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| Tuesday, May 22, 2012 | |
| WV - DHHR - BHHF | Last updated: Tuesday, March 06, 2012 |
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| RESOURCES | ||
| Name | Online | Download |
| West Virginia SAPT Block Grant Application 2012-2013 |  |
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| Charity Care Reporting Policy | |
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| PATH Plan FY09 | |
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| PATH Plan FY10 | |
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| Community Mental Health Block Grant Application FY10 | |
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| Community Mental Health Block Grant Application FY11 | |
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| Consumer Outcome Instruments Toolkit |
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| Consumer Outcome- Empty Database |
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| Consumer Outcome Spider Graphs Demo Database |
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| Behavioral Health Providers Directory | |
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| Targeted Case Management Program | |
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| Non-Medicaid Clients Data Submission Requirements | |
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| Involuntary Commitment Process |  |
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| Forthwith - Why The Need For Such Expediency? | |
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| Commitment Procedures - Role(s) Of The Community Behavioral Health Center | |
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| Uniform Forensic Court Orders | |
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| Advance Directives: Planning for Psychiatric Treatment | |
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| Behavioral Health Advisory Council - Member Organization Application | |
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| Behavioral Health Advisory Council - Member Individual Application | |
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| Behavioral Health Advisory Council - Bylaws | |
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| Behavioral Health Advisory Council - Recruitment Letter | |
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| WV DUI S & T PROGRAM REQUIRMENTS - LICENSE REINSTATEMENT | ||
| Name | Online | Download |
| DUI - Letter | |
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| DUI - Pre-approved OUT of State DUI Programs | |
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| DUI - Program Checklist | |
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| DUI - Program Requirements Summary | |
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| DUI - Consent For the Release of Confidential Alchol or Drug Treatment Information | |
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| DUI - Interstate DUI Transfer Form | |
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| DUI - Out of State Program Certification | |
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| DEVELOPMENTAL DISABILITIES CRISIS RESOURCES | ||
| Name | Online | Download |
| Crisis Prevention, Planning and Resources |  |
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| DD Crisis Respite Desk Guide | |
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| Crisis Respite Site Directory | |
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| Form C.1. - CRU Admission Report 2008 | |
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| Form C.2. - Sample Crisis Respite Program Plan | |
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| Form C.3./C.4. - Blank Monthly and Quarterly Crisis Report Forms | |
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| Form C.5. - CRU Discharge Report 2008 | |
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| Form C.6. - Request for Extended Stay Form 2008 | |
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| Sample Extended Stay Approval Letter | |
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| FINANCIAL RESOURCES | ||
| Name | Online | Download | FY 2009 Grant Documents |  |
| Invoice for Forensic Evaluation |  |
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| Standardized Financial Statements | |
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| Quarterly Financial Statement Crosswalk | |
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| GRANT RESOURCES FY 2012 | ||
| Name | Online | Download |
| Standards For Care Coordination Training 2012 | |
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| Care Coordination Quarterly Report 2012 | |
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| Substance / Non-Treatment Recovery Home Standards 2012 | |
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| Invoice Cover Sheet 2012 | |
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| Invoice Detail Invoice Federal Funding 2012 | |
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| Invoice Detail Invoice State Funding 2012 | |
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| Billing Detail Target Funding 2012 | |
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| Target Funding Budget Instructions 2012 | |
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| Target Funding Budget 2012 | |
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| FINANCIAL RESOURCES - GRANT RELATED | ||
| Name | Online | Download |
| Detailed Line Item Budget Instructions FY 2011 | |
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| Detailed Line Item Budget Directive FY 2011 | |
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| Detailed Line Item Budget Worksheet FY 2011 | |
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| Billing Detail | |
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| Detail Invoice Federal Funding 2011 | |
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| Detail Invoice State Funding 2011 | |
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| Target Funding Budget 2011 | |
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| Equipment Budget | |
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| Equipment Disposal | |
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| Invoice Cover Sheet 2011 | |
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| Subrecipient Information Form FY 2011 | |
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| Subrecipient Information Form Instructions FY 2011 | |
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| DATA RESOURCES - GRANT RELATED | ||
| Name | Online | Download |
| Data Reporting Compliance Manual | |
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| HCPCS Codes Allowable for CSDR Reporting | |
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| Possible Modifiers To Be Used (For Information Purposes Only) | |
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| Explanation of Covered Services Guide for 2012 | |
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| GENERAL TEMPLATES & FORMS | ||
| Name | Online | Download |
| Task Team Charter | |
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| CSU Direct Commitments and Diversions |  |
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| BHHF Proposal Template | ||
| Name | Online | Download |
| BHHF PROPOSAL TEMPLATE | |
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| BHHF 2011 Application Template | |
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| SBIRT | ||
| Name | Online | Download |
| SBIRT Implementation Toolkit | |
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| PDF files require |
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