Bulletin. CY2017 Mental Health Grants Fiscal Reporting Information TOPIC PURPOSE CONTACT SIGNED TERMINOLOGY NOTICE NUMBER DATE OF INTEREST TO

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Bulletin NUMBER 17-32-13 DATE April 24, 2017 OF INTEREST TO County Directors Social Services Supervisors and Staff Fiscal Supervisors ACTION/DUE DATE Please review and note changes for 2017. EXPIRATION DATE CY2017 Mental Health Grant Fiscal Reporting Information TOPIC CY2017 Mental Health Grants Fiscal Reporting Information PURPOSE Provide county agencies with overall summary of mental health grant reporting requirements. CONTACT Craig Beske, Financial Operations Division phone: (651) 431-3780 email: craig.beske@state.mn.us SIGNED April 24, 2019 ALEXANDRA KOTZE Chief Financial Officer TERMINOLOGY NOTICE The terminology used to describe people we serve has changed over time. The Minnesota Department of Human Services (DHS) supports the use of "People First" language.

Page 2 Introduction This bulletin is an overall guide to fiscal reporting of both adult and children s mental health (MH) grants awarded by DHS. It includes the general fiscal reporting requirements for ongoing MH grants. In addition to these general requirements, there may be additional program and fiscal reporting requirements specified in the grant award letters or contracts. Please check the grant award letters or contracts for any specific reporting requirements. For one-time grant awards, fiscal reporting requirements will be provided in the grant award letter, contract, or a subsequent letter from DHS. Change Summary In an attempt to standardize the awarding, reporting, and reimbursement processes across agencies, several changes have occurred since this Bulletin was last published in 2013: The concept of integrated reporting has been discontinued. Each award now has a unique 2895 for reporting. For CY2017, DHS has started issuing some of these grants using contracts that cover a 2 year period rather than single-year award letters. Discontinued/New/Renamed Awards: Grant numbers 4, 10, and 14 ended in 2015 and are no longer available. Grant number 2 (PATH) and grant number 13 (Housing with Support) are to be managed using the EGMS system beginning in 2017. Beginning in CY2017, Child Crisis (#7), Adult Crisis (#8) and Tribal Crisis (#9) grants have been merged into a single grant (Crisis Services) and is to be reported using 2895 #17. Allocation amounts have been finalized. See Attachment A: CY2017 Mental Health Grants - Allocation Table With the elimination and merging of grants, eligible BRASS codes have changed. see Attachment B: CY2017 Mental Health Grants - 2895 Reporting Grid Legal Reference Minnesota Statutes, section 245.4835 Action Required Please review and use in preparing Calendar Year (CY) 2017 BRASS-Based Fiscal Reports (DHS-2895).

Page 3 2017 Mental Health Grants Allocation Table Attachment A provides a fiscal summary of the 2017 Mental Health Grants. Please note that these summaries include only those mental health grants accounted for in the Social Service Fund. See DHS Bulletin No.15-32-07 Instructions for Completing the Social Service Fund Report, Form (DHS- 2556) dated June 19, 2015 for further information on what is included in the Social Service Fund. Please review the fiscal summaries of each grant your agency receives. Fiscal information for each grant is shown in a separate column. Note: In some cases, eligible BRASS service codes are limited by your approved grant application budget. BRASS-Based Grant Fiscal Report (DHS-2895) The DHS-2895 is used for fiscal reporting of most Mental Health (MH) grants. Since the beginning of CY 2014, the reporting of form 2895 information to DHS is done on a web-based system. Each Agency has its own Agency-specific website address for the 2895. The website also has instructions for completing the 2895. DHS notifies each agency of their website address in an e-mail the first day of a new quarter indicating that the DHS-2895 s are available for the just-completed quarter. Starting with CY 2016, each award has its own 2895. With this one-to-one relationship and the elimination of integrated reporting, each agency should now report each grant the same way. We expect this to improve the accuracy of reporting and reduce the time required to tabulate the reported amounts and issue the corresponding payment. Grants that are managed by a Regional Adult Mental Health Initiative (AMHI) or some other fiscal host should be reported by the host only member agencies are to report their figures to that host. Starting in CY2017, Grant #2 (PATH/Homeless) and Grant #13 (Housing with Support) will not be using the 2895 system. The expenditure reporting and payment processes will be managed using DHS Electronic Grants Management System ( EGMS ). If feasible, others may move to that system in 2018 and beyond. Expenditures reported on the 2895 must be reported as the net amount of any MA or any other revenues. Do not include the following: expenditures funded from sources other than the Grant; or expenditures billed to Medical Assistance (MA). The total expenditures reported on the 2895 s for a particular calendar year should not exceed the related Grant amount for that calendar year.

