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As of October 1, 2017, the Division of Mental Health and Addiction Services has been transferred to the NJ Department of Health. To access updated information related to the division’s programs and services, please go to http://nj.gov/health/integratedhealth.
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State of New Jersey Deapartment of Human Services title graphic  
 
Division of Mental Health and Addiction Services
New Jersey Helps
NJ Addictions Hotline - 1-844-276-2777
New Jersey Hopeline (1-855-NJ-HOPELINE)
New Jersey Mental Health Cares Hotline
National Suicide Prevention Lifeline 1-800-273-TALK (8255)   Nacional de Prevencion del Suicidio 1-888-628-9454
Veterans Suicide Prevention Lifeline 1-800-273-TALK (8255)
National Center for Posttraumatic Stress Disorder (PTSD)
New Jersey Housing Resource Center
NJ Family Care
Substance Abuse and Mental Health Services Administration (SAMHSA)

N.J. Department of Treasury Roll-out of NJSTART




Forms, publications and instructional material related to the DMHAS community services contracting program are made available on this website for your easy reference and download. If you encounter any difficulty with your selections, or have additional questions, please contact the DMHAS Bureau of Contract Administration at (609) 777-0628.

NOTE:   Some documents are stored in Adobe Acrobat PDF format. In order to view and print PDF formatted documents, you must have a PDF viewer (Adobe Acrobat Reader) on your system, which is available at no charge from Adobe. Click on the image below to download the latest version of Acrobat Reader.

 

Cash Advance Policy - Administrative Bulletin
Cash Flow Worksheet Advance Payment Request
Advance Payment Request Narrative

DHS Contract Manuals (CRM & CPIM)
Standard Language Document (contract "boilerplate" agreement) and Contracted State Agency Agreement
Business Associate Agreement
Notice of Licensed Public Accountant (NLPA) Form
Board Resolution Validation Form
Executive Order 129 Certification:  Source Disclosure Certification Form


 


Public Law 2005, Chapter 51 (McGreevey Executive Order 134) Forms
(No longer applicable for non-profit agencies - February 2008)

Click here to download Chapter 51 information
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Annual Charities
° 
Filing Information
° Registration
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Affirmative Action AA302 Forms and Instructions
°
Employee Information Report - AA302
° AA302 Instructions
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Agreement Form and Instructions for Electronic (ACH) Payments
°
Form
° Instructions
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Vendor Payment Inquiry System
For more information and to sign up, please 
click here.
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Addictions Contract Information Management System (CIMS)
Payment Voucher for Cost Reimbursement Payment Contracts
CIMS Log-in
Contract Application
Post Award Contract Document
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CY18 Mental Health Fee for Service
Addendum to DHS SLD for Mental Health Fee for Service (Revised 10/17/17)
FFS Rates Chart (Revised 10/26/17)
Community Residences for Adults with Mental Illness Annex A
Annex B-2
Programs for Assertive Community Treatment Annex A
Integrated Case Management Annex A (Revised 11/9/17)
Supported Employment Annex A
Supported Education Annex A
CSS FFS Annex
Partial Hospitalization Annex A
Partial Care Annex A
Outpatient Annex A
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Mental Health Contracting Information (MATRIX)
Address/Phone List for Contract Providers, by County

Annex B - Budget Matrix:
°Budget Matrix Software Applications
°User Manual (REVISED Manual Coming Soon)

Budget Schedules

Budget Modification Signature Page
Budget Categories Before/After Summary
Program Elements Before/After Summary

Contract Information Form
Annex A Forms
QCMR Forms & Documentation

Program and Unit of Service Definitions

Cluster Form
Report of Expenditures (ROE) Summary Form
Annex C - Supporting Information
Annex C - Permanent File Checklist
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