Online Reporting
Beginning January 1, 2010, Integration Initiative and Cost Containment Grantees will be submitting their reporting requirements via MeHAF's Grantee Online Reporting page. To go to your account page,
click here.
To listen to a recording of the webinar on how to submit your online reports,
click here.
Grant Center >
Reporting & Forms
This section contains reporting forms for current MeHAF grantees.
Inititative-based GrantsReporting requirements may vary from grant round to grant round.
Please consult your grant contract for specific requirements.
MeHAF has designed narrative and budget reporting forms to be downloaded and filled out on your computer.
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To watch the recorded webinar on financial reporting, click here.
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Medication Assistance
Narrative Report Form Word pdf
- Medication Assistance
Financial Report Form Excel pdf
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Integration Initiative
Narrative Report Form Word pdf
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Integration Initiative
Financial Reporting Form Excel pdf
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Integration Initiative Client Data Elements Word
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Integration Initiative Site Self Assessment Word
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Logic Model Template Word
- Using Logic Models for Project Evaluation & Improvement PowerPoint pdf
- To listen to the Logic Model Grantee Web Seminar presented by Mary Ann Scheirer, click here. (mp3 format)
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Critical Access Hospital Medication Safety
Narrative Report Form Word pdf
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Critical Access Hospital Medication Safety
Financial Report Form Excel pdf
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Cost Containment
Narrative Report Form Word pdf
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Cost Containment
Financial Report Form Excel pdf
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Collaborative Strategies Planning Narrative Report Form Word pdf
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Collaborative Strategies Planning Financial Report Form Excel pdf
For grants submitting hard copy reports, please mail completed reports to:
Catherine Luce
Grants Manager
Maine Health Access Foundation
150 Capitol Street, Suite 4
Augusta, ME 04330
(207) 620-8266 ext. 104
cluce@mehaf.org
Discretionary Grants
Fill out a Discretionary Grant Report Form. Please note there is a simplified report form for discretionary grant funding for meeting support.
Complete the narrative and financial reports. Note that narrative and financial reporting forms are separate documents. Please consult section 5 of your Discretionary Grants Contract for your project's specific requirements.
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Discretionary Grant Final Report for
Non-Meeting Support Word pdf
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Discretionary Grant Final Report for Meeting Support Word pdf
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Discretionary Grant Financial Report Excel pdf
Submit completed reports by regular mail to:
Catherine Luce
Grants Manager
Maine Health Access Foundation
150 Capitol Street, Suite 4
Augusta, ME 04330
(207) 620-8266 ext. 104
cluce@mehaf.org
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Reports may be submitted electronically in a Microsoft compatible* format to cluce@mehaf.org, but hard copies must be sent to the Foundation at the address above.
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People using Apple Computers may need to convert their work to Microsoft versions.
Foundation-initiated (ad hoc) GrantsFoundation-initiated (ad hoc) Grants are outside the Foundation's normal grantmaking programs and timelines. Reporting requirements are specific to each project. Please consult your grant contract or the Foundation's Grants Manager for your requirements.
Grantees that anticipate changes in their project work plan, project end date (no-cost extension), personnel changes or budget modifications, must contact the Foundation. Requests for changes should be directed to the Program Officer assigned to the grant. Grantees are to complete the Request for Modification to Grant form. Any changes that impact the budget, must also include a revised budget. Changes must be approved in advance and in writing.
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Request for Modification to Grant Word
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Budget Form for Revised Budget Excel
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