AVATAR- State Form Definitions in AVATAR

ID

state_form_name

ProgramCodes

report_name

120

01 WA Ma CO ICM MOT257IM

257I,257M

[NULL]

119

01 WA Pierce TCAT DT262DT

262D,262T

[NULL]

305

01 WA Th Co ICM MOT256IM

256I,256M

[NULL]

445

02 Sonoma CalAIM Medicare

166

CalAIM Sonoma Medicare

422

02 Sonoma CalAIM NonMedicare

166

CalAIM Sonoma NonMedicare

169

03 CalAIM San Mateo ARGran

160A

TRT CalAIM

414

03 CalAIM San Mateo NonOA

160ABC,160AB,160,160C,16OOUT,160W

TRT CalAIM

420

03 CalAIM San Mateo OA

160OA

TRT CalAIM

170

03 San Mateo ElCamino

160E

TRT Non OA Extract

5

04 Oregon ACT

204

[NULL]

437

05B4 CalAIM ARISE 

368

CalAIM Sac Report

441

05b5 CalAIM ARISE ECM

368E

CalAIM ECM Sac Report

410

05c4 CalAIM SOAR 

181

CalAIM Sac Report

440

05c5 CalAIM SOAR ECM 

181E

CalAIM ECM Sac Report

438

05d3 CalAIM EMPOWER 

389

CalAIM Sac Report

522

05d4 CalAIM EMPOWER IST 

MultiPrograms

CalAIM Sac Report

439

05e4 CalAIM OASIS 

615

CalAIM Sac Report

443

05e6 CalAIM OASIS ECM

615E

CalAIM ECM Sac Report

506

05e7 CalAIM OASIS AOT

615A

CalAIM Sac Report

65

08 TCAT PreManage

262D,262O,262T,257I,257M,256I,256M

[NULL]

464

09 SBA ACT CalAIM CCINew

153

CalAIM SBA Aug18

487

09 SBA CalAIM ACT File2

153

SB ACT Reportv2 

489

09 SBA CalAIM CORE File2

390

SB ACT Reportv2 

484

09 SBA CalAIM FACT File2

179,179C

SB ACT Reportv2 

488

09 SBA CalAIM MAPS File2

178

SB ACT Reportv2 

421

09 SBA CalAIM RollUp

179,179C

SB ACT Reportv2 

469

09 SBA Core CalAIM CCINew

390

CalAIM SBA Aug18

468

09 SBA FACT CalAIM CCINew

179,179C

CalAIM SBA Aug18

467

09 SBA MAPS CalAIM CCINew

178

CalAIM SBA Aug18

471

09 SBA Merrill CalAIM CCINew

346

CalAIM SBA Aug18

470

09 SBA WellsSpringCalAIM CCINew

347

CalAIM SBA Aug18

473

09 SBA Wellsping CalAIMRESPD New

347

CalAIM SBA Aug18

472

09 SBA Windsor CalAIM CCINew

345

CalAIM SBA Aug18

99

10 ANSA ARISE

368,181

[NULL]

299

10 ANSA OASIS

615

[NULL]

98

10 ANSA SOAR

368,181

[NULL]

110

11 Sonoma YTD Extract

166,166OUT

[NULL]

131

11 Sonoma YTD Extract v2

166,166OUT

[NULL]

