An official State of Texas website.
The Community Mental Health Contracts section of the HHSC website provides for the download of contract-specific documents/templates.
For questions about mental health contracts, email Performance Contracts.
FY2024-25 Local Authority Contract Downloads
Community mental health centers are locally governed components of the HHSC service delivery system. In 254 counties, HHSC delegates to a community mental health center the responsibilities of a mental or behavioral health authority, which ensures the provision and continuity of services for individuals with mental illness.
- Interlocal Contract (PDF)
- Uniform Terms and Conditions (PDF)
- Special Conditions Quarterly Financials (PDF)
Reports
Forms
- Form A – Affidavit of Board Member (MS Word)
- Form B – Affidavit of Executive Director (MS Word)
- Form C – MHD Quarterly Reporting Form (Excel)
- Form D – Voter Registration (MS Word)
- Form E – Rural Border Intervention Project (Excel)
- Form F – Community Based Crisis Program Service Delivery Report (Excel)
- Form G – Financial Statement Certification (MS Word)
- Form H – Supportive Housing Report (Excel)
- Supportive Housing Extension Request Form (MS Word)
- Form I – OCR Quarterly Budget Expenditures (Excel)
- Form J – CANS/ANSA Superuser Report (Excel)
- Form K – Security Administrator Attestation (MS Word)
- Form L – Expenditures for Title XX (Excel)
- Form M – Community Based Crisis Program Expenditure Summary (Excel)
- Form N – Consumer Operated Services Program Report (Excel)
- Form O – Consolidated Local Service Plan (MS-Word)
- Form P – Various Programs (Excel)
- Form P – Community-Based Crisis Program (Excel)
- Form Q – Competency Restoration Report (Excel)
- Form R – Behavioral Health Partnership Quarterly Report (MS-Word)
- Form S – Contact List (Excel)
- Form T – Disaster Contact List (MS-Word)
- Form U – CMBHS Assessment Attestation (Excel)
- Form V – Vet Expenditures (Excel)
- Form W – Behavioral Health Partnership Annual Report (MS Word)
- Form MVPN Quarterly Report (Excel)
- Form X – Community Hospital Report (Excel)
- Form Y – Organizational Assessment for Suicide Safer Care (MS-Word)
- Form Z – Forensic Clearinghouse Monthly Report (Excel)
- Form AA – SB 362 Tracking (Excel)
- Form BB – PSR (Excel)
- Form CC – Narr PSR (MS Word)
- Form DD – Inpatient Subcontractor Reporting (Excel)
- Form EE – Expenditures PSR (Excel)
- Form FF – HFSEP Expenditures (Excel)
- Form GG – JDSES Expenditures (Excel)
- Form HH – Competency Restoration Report (Excel)
- Form II – Mental Health Waitlist Notification (MS-Word)
- Form JJ – DFPS Discharges Report (Excel)
- Form KK – Real Property Form (MS Word)
- Form LL – Consumer Complaint Form (Excel)
- Form MM – JBCR (Excel)
- Form NN – Diversion Center Quarterly Expenditure and Targets Served Report (Excel)
- Form OO – Diversion Center Service Contacts (Excel)
- Form VC – Veteran Counselor Reporting (Excel)
Exhibits
- Exhibit B – Investigation Outcome (MS Word)
- Exhibit E – Psychiatric Emergency Flowchart (MS Word)
- Exhibit F – Daily Utilization Report (Excel)
Information Items
- Information Item A – Training and Competency (MS Word)
- Information Item B – Procedures for Title XX (MS Word)
- Information Item C – Service Targets, Outcomes, and Performance Measures (MS Word)
- Information Item D – Instructions for Report III 2023 (MS Word)
- Information Item E – Instructions for Report IV (MS Word)
- Information Item F – ICW Helpful Information/FAQs (MS WORD)
- Information Item G – Service Definitions (MS Word)
- Information Item H – Client Benefits Plan (MS Word)
- Information Item I – Local Planning (MS Word)
- Information Item J – Continuity of Care Liaison Service Standards (MS Word)
- Information Item M – CRCG MOU (MS Word)
- Information Item Q – Fair Hearing Procedures (MS Word)
- Information Item R – Texas Resilience and Recovery Waiting List Maintenance Manual (MS Word)
- Information Item S – LMHA/LBHA Submission Calendar (Excel)
- Information Item T – Jail Match Report and Jail Diversion Standards (MS Word)
- Information Item V – Crisis Service Standards (PDF)
Rural Initiative Grant Program (MH/RIGP) Downloads
Grant Program designed to facilitate continuity of care for justice-involved people with serious mental illness.
- Form RIGP-A Service Contacts (Excel)
- Form RIGP-B Service Contacts (Excel)
- Form RIGP-C Service Contacts (Excel)
- Form RIGP-D Service Contacts (Excel)
- Form RIGP-E Service Contacts (Excel)
- Form RIGP-F Quarterly Report (Excel)
Jail Continuity of Care Grant Program (MH/JCOC) Downloads
"Grant program that focuses on the mental health needs of individuals with mental illness or serious emotional disturbance who reside in Texas."