Fiscal Year 2022 SUD (Non-Medicaid) Reporting Instructions and Forms

For additional information, contact SUD Contracts staff at mdhhs-bhdda-contracts-mgmt@michigan.gov.

 

Reports / Forms

Software 

Instructions (PDF)

 1

Charitable Choice

Excel

Instructions

 2

Child Referral

Excel

Instructions Tab in Form.

 3   

Communicable Disease

Excel

Instructions

 4

Injecting Drug Users 90% Capacity Treatment

Excel

Instructions Tab in Form.

 5

Legislative Report - due 2/28/2023

Excel

Instructions

 6

Maintenance of Effort (MOE)

Excel

Instructions

 7

Notice of Excess or Insufficient Funds (NEIF)

Excel

Instructions

 8 PDS Outcomes Survey Data Excel Instructions

 9

Primary Prevention Expenditures by Strategy - due 2/28/2023

Excel

Instructions

 10

Priority Populations Waiting List Deficiencies

Excel

Instructions Tab in Form.

11 SAHL DHH Report Excel Instructions in Form.

12  

Sentinel Events Data

Excel

Instructions Tab in Form.

13   

Synar Coverage Study Canvassing

Excel

Instructions

14

Tobacco/Formal Synar - Youth Access to Tobacco Compliance Checks

Excel

Instructions

15

Women's Specialty Services - Annual Report

Word

Instructions in Form.

16

Youth Access to Tobacco Activity Report

Word

Instructions