Common use of Templates Clause in Contracts

Templates. Template 1 - Provider Tangible Property Inventory Form Template 2 - Managing Entity Substance Abuse and Mental Health Block Grant Reporting Template Overview and Instructions Template 3 - Narrative Report for the Substance Abuse and Mental Health Block Grant Template 4 - Managing Entity Annual Business Operations Plan, including Template 4 Supplement Behavioral Health Catalog of Care Template 5 - ALF-LMH Forms Template 6 - BNet Participant Forms Template 7 - BNet Alternative Service Forms Template 8 – Deleted, effective 11/29/2016 Template 9 - Local Match Calculation Form Template 10 - Managing Entity Monthly Fixed Payment Invoice Template 11 - Managing Entity Monthly Progress Report Template 12 - Managing Entity Monthly Expenditure Report Template 13 - Managing Entity Monthly Carry Forward Expenditure Report Template 14 - Cost Allocation Plan Template 15 - Managing Entity Spending Plan for Carry Forward Report Template 16 - Women’s Special Funding Reporting Template Template 17 - FIT Reporting Template Template 18 - Deleted, effective 5/18/2017 Template 19 – Partnerships for Success Grant Drug Epidemiology Network (DENs) Report – Template 20 – CMHSOC Quarterly Report Template – Not applicable to KH225

Templates. Template 1 - – Provider Tangible Property Inventory Form Template 2 - Managing Entity Substance Abuse and Mental Health – SAMH Block Grant Reporting Template Overview and Instructions Template 3 - – Narrative Report for the Substance Abuse and Mental Health Block Grant Template 4 - – Managing Entity Annual Business Operations Plan, including Template 4 Supplement Behavioral Health Catalog of Care Plan Template 5 - – ALF-LMH Forms Template 6 - – BNet Participant Forms Template 7 - – BNet Alternative Service Forms Template 8 – Deleted, effective 11/29/2016 Reserved Template 9 - – Local Match Calculation Form Template 10 - – Managing Entity Monthly Fixed Payment Invoice Template 11 - – Managing Entity Monthly Progress Report Template 12 - – Managing Entity Monthly Expenditure Report Template 13 - – Managing Entity Monthly Carry Forward Expenditure Report Template 14 - – Cost Allocation Plan Template 15 - – Managing Entity Spending Plan for Carry Forward Report Template 16 - Women’s Special Funding Reporting Template – Reserved Template 17 - FIT Reporting Template – Reserved Template 18 - Deleted, effective 5/18/2017 – Reserved Template 19 – Partnerships for Success Grant Drug Epidemiology Network (DENs) Report – Reserved Template 20 – CMHSOC Reserved Template 21 – Monthly Care Coordination Report Template 22 – Forensic Mental Health Services Report Template 23 – Forensic Diversion Report Template 24 – CCP Supplemental Invoice and Expenditure Report Template 25 – Forensic Multidisciplinary Team Report Template 26 – Reserved Template 27 – Reserved Template 28 – Mobile Response Team Report Template 29 – FACT Quarterly Report Template 30 – Not applicable to KH225Proviso Project Return on Investment Report Template 31 – Reserved Template 32 – Transitional Voucher Incidental Report Template 33 – Community Forensic Beds Report Template 34 – SOR Reports Template 35 – FY 2023-24 $126M Tracking Tool Template 36 – Sustainability Plan for Nonrecurring Funds Template 37 – Coordinated Opioid Recovery (CORE) Network Quarterly Narrative Report Template 38 – Coordinated Opioid Recovery (CORE) Network Quarterly Data Report

