Department of Health & Hospitals

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Reporting Forms By Quarter for Operating SBHCs

First Quarter Reports Due October 31		Second Quarter Reports Due January 31	Third Quarter Reports Due April 30	Fourth Quarter Reports Due June 30	Fourth Quarter Reports Due July 15
Narrative Reports
LAPERT I Administrative Review		LAPERT I Behavioral Health Review and Contract Requirements Section	LAPERT I Medical Clinical Service Review, Contract Requirements Section & LAPERT I Or II Chart Reviews		LAPERT I Contract Requirements Section
ASHP Staffing Pattern Compliance Report		ASHP Staffing Pattern Compliance Report	ASHP Staffing Pattern Compliance Report		ASHP Staffing Pattern Compliance Report
Statistical Reports
ASHP Statistical Report for Contract Compliance Insurance Revenue Reporting Form		ASHP Statistical Report for Contract Compliance Insurance Revenue Reporting Form	ASHP Statistical Report for Contract Compliance Insurance Revenue Reporting Form		ASHP Statistical Report for Contract Compliance Insurance Revenue Reporting Form
Outcome Measures Reporting Form		Biannual Statistical Service Report			Outcome Measures Reporting Form
		Mid-year Data Export			Biannual Statistical Service Report
					Final Data Export
Financial Reports
Inventory List	Inventory List		Inventory List	Inventory List
(Invoices are due the 15^th of each month, except the June invoice, which is due July 7)
				In-kind Contribution

Louisiana Department of Health & Hospitals | Bruce Greenstein, Secretary