Page 4 See Attachment A: CY2017 Mental Health Grants - Allocation Table See Attachment B: CY2017 Mental Health Grants - 2895 Reporting Grid Note that 2895 numbers 4, 10, and 14 ended in 2015 and are no longer available. Note that PATH (#2) and Housing with Support (#13) are to be managed using the EGMS system beginning in 2017. 2895 numbers 2 and 13 will remain available only for revising a CY2016 report. Note that beginning in CY2017, Child Crisis (#7), Adult Crisis (#8) and Tribal Crisis (#9) grants have been merged into a single grant (Crisis Services) and is to be reported using 2895 #17. 2895 numbers 7, 8, and 9 will remain available in 2017 only for revising a 2016 report. Mental Health Grant Updates Grant award letters and contracts for CY 2017 have been sent to all agencies in January and February of 2017. A table of the awarded amounts is attached to this document. See Attachment A: CY 2017 Mental Health Grants - Allocation Table While the attachment is believed accurate as of March 15, 2017, agencies should regard their award letters or contracts as the most up-to-date information relating to their grants. Also note that amendments to grant awards or contracts may be sent throughout the calendar year. In conforming to existing policy, the underspent amount of a state funded grant for a particular calendar year will not be carried forward and re-awarded in either the following or subsequent calendar years. The AMHI and CSP grants are issued via a contract covering a two year period unspent amounts at the end of that two year period will not be carried forward beyond that two year period. Grant #1 AMHI In 2015, AMH Initiative (AMHI) amounts were reported on either 2895 #1, #4, or #10. In CY2017, all agencies are to use 2895 #1 only, and only for the AMH Initiative portion of the grants received. State: 74.ADULTMHSYSIN59.XXXX.STATE

Page 5 Grant #2 PATH Starting in calendar year 2017, the State is contracting directly with providers for the services that had previously been managed under the Projects for Assistance in Transition from Homelessness (PATH) grant. Invoices and payments for the contracts with providers will be managed outside of the 2895 system using the State s Electronic Grants Management System (EGMS). 2895 #2 will be available only for revising 2016 amounts. Invoice Field Code prior to CY2017: State: 74.MHHOMELESGRS30.XXXX.STATE Federal: 74.PATHHOMELSMH30.XXXX.93150 Grant #3 CSP In 2017, all Community Support Program (CSP) related expenditures are to be reported on 2895 #3. Minnesota Statutes, section 256E.12, subdivisions 2 and 3[WEE(1] require that A county a grant under this section shall finance at least ten percent of the cost and grants under this section finance up to 90 percent of each county's costs. This means that agencies should be reporting only 90% of their costs for reimbursement. DHS will be reimbursing 100% of the reported amount up to the award limit. After the year is over, there will be a review of compliance using actual costs extracted from SEAGR reports and comparing that to reimbursed costs. Reimbursements should not exceed 90% of actual costs. Payment Code: State: 74.ADLTMHR78CSP25.XXXX.STATE Grant #4 AMH Integrated (discontinued) Integrated reporting has been discontinued. This 2895 (#4) is no longer available. Grant #5 CMH Screening In 2017, all CMH Screening related expenditures are to be reported on 2895 #5. Integrated reporting was discontinued at the end of calendar year 2015. State: 74.CMHSCREENING63.XXXX.STATE