Templates. Template 1 - Provider Tangible Property Inventory Form Template 2 - Managing Entity Substance Abuse and Mental Health Block Grant Reporting Template Overview and Instructions Template 3 - Narrative Report for the Substance Abuse and Mental Health Block Grant Template 4 - Managing Entity Annual Business Operations Plan, including Template 4 Supplement Behavioral Health Catalog of Care Template 5 - ALF-LMH Forms Template 6 - BNet Participant Forms Template 7 - BNet Alternative Service Forms Template 8 – Deleted, effective 11/29/2016 Template 9 - Local Match Calculation Form Template 10 - Managing Entity Monthly Fixed Payment Invoice Template 11 - Managing Entity Monthly Progress Report Template 12 - Managing Entity Monthly Expenditure Report Template 13 - Managing Entity Monthly Carry Forward Expenditure Report Template 14 - Cost Allocation Plan Template 15 - Managing Entity Spending Plan for Carry Forward Report Template 16 - Women’s Special Funding Reporting Template Template 17 - FIT Reporting Template Template 18 - Deleted, effective 5/18/2017 Template 19 – Partnerships for Success Grant Drug Epidemiology Network (DENs) Report – Template 20 – CMHSOC Quarterly Report Template – Not applicable to KH225KH225 Template 21 – Monthly Care Coordination Report

Templates. Template 1 - Provider Tangible Property Inventory Form Template 2 - Managing Entity Substance Abuse and Mental Health Block Grant Reporting Template Overview and Instructions Template 3 - Narrative Report for the Substance Abuse and Mental Health Block Grant Template 4 - Managing Entity Annual Business Operations Plan, including Template 4 Supplement Behavioral Health Catalog of Care Template 5 - ALF-LMH Forms Template 6 - BNet Participant Forms Template 7 - BNet Alternative Service Forms Template 8 – Deleted, effective 11/29/2016 Template 9 - Local Match Calculation Form Template 10 - Managing Entity Monthly Fixed Payment Invoice Template 11 - Managing Entity Monthly Progress Report Template 12 - Managing Entity Monthly Expenditure Report Template 13 - Managing Entity Monthly Carry Forward Expenditure Report Template 14 - Cost Allocation Plan Template 15 - Managing Entity Spending Plan for Carry Forward Report Template 16 - Women’s Special Funding Reporting Template Template 17 - FIT Reporting Template Template 18 - Deleted, effective 5/18/2017 Template 19 – Partnerships for Success Grant Drug Epidemiology Network (DENs) Report – Template 20 – CMHSOC Quarterly Report Template – Not applicable to KH225KH225 Template 21 – Monthly Care Coordination Report Template 22 – Forensic Diversion Report Template 23 – Conditional Release Report Template 24 – Disaster Behavioral Health (DBH) Managing Entity Supplemental Invoice and Expenditure Report

Templates. Template 1 - Provider Tangible Property Inventory Form Template 2 - Managing Entity Substance Abuse and Mental Health Block Grant Reporting Template Overview and Instructions Template 3 - Narrative Report for the Substance Abuse and Mental Health Block Grant Template 4 - Managing Entity Annual Business Operations Plan, including Template 4 Supplement Behavioral Health Catalog of Care Template 5 - ALF-LMH Forms Template 6 - BNet Participant Forms Template 7 - BNet Alternative Service Forms Template 8 – Deleted, effective 11/29/2016 Template 9 - Local Match Calculation Form Template 10 - Managing Entity Monthly Fixed Payment Invoice Template 11 - Managing Entity Monthly Progress Report Template 12 - Managing Entity Monthly Expenditure Report Template 13 - Managing Entity Monthly Carry Forward Expenditure Report Template 14 - Cost Allocation Plan Template 15 - Managing Entity Spending Plan for Carry Forward Report Template 16 - Women’s Special Funding Reporting Template Template 17 - FIT Reporting Template Template 18 - Deleted, effective 5/18/2017 Template 19 – Partnerships for Success Grant Drug Epidemiology Network (DENs) Report – Template 20 – CMHSOC Quarterly Report Template – Not applicable to KH225 Template 21 – Monthly Care Coordination Report Template 22 – Forensic Diversion Report Template 23 – Conditional Release Report Template 24 – Disaster Behavioral Health (DBH) Managing Entity Supplemental Invoice and Expenditure Report Template 25 – Forensic Multidisciplinary Team Report Template 26 – Regional Action Steps to Forensic Goals Template 27 – Quarterly School-Based Prevention Program Report – Not applicable to KH225