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Vendors receiving payment (s) from the State of New Jersey must revise or correct remittance information using "NJSTART" website.

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

New FAQ-Contract and FFS Increases for SFY'23


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) 544-5241.

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 (April 2021) (contract "boilerplate" agreement) 
NEW DMHAS Business Associate Agreement (BAA)
NEW DMHAS Business Associate Agreement / Qualified Service Organization Agreement (BAA / QSO)
Standardized Board Resolution Form (P1.06)
Executive Order 129 Certification:  Source Disclosure Certification Form
Labor Agreement Attestation Form
NEW Certification of Non-Involvement in Russia-Belarus (Jan-2024)

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• Public Law 2005, Chapter 51 (McGreevey Executive Order 134) Forms
  
• Annual Charities
  
• Affirmative Action AA302 Forms and Instructions
  
• Agreement Form and Instructions for Electronic (ACH) Payments
  
• Vendor Payment Inquiry System
  
• Addictions Contract Information Management System (CIMS)
  
• Mental Health Contracting Information
  
• FY 25 / 26 Mental Health Fee for Service (MH FFS)
  

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(No longer applicable for non-profit agencies - February 2008)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

Annual Charities

° Filing Information
° Registration

Affirmative Action AA302 Forms and Instructions

° Employee Information Report - AA302
° AA302 Instructions

Agreement Form and Instructions for Electronic (ACH) Payments

° Agreement Form
° Instructions

Vendor Payment Inquiry System

For more information and to sign up, please click here.

Addictions Contract Information Management System (CIMS)

Payment Voucher for Cost Reimbursement Payment Contracts
CIMS Log-in
Contract Application
New Cost-Based Provider Agency Administrative Information Form

Mental Health Contracting Information

Annex B - Budget Matrix:
°Budget Matrix Software Applications
°User Manual

Budget Schedules

Budget Modification Signature Page
Budget Categories Before/After Summary
Program Elements Before/After Summary
New Cost-Based Provider Agency Administrative Information Form
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   (Revised 04-01-21)
New Annex C - Permanent File Checklist (Revised 07-23-2024)

FY 25 / 26 Mental Health Fee for Service (MH FFS)

Required Contract Documents

Addendum to DHS SLD for Mental Health Fee for Service (MH FFS) (Revised 04/01/2022)
New Annex B-2  (Revised 04/01/2024)
New FFS Rates Chart (Eff 07/01/2024)
New DHS DMHAS MH FFS Non-Hospital Agency Administrative Information Form, FY25/26 (Revised 04/01/2024) 
New DHS DMHAS MH FFS Hospital Agency Administrative Information Form, FY25/26 (Revised 04/01/2024)


Annex A's

Community Residences for Adults with Mental Illness Annex A  (Revised 05/17/19)
Community Support Services (CSS) FFS Annex A (Effective 07/01/22)
New Integrated Case Management (ICMS) Annex A    (Effective 07/01/2024)
Outpatient Annex A (Effective 07/01/22)
Partial Care Annex A (Effective 07/01/22)
Partial Hospitalization Annex A (Effective 07/01/22)
Programs for Assertive Community Treatment (PACT) Annex A   (Effective 07/01/22)
Supported Education (SEd) Annex A  (Revised 05/17/19)
Supported Employment (SE) Annex A (Revised 05/17/19)