, according to dates set unless a waiver is granted by the System Agency. E. Grantee 1. The primary counselor shall respond to System Agency requests and provide information and/or data meeting federal and state legislative requirements as requested and conduct the GPRA assessment immediately after the client is stabilized on medication or within the timelines specifiedfour weeks after admission, whichever is sooner. F. 2. The GPRA assessments will be completed at intake, six-month follow-up, and discharge. Additionally, the six-month follow-up must be conducted between months five through seven, depending on the client’s availability. Grantee will comply when System Agency may require additional deliverables that do not constitute an additional cost in excess of the existing fundinguse CMBHS to conduct, document and enter assessments as close to comply with federal and/or state mandatesreal time as possible. System Agency Grantee will provide written notice aim to the Grantee as soon as practicable upload their data into CMBHS within 1 day, but it must be entered into CMBHS no later than ten (10) business 7 days prior to after the effective date of additional deliverablesGPRA assessment is conducted. G. Submission requirements will survive 3. Grantee shall maintain a minimum 80% follow-up rate for the termination or expiration six-month assessment, regardless of discharge status (including closed cases, administrative discharges, and participants who have left the contractprogram); and, 4. When directed by System Agency, Grantee shall conduct new initial GPRA assessments for all clients in services at the beginning of each fiscal year. H. The E. Submit the following reports to submit each fiscal year are as followsby the noted due dates: Requirement Deliverable Report Name Due Date Submission System Deliverable Naming Convention Section V (H) Sustainability Plan Each FY October 15th CMBHS FY2X Sustainability Plan Section V (K) and (L) Media Evaluation Plans for the Opioid Misuse Public Awareness Campaign and PMP Campaign Each FY September 15th CMBHS FY2X Media Evaluation Plans Section V (O) Annual Report Each FY September 15th CMBHS FY2X Annual Report Attachment B CloseOut Each FY October 15th CMBHS FY2X Close Out Section VII CMBHS Security Attestation Form and List of Authorized Users Biannually, Each FY Fiscal Year: September 15th and March 15th CMBHS FY2X Sept CMBHS Attestation Form FY2X Mar CMBHS Attestation Form Each FY FY2X_CMBHS- Attestation-Due-Date Section V (J) Quality Management Activities Report Q1: December 15th Q2: March 15th Q3: June 15th Q4Annual Survey Annually, Each Fiscal Year: September 15 CMBHS FY2X_AnnualSurvey -Due-Date Attachment B Close Out Annually, Each Fiscal Year: October 15th CMBHS FY2X QX QM Monitoring Activity Report Each FY Attachment B Financial Status Reports (FSRs) Q1: December 31st Q2: March 31st Q3: June 30th Q4: September 30th CMBHS FY2X QX FSR Each FY Attachment B General Ledger Q1: December 31st Q2: March 31st Q3: June 30th Q4: September 30th CMBHS FY2X QX General Ledger Attachment B FSR to General Ledger Worksheet Each FY CMBHS FY2X QX FSR to GL Worksheet Q1: December 31st Q2: March 31st Q3: June 30th Q4: September 30th Section VIII Performance Measures The 15th of FY2X_CloseOut- Due-Date *If the month following Due Date is on a weekend or holiday, submission is due on the month being reported CMBHS FY2X Month Performance Measure Section V (O) Monthly Report The 15th of the month following the month being reported CMBHS FY2X Month Monthly Report Grantee shall: A. Designate a Security Administrator and a back-up Security Administrator responsible for the following: B. Implement and maintain a system for managing user account access and user roles to ensure that all the CMBHS user accounts are current; C. Ensures that access to CMBHS is restricted to authorized users. All users are required to update their passwords every 90 days. The Security Administrators must change their passwords every 60 days; and D. Reset access if a user account becomes disabled due to inactivity. Within twenty-fournext business day.