Budget and Invoice Templates​​

​Invoice Submissions

All invoices and supporting documentation must be su​​bmitted via email to the MCAH invoice inbox: MCAHInvoices@cdph.ca.gov. To ensure appropriate processing, please use the following invoice naming protocol for the signed invoice PDF and Excel files as well as the subject line of the email:

Agreement Number, Agency Name, Fiscal Year, and Invoice Quarter (or Month) and Number -

Example: 202201​​​, Alameda, FY 22-23, Q1 (or M1).

Invoice submission​​ must include:

• signed cover letter noting invoice amount, invoice period, remit to address, and any personnel changes
  

• signed invoice
  

• excel version of invoice
  

• signed and completed Title XIX cover sheet (if applicable)
  

• signed and completed attestation form (PDF)​ (if applicable)
  

• Title V and Title XIX time s​tudies (if applicable)