Agency Impact

The Colorado Department of Human Services, Office of Behavioral Health (OBH) recognizes that your response to COVID-19 may preclude or delay your organization from meeting contract deliverables. This form will help you and your OBH program manager develop a plan to continue core services and remain in good standing.

Please complete this 3-minute survey prior to Monday, April 27th, 2020.

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* 1. Is your organization experiencing a service disruption or full diversion that may impact your current contract with the Office of Behavioral Health?

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* 2. Is your organization anticipating a change in services which impacts contracted performance levels?

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* 3. Have any of the services included in your OBH contract been discontinued at this time?

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* 4. If so, which service(s)?
(Please list all that have been discontinued with the date of discontinuation.)

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* 5. What is the remaining, unbilled value of the contract budget for these services?
(Please enter a whole number with no dollar sign.)

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