Page 6 Grant #6 CMH Respite In 2017, all CMH Respite related expenditures are to be reported on 2895 #6. State: 74.CMHRESPICARE63.XXXX.STATE Grants #7, #8, #9 Child, Adult, and Tribal Crisis These 3 grants have been merged into a single grant starting in 2017 (see #17, Crisis Services). 2895s #7, #8, and #9 will be available only for revising 2016 amounts. Grant #7 (CY16 and prior) State: 74.CMHMOBCRISIS63.XXXX.STATE Federal: 74.MHBGMOBLCRCH60.XXXX.93958 Grant #8 (CY16 and prior) State: 74.MHCRISISGRNT30.XXXX.STATE Grant #9 (CY16 and prior) State: 74.TRIBALCRISIS59.XXXX.STATE Grant #10 Adult Mental Health Initiative - Regional (discontinued see grant #1) Reporting for the AMH Regional Initiative grant moved to Grant #1 beginning in 2016. This 2895 (#10) is no longer available. Grant #11 Moose Lake Alternative Starting in 2016, funding for the Moose Lake Alternative grant is being managed separately from the AMH Initiative grant. Moose Lake Alternative related expenditures are to be reported on 2895 #11. State: 74.AMHMOOSELAKE59.XXXX.STATE

Page 7 Grant #12 Transition to Community In 2017, all Transition to Community related expenditures are to be reported on 2895 #12. State: 74.TRNSCOMMINIT32.XXXX.STATE Grant #13 Housing with Support Beginning in CY2017, all Housing with Supports related expenditures are to be reported using EGMS. 2895 #13 will be available only for revising 2016 amounts. Invoice Field Code (2016 and prior): State: 74.AMHHOUSUPPRT31.XXXX.STATE Grant #14 Children & Adult MH Crisis Response Service (discontinued) This grant was discontinued at the end of 2015. This 2895 (#14) is no longer available. Grant #15 Mankato Crisis Center Beginning in 2016, Mankato Crisis Center related expenditures are to be reported on 2895 #15. State: 74.AMHMNKCRSCTR59.XXXX.STATE Grant #16 ACT Startup Beginning in 2016, ACT Startup-related expenditures are to be reported on 2895 #16. State: 74.AMHACTSTRTUP59.XXXX.STATE

Page 8 Grant #17 Crisis Services Starting in 2017, Crisis Services is a new grant (#17). This new grant is a merge of the prior Children s, Adult and Tribal Crisis grants. The allowable BRASS codes on the Crisis Services grant reflect all that were available for the prior Children s, Adult and Tribal Crisis grants. There is no separate award for Children or Adult the amount awarded can be distributed between the two as needed. Because of SACWIS requirements that individual data is reported on for child welfare services provided through counties, the expenditures reported need to be correctly reported in the appropriate BRASS service code for the service Children s or Adult. Please continue to report using the existing BRASS codes. State: 74.MHCRISISGRNT30.XXXX.STATE Grant #18 CART Starting in 2017, the Community Alternative Response Team (CART) expenditures are to be reported on their own 2895. This award is totally funded by the Federal Mental Health block grant CFDA 93.958. Fed: 74.MHBGCARTFUND62.XXXX.93958 QUESTIONS Please direct questions regarding this bulletin to Craig Beske via phone at (651) 431-3780 or via email to: craig.beske@state.mn.us AMERICANS WITH DISABILITIES ACT (ADA) ADVISORY This information is available in accessible formats for people with disabilities by calling (651) 431-3725 (voice) or toll free at (800) 627-3529 or by using your preferred relay service. For other information on disability rights and protections, contact the agency s ADA coordinator.

