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Division of Behavioral Health Services
Financial Reporting Guides
- Appendix A - Certification Statement
- Appendix B - Financial Statement Template
- Appendix C - Supplemental Reports
- Appendix D - Crosswalk to Behavioral Health Covered Services Guide
- Appendix E - Crosswalk to Physical Health Covered Services
- Appendix F - Title XIX/XXI Risk Band Scenarios
- Reserved for Future Use.
- Appendix H – Performance Bond Template
- Appendix I – Other Financial Templates
- Request for Prior Approval for Investments or Equity Distributions to Related Parties or Affiliates
- Request for Prior Approval for Advances, Loans, Loans Guarantees to Providers or Related Parties or Affiliates
- Community Reinvestment
- Appendix J – TRBHA Revenue and Expense Report
Note: Information provided in PDF files, unless otherwise indicated.