​​Treatment & Recovery: Forms & Information

The Division of Behavioral Health is responsible for the publicly funded behavioral health continuum of care. We manage nearly 165 grants that fund behavioral health treatment and recovery services and programs across Alaska. Grantees are required to submit reporting on a quarterly basis to the Division for tracking outcomes and identifying successes as well as challenges within the grant funded programs. This page provides access to the report templates that grantees are required to use for their reporting. If you have questions about grant programs, please contact Community Mental Health Services Program Administer, Kathryn Chapman or 907-465-4959.

ADA accessibility compliance is currently in process for forms listed on this page. If you need accessible copies please contact: Kathryn Chapman or 907-465-4959.

Important Grant Information

• Grantee Communications
• Sign up for online public notices to receive updates on funding opportunities as they arise.
• Request For SUD Services Travel Assistance (Medicaid)
• Consent For The Release Of Confidential Information (Medicaid Client Travel Form)​

Guidance Documents

• Grant Programs and Service Standards Manual
• Accessing SSRS AKAIMS Quarterly Summary Report
• Guidance on Results Based Budget Measures I and II
• Medication Addiction Treatment (MAT) Guide
• SMART Form: Psychiatric Medical Clearance Process​​

Travel

• Request For Substance Use Disorder Treatment Services Travel Assistance (Medicaid)
• Consent For The Release Of Confidential Information (Medicaid Client Travel Form)​​
  

Qu​arterly Report Templates (Current Fiscal Year)

• Grantee Incident Report
  

Grant Specific Quarterly Forms

All documents are in MS Word format unless otherwise noted.

• Adult Rural Peer Support Services
• Bethel Community Service Patrol
• Bethel Sober Center
• CBHTR Crisis Stabilization and Residential Transmittal
• CBHTR First Episode Psychosis Program
• CBHTR Kodiak Area Native Association Peer Support Program
• CBHTR Outpatient Treatment (SMI, SED, PES, SUD, OTP)
• CBHTR Peer and Consumer Support Services Clubhouse Model
• CBHTR Peer and Consumer Support Drop-in Model
• CBHTR Substance Use Disorder: Residential
• CBHTR Substance Use Disorder: Residential Withdrawal Management Services
• Mobile Outreach: Youth/Family and Adult
• Peer Bridger
• Peer and Consumer Support Services Youth And Peer Model
• Permanent Supportive Housing (ACT) Grant
• Pregnant and Parenting Women SUD
• Projects for Assistance in Transition From Homelessness (PATH)
• Recidivism Reduction: Reentry Coalition
• Reentry Case Management
• Residential Care for Children & Youth
• Residential Care for Children & Youth Training
• SORIII Recovery Housing
• Supported Employment
• Therapeutic Court Palmer (Excel)