Attachment A: CY 2017 Mental Health Grants - Allocation Table CY2017 Mental Health Grants Allocations as of 3/1/17 Grant 1 Grant 3 Grant 5 Grant 6 Grant 11 Grant 12 Grant 15 Grant 16 Grant 17 Grant 18 Agency Name AMHI CSP CMH Screening CMH Respite Moose Lake Transition to Mankato Crisis ACT Startup Crisis Services CART Alternative Community Center (prelim) Invoice Field Code 74.ADULTMHSYSIN59. 74.ADLTMHR78CSP25. 74.CMHSCREENING63. 74.CMHRESPICARE63. 74.AMHMOOSELAKE59. 74.TRNSCOMMINIT32. 74.AMHMNKCRSCTR59. 74.AMHACTSTRTUP59. 74.MHCRISISGRNT30. 74.MHBGCARTFUND62. (Fed CFDA 93.958) Aitkin 55,418 28,408 Anoka 765,075 615,721 152,737 50,000 363,920 Becker 96,809 41,109 30,000 370,000 Beltrami 226,413 28,743 30,000 173,000 Benton 61,125 23,395 40,000 Big Stone 56,340 6,016 10,000 Blue Earth 330,223 18,716 Brown 39,499 20,721 Carlton 388,502 14,706 30,000 127,361 Carver 319,933 161,922 49,798 1,182,405 Cass 103,439 48,796 20,000 Chippewa 55,733 15,040 Chisago 189,468 5,347 40,000 114,880 Clay 261,582 48,127 50,000 879,000 Clearwater 45,634 5,013 Cook 51,975 1,003 10,000 19,065 Crow Wing 223,449 32,419 29,950 Dakota 482,776 736,508 177,135 60,000 65,000 294,790 Douglas 62,136 7,019 5,000 Fillmore 51,786 18,716 10,000 Freeborn 49,221 42,780 Goodhue 190,750 69,851 25,000 Grant 36,865 4,679 17,500 Hennepin 5,809,267 3,633,586 1,209,198 200,000 651,000 53,500 742,840 690,000 Houston 77,507 3,676 19,000 Hubbard 68,622 6,350 20,000 Isanti 70,061 23,395 35,000 119,162 Itasca 384,809 252,334 252,049 10,243 200,000 Kanabec 51,559 8,690 5,000 72,832 Kandiyohi 307,910 47,793 25,000 650,000 Kittson 4,345 Koochiching 62,070 3,008 108,335 Lac Qui Parle 57,357 2,005 10,000 Lake 81,374 4,345 36,422 Lake of the Woods 50,735 4,011 Le Sueur 61,006 33,422 Mahnomen 1,671 Marshall 13,034 McLeod 111,680 50,801 70,000 Meeker 79,782 2,340 Mille Lacs 50,376 58,154 15,412 94,845 Morrison 329,747 27,072 40,000 Mower 278,127 24,732 Nicollet 92,992 11,029 Nobles 123,691 29,745 Norman 8,021 Olmsted 713,888 385,018 50,000 Otter Tail 227,341 66,843 23,070 Award Amounts Page 1 of 2 3/9/2017

Attachment A: CY 2017 Mental Health Grants - Allocation Table CY2017 Mental Health Grants Allocations as of 3/1/17 Grant 1 Grant 3 Grant 5 Grant 6 Grant 11 Grant 12 Grant 15 Grant 16 Grant 17 Grant 18 Agency Name AMHI CSP CMH Screening CMH Respite Moose Lake Transition to Mankato Crisis ACT Startup Crisis Services CART Alternative Community Center (prelim) Invoice Field Code 74.ADULTMHSYSIN59. 74.ADLTMHR78CSP25. 74.CMHSCREENING63. 74.CMHRESPICARE63. 74.AMHMOOSELAKE59. 74.TRNSCOMMINIT32. 74.AMHMNKCRSCTR59. 74.AMHACTSTRTUP59. 74.MHCRISISGRNT30. Pennington 50,933 4,679 Pine 160,121 17,379 15,500 110,612 Polk 32,419 Pope 37,906 5,013 20,000 Ramsey 4,466,053 5,225,392 229,941 52,500 6,585 811,942 Red Lake 6,350 Renville 69,520 10,695 Rice 132,786 13,034 200,000 848,370 Roseau 51,551 10,027 St Louis 798,197 136,026 1,642,682 7,380 Scott 228,859 163,569 43,782 20,000 Sherburne 138,449 47,125 40,000 Sibley 49,141 9,358 Stearns 278,335 69,851 Stevens 53,611 3,342 20,000 Swift 56,018 21,724 20,000 Todd 76,418 3,008 20,000 Traverse 56,040 3,342 10,000 Wabasha 78,938 14,371 19,000 Wadena 126,427 16,377 20,000 Washington 604,982 476,431 57,820 60,000 152,780 Watonwan 37,507 2,005 Wilkin 47,010 334 10,000 Winona 250,458 2,340 36,000 Wright 189,321 70,186 50,000 Yellow Medicine 52,760 48,462 15,000 ALLIANCES DVHHS 164,888 18,716 10,000 372,898 Faribault/Martin (FMCHS) 86,945 42,780 MnPrairie 137,357 82,552 80,000 SWHHS 325,451 96,255 70,000 394,384 REGIONS Region NW8 (aka Polk AMHI) 1,453,914 431,080 103,296 880,590 Region 2 (aka Beltrami AMHI) 595,725 530,710 Region 3 North (aka Lake AMHI) 1,643,272 1,038,759 BCOW (Otter Tail) 1,181,263 Region 5+ (Crow Wing) 1,236,491 708,770 Region 7E (Isanti) 1,203,431 485,750 Region 4S (Grant) 664,642 538,200 CommUNITY (Benton) 1,249,432 53,500 832,540 Region SW18 ('DVHHS' / Cottonwood) 2,229,288 SCCBI (Blue Earth) 4,210,082 600,000 600,000 CREST (Olmsted) 2,297,954 919,780 74.MHBGCARTFUND62. (Fed CFDA 93.958) 30,642,439 20,807,298 4,260,599 1,861,228 2,698,245 913,208 600,000 107,000 13,798,428 690,000 Award Amounts Page 2 of 2 3/9/2017

