(a) All agencies
receiving funds through the Division are required to submit periodic client
service and fiscal reports. The following regulations specify the type and
frequency of reports required for each state-funded Program Element.
1. State grant-in-aid: client data:
i. Unified Service Transaction Forms (Revised
MC-1-2):
(1) All agencies participating in the
grant-in-aid program must maintain accurate client records for the purpose of
complying with the Division's statistical reporting requirements. The Unified
Services Transaction Form (USTF) represents the minimum data set which must be
recorded as part of each client record. Copies of the USTF shall be available
from the Division.
(2) Copies of
the USTF-1 and USTF-2 must be kept in each client's clinical record at all
times and made available for site reviews and program audits.
(3) All data elements found on the USTF-1
(Acceptance) and USTF-2 (Termination), are required to be reported to the
Division. The USTF-1 and USTF-2 must be completed and forwarded to the State as
specified in the Division's Reporting Manual. Except in extraordinary
situations, the forms should be mailed within 48 hours after acceptance or
termination has occurred.
ii. Quarterly client characteristic reports:
In addition to the USTF, all agencies receiving grant-in-aid funds must submit
a quarterly client characteristic report to the Division. (See
10:37-5.2 for additional
record-keeping requirements.) This quarterly report is an unduplicated count of
target populations served by each Program Element. As specified in the
Dictionary of Mental Health Terms, Program Elements include:
(1) Consultation and education;
(2) Emergency;
(3) Inpatient;
(4) Outpatient;
(5) Partial care;
(6) Residential;
(7) Screening.
iii. Quarterly caseload summary: The Division
will provide each agency and the County Mental Health Board with a quarterly
caseload summary report. The quarterly caseload summary is a count of all case
openings and closings. It is a summary of duplicated enrollments and
terminations rather than a reflection of individual clients. The quarterly
caseload summary report will contain the following information:
(1) Caseload at beginning of
quarter;
(2) New admissions during
quarter;
(3) Re-admissions during
quarter;
(A) From the current year;
(B) From a prior year;
(4) Terminations;
(5) Caseload at end of quarter; and
(6) Sub reports on all target populations as
specified in
10:37-5.2 and program histories
from data forwarded on the USTF-1 and USTF-2.
iv. Waivers: Agencies with access to computer
processing capability may submit a written proposal to provide the Division
with the requisite USTF data through alternate procedures. These proposals must
be approved by the Bureau of Information Systems. Office of Program Evaluation,
before any modification of the above procedures may be instituted by the
agency.
v. Fiscal reports: All
agencies receiving grant-in-aid funds are also required to submit the
"Quarterly Financial Statement." This report is due one month after the close
of each quarter. In addition, all the agencies will submit the "Actual Agency
Budget and Income Statement," which is due by the end of the first quarter of
each fiscal year.
vi. Staffing
reports: All agencies receiving funds through the grant-in-aid programs or the
Community Care Title XX programs will be required to submit a Uniform Staffing
Report to the Division on an annual basis.
2. Contract service reports: All agencies
receiving funds through the Division's Community Care or Title XX contracts
shall be required to record the data on the Unified Services Transaction Form
by December, 1980. Copies of the USTF-1 and USTF-2 must be kept as part of each
client record and made available for site reviews and program audits. In
addition, "Monthly Contract Information Summaries" and the "Monthly Contract
Expenditure Reports" must be submitted directly to the Division.
3. Submissions to County Mental Health Board:
Copies of all reports submitted to the Division, other than individual USTFs,
shall also be forwarded to the appropriate County Mental Health
Board.