State Fiscal Year 2014 Application for Funding Guidelines
|ADAMHS Board for Montgomery County
Application for Funding Guidelines FY14
When you submit your files, please replace the desc, xxxxx and Y with your information.
|AP SECTION & DESCRIPTION||FILE FORMAT||BOARD SOURCE FILENAME
The filename must be changed before you submit it back to us
Y = submission number
|Application||MS WORD||2014_BH_xxxxxY.doc *|
|Finance Forms||MS EXCEL||2014_FIS_xxxxxY.xls *|
|Client Satisfaction Survey (for those who do not have this already)||MS WORD||Client Satistfaction Survey Template *|
|Other files you may submit such as attatchments||MS WORD||Name them: 2014_desc_xxxxxY.doc|
|Finance Instructructions - For your reference only||MS WORD||2014_AFF_Financeguidelines.doc *|
|* Denotes downloadable|
For State Fiscal Year 2014, ADAMHS has condensed what has been two applications, one for Mental Health and another for AOD Services, into this single Application For Funding. Provider agencies should determine which section(s) to complete according to their license for each service.
In preparing your submission, please include the provider name at the top of each page. Please be sure to number each page. If pages are added or removed, please see that pages are renumbered.
Submit one paper copy and one electronically to Lynn Voisard by 5:00 p.m. Friday, May 17, 2013
Most of you will find two agency-specific files on your FTP Site under the AFF directory.
Description: Estimate of your contract amount for FY ’13:
Client Satisfaction Survey:
File name: CSS_xxxxx.doc (xxxxx=UPI)
Description: This contains your scores from FY ’12 and minimum number of surveys needed for statistical purposes for FY ‘14 that you agree to when you sign the assurances in the contract. If you do not have such a file, then we do not have scores from our standard Client Satisfaction Survey from you for FY ’12. Please contact Malinda Chaney to set up forms for FY ’14 with Agency Names and Program forms.
DO NOT SEND DISKETTES.
All files or questions should be emailed to this address: email@example.com
Files are also available on the FTP site under \common\AFF\FY14
• If you have more than one submission, please remember to rename the files using submission number in the “Y” position.
• Each file has been designed with footers that have file name and page number to automatically update when you rename the file. Please do not change these (except for Submission Number on BH files).
• Make sure that the DATE on the FISCAL pages is updated when you do resubmissions.
CLICK ON THE LINK ABOVE TO SEE THE FILES, RIGHT-CLICK ON A FILENAME AND SELECT "SAVE TARGET AS"
The above listed items should be returned by 5:00 p.m. Friday, May 17, 2013