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enclosure 1 SUPPLEMENTAL MESA PEI STATEWIDE PROGRAMS ASSIGNMENT AGREEMENTCalaveras ___ (Name of County 1) Calaveras ___ (Name of County) (the County) agrees to participate in the Mental Health Services
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Obtain the supplemental MHSA PEI statewide form.
02
Fill out the required fields such as name, address, contact information, and any relevant information related to MHSA PEI services.
03
Provide any additional documentation or supporting materials as requested on the form.
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Review the completed form for accuracy and completeness.
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Submit the form according to the instructions provided, either online or in person.

Who needs supplemental mhsa pei statewide?

01
Individuals seeking Mental Health Services Act (MHSA) Prevention and Early Intervention (PEI) statewide services.
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Supplemental MHSA PEI Statewide refers to the additional reporting requirements related to the Mental Health Services Act (MHSA) Prevention and Early Intervention (PEI) program at the state level.
Local mental health agencies that receive funding under the MHSA for prevention and early intervention programs are required to file the supplemental MHSA PEI statewide.
To fill out the supplemental MHSA PEI statewide, agencies must follow the standardized forms provided by the state, ensuring that all required data and information about their programs are accurately reported.
The purpose of the supplemental MHSA PEI statewide is to gather comprehensive data on prevention and early intervention programs, to ensure accountability, and to evaluate the effectiveness of these initiatives in improving mental health outcomes.
The information that must be reported includes program details, funding expenditures, participant demographics, outcomes achieved, and any relevant challenges encountered during implementation.
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