135

12 OC Billing HFF

381,381O

OC Billing Report

318

12 OC Billing HFN

617

OC Billing Report

141

12 OC Billing HFS

398

OC Billing Report

134

12 OC Billing OCA

336,336O

OC Billing Report

136

12 OC Billing OGP

351,351OUT

OC Billing Report

137

12 OC Billing TAO

161,161O

OC Billing Report

138

12 OC Billing TOS

189,189O

OC Billing Report

139

12 OC Billing TSO

180,180O,180C

OC Billing Report

140

12 OC Billing WIT

187,187O

OC Billing Report

423

12 OC CalAIM HFF

381,381O

OC CalAIM Rpt

428

12 OC CalAIM HFS

398

OC CalAIM Rpt

429

12 OC CalAIM TAO

161,161O

OC CalAIM Rpt

426

12 OC CalAIM WIT

187,187O

OC CalAIM Rpt

427

12 OC CalAim HFN

617

OC CalAIM Rpt

409

12 OC CalAim OCA

336,336O

OC CalAIM Rpt

486

12 OC CalAim OCCareCourt

336CC

OC CalAIM Rpt

432

12 OC CalAim OGP

351,351OUT

OC CalAIM Rpt

431

12 OC CalAim TOS

189,189O

OC CalAIM Rpt

430

12 OC CalAim TSO

180,180O,180C

OC CalAIM Rpt

130

12 Program Data - Across Roots

MultiPrograms

[NULL]

176

13 CONREP SD Sac

399,601

CONREP Sup v1

184

14a  Engagement Staff 

267,267E

[NULL]

185

14b Engagement Staff Qual

267,267E

[NULL]

511

14bb Engagement Staff Qual

267,267E

[NULL]

187

14c Engagement FPACT 020.09

267,267E

[NULL]

289

14d 267E Engagement FPACT 670.02

267E

[NULL]

293

14e 267 EnrollmentFPACT 670.02

267

[NULL]

523

14e EnrollEngage 670.02

MultiPrograms

[NULL]

298

14f 267 Enrollment FPACT 

267,267E

[NULL]

183

14g 267 EnrollmentCaseManagerLink

267,267E

[NULL]

496

16d PAF All 04

351,351OUT,161,189,336,381,180,180C,187,180O,187O,336O,161O,189O

[NULL]

296

26 PACT Collective

MultiPrograms

[NULL]

304

27 MHUCC_LB_Invol_monthly

151

[NULL]

314

28 SYSTEM USAGE ACT

MultiPrograms

[NULL]

322

29 CalAIM Services Exceptions

MultiPrograms

[NULL]

324

30 Youth CSU Hourly

616

[NULL]

478

32 CalAIM LA Travel CCI

131,138,167,354,168

TRT CalAIM

479

33 LANES Client 

185

[NULL]

508

34 Billing_tx_history

MultiPrograms

[NULL]

510

35 BTH Extract by Prg Entity

MultiPrograms

[NULL]

17

AHCCCS file extract

MultiPrograms

[NULL]

451

AdROC CalAim Service File

382

[NULL]

452

Alaco AOT CalAIM Service File

335

[NULL]

453

Alaco CC CalAIM Service File

335CC

[NULL]

458

Alaco CHANGES CalAIM Service File

148

[NULL]

454

Alaco CHANGES ICM CalAIM Service File

148I

[NULL]

456

Alaco STEPS CalAIM Service File

156

[NULL]

455

Alaco Sausal Creek CalAIMService File

152

[NULL]

457

Alaco Strides CalAIM Service File

121

[NULL]

459

JAMHR CalAIM Service File

355

[NULL]

513

TAYROC CalAIM Service File

383

[NULL]

460

VIPS SIMI CalAIM Service File

328S

[NULL]

463

VOICE Lite CalAIM Service File

146V

[NULL]

462

Vista CalAIM Service File

146

[NULL]

461

Vista High Intensity CalAIM Service File

146VH

[NULL]

ID

state_form_name

ProgramCodes

3

NBP002

 <>

44

1 E&T

 <>

122

01 WA North Sound E&T 253

253

123

01 WA Mark Reed E&T 263

263

124

01 WA Olympia NextSteps 266

266

125

01 WA Pierce County E&T 250 

250

127

01 WA Shelton E&T 264

264

128

01 WA Th Mason E&T 259

259

129

01 WA Th MasonCrisisTriage 254

254

171

02 Willow Rock Hourly

 <>

315

03 SYSTEM USAGE PHF

 All

509

04 Willow Rock Hourly

 <>