Attachment B: CY2017 Mental Health Grants 2895 Reporting Grid 2017 Mental Health Grants 2895 Reporting Grid Eligible BRASS Codes Report via 2895 # > Grant 1 Grant 3 Grant 5 Grant 6 Grant 11 Grant 12 Grant 15 Grant 16 Grant 17 Grant 18 BRASS Service AMHI CSP CMH Screening CMH Respite Moose Lake Transition to Mankato Crisis Alternative Community Center ACT Startup Crisis Services CART Invoice Field Code 74.ADULTMHSYSIN59. 74.ADLTMHR78CSP25. 74.CMHSCREENING63. 74.CMHRESPICARE63. 74.AMHMOOSELAKE59. 74.TRNSCOMMINIT32. 74.AMHMNKCRSCTR59. 74.AMHACTSTRTUP59. 74.MHCRISISGRNT30. 74.MHBGCARTFUND62. 93958 (Federal) 111 Mental Health Screening 111 197 Local Collab. Undiff. 197 401 Info/Referral 401 401 402 Education/Prevention 402 402 402 402 402 402 403 Client Outreach 403 403 403 404 Client Outreach 404 405 Child Assessment 405 407 Early ID/Inter. 407 408 Adult Assessment 408 408 408 416 Transport. 416 416 416 416 416 416 416 416 418 Client Flex Funds 418 418 418 418 418 420 Peer Support 420 420 420 420 420 430 FCSS 430 431 Crisis Assessment 431 431 431 431 431 432 CMH Crisis 432 434 Other CSP 434 434 434 434 436 Crisis Stabilization 436 436 436 436 436 437 Supportive Employment 437 437 437 438 ACT 438 438 438 438 438 443 Housing Subsidy 443 443 443 443 446 Basic Liv./Social 446 446 446 446 451 Emerg. Response 451 451 451 451 451 451 452 Outpat. Psychotherapy 452 452 452 452 453 Outpat. Psychotherapy 453 454 Adult Medication Mgmt. 454 454 454 454 454 455 Child Medication Mgmt. 455 457 Child Family Psychoeducation 457 458 Approved Pilot Projects 458 462 Family Based Serv. 462 467 Child Day Treatment 467 468 Adult Day Treatment 468 468 468 469 Partial Hospitalization 469 469 469 474 Ault Res. Trtmnt. 474 474 474 474 489 Child Respite 489 489 490 Child Rule 79 Case Mgt. 490 491 Adult Rule 79 Case Mgt. 491 491 491 491 491 493 Adult Gen. Case Mgt. 493 493 493 493 624 Home Based Support Serv. 624 634 Semi Independent Living 634 641 Environmental Accessibility 641 644 Housing Services 644 647 Independent Living Skills 647 681 Adult Foster Care 681 689 Respite Care 689 691 AC/EW/CAC/CADI/CI Case Mgt. 691 changes CY16 to CY17 Grant 2 deleted PATH to be managed via EGMS Grants 7,8,9 deleted Adult, Children's & Tribal Crisis now merged as Grant 17 Grant 12 Transition added BRASS 420 Grant 13 deleted Housing with Support to be managed via EGMS Grant 17 added: Crisis Services is a merge of CY16 Child, Adult, and Tribal Crisis grants Grant 18 added CART (Hennepin Co) Calendar Year 2017 Page 1 of 1 Rev 3/9/2017