As a grantee, you are required to submit reports according to the schedule specified in your grant. Find your program's reporting forms and guidance documents below.
Template and Submission Tool |
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Grant Invoice Template - updated 5/8/23 |
Grant Invoice Submission Tool - updated 1/03/22 |
Guidance Documents |
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Reporting Instructions |
Wording for Event Attendee Evaluations |
Data Collection Tool |
Reporting Forms |
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Reporting Form |
Grantee Quarterly Reporting and Evaluation Summary Form |
Resources |
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Logic Models Overview |
Logic Model Templates |
The National Outcome Measures (NOMs) are the federal Substance Abuse and Mental Health Services Administration's (SAMHSA) approach to performance measures. States are required to report on National Outcome Measures for both prevention and treatment programs as part of block grant requirements.
National Outcome Measures are broken down into sub-categories called “domains”. Vermont is collecting data from prevention grantees to report on the three domains in bold below. DSU grantees are required to collect the data throughout their grant period and submit it as part of their regular reporting activities for the grant.
- Domain 1: Reduced Morbidity – Abstinence from Drug or Alcohol Use
- Domain 2: Employment/Education
- Domain 3: Crime and Criminal justice
- Domain 4: Social Connectedness
- Domain 5: Access/Capacity
- Domain 6: Retention
- Domain 7: Cost Effectiveness
- Domain 8: Use of Evidence-based Practices and Strategies
Guidance Document |
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NOMs Data Collection Form |
Reporting Form |
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NOMs SurveyGizmo |
Reporting Forms |
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Budget Form |
Budget Narrative |
Expense Form |
Monthly Metric Report |
Reporting Forms |
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Budget and Budget Narrative Template (optional, DSU-created) |
Evaluation Template |
Workplan Template |
Quarterly Reporting Template |
Reporting Portal (Alchemer) |
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OD2A Grant Reporting |
Reporting Forms |
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Quarterly Report Form |
Budget, Budget Narrative & Workplan |
Reporting Forms |
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RPP Budget Form FY23 |
RPP Quarterly Report FY23 |
RPP Workplan Template FY23 |
RPP Budget Narrative FY23 |
Regional Prevention Partnership County Profiles available on the Data & Reports page.
FY20 RPP Strategy Proposal Process |
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RPP Strategy Proposal Process FY21 - UPDATE COMING SOON |
RPP Strategy Proposal Form (Due no later than 12/31/2019) |
RPP Strategy Proposal Questions & Resources List |
RPP Submission Scoring Rubric |
RPP Example Completed Submission |
Guidance Documents |
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Implementation Workplan |
Reporting Forms |
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Quarterly Report Form |
Reporting Forms |
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Quarterly Reporting Form-FY22/FY23 |
Guidance Documents |
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Medicaid Rate Sheet |
Substance Abuse Treatment Information System Manual – For Legacy Systems |
Substance Abuse Treatment Information System Manual – For EHR Extracts (2019) |
Reporting Forms |
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Quarterly Reporting Form - FY23 |
Quarterly Reporting Form - FY22 |
Information for opioid treatment programs, sometimes known as “hubs.”
Guidance Documents |
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Drug Toxicology Screening Protocol |
Transfer Protocol |
Guidance Documents |
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Standards for Recovery Services |
GPRA Interview Best Practices |
GPRA Technical Skills Training |
GPRA FAQ Guidance Document |
GPRA Error Resubmission Process |
Reporting Forms |
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Recovery Housing FY23 |
Vermont Department of Health
108 Cherry Street, Suite 207
Burlington, VT
802-651-1550
ahs.vdhdsu@vermont.gov