Please see the following directions on how to create an SOW and submit it to Falling Colors for processing. Please use the SOW Template below.
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Our Falling Colors SOW Template is regularly updated to include all Lead Agencies, Lead Agency Divisions, Providers, Fiscal Years, Fund Pools, Projects, and Projects also the Providers that exist in STAR. This makes the form easy to use in specifying the intended Provider, Project, and Funding for the SOW. SOW Templates per Agency are available. Please contact support@fallingcolors.com for an agency-specific SOW.
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When submitting your SOW, please include ONLY one:
Falling Colors will not process SOWs that span multiple fiscal years. |
Using the SOW Template
Select the Lead Agency you are affiliated with (BHC, BHSD, CYFD, DDC, DOH, ECECD, ALTSD, HED, etc.).
If you are affiliated with a specific Division at your Agency (such as Protective Services at CYFD, OSAH at DOH, etc.) select your corresponding Division under the Lead Agency Division field.
Enter the name of the Provider the SOW is for.
The State Fiscal Year will default to the Current Fiscal Year.
Under Services, indicate if this SOW is for Client-Based Services or Non-Client Based Services.
Under Billing Type, choose Encounters (Unless you are creating an SOW for Claims, then indicate Claims as the Billing type).
For Funding, choose one of the following based on your funding type:
State General Funds
Federal Funds
Other State Funds
Special Appropriation
Fund Pool: Enter the specific fund source or fund sources that the provider will be receiving allocations from.
Project: Enter the name of the Project the provider will be participating in. If this is a new project, please notify Falling Colors Support of the new project.
If you choose to include an Allocation amount for the provider within the SOW, please note the following included language. This language is included to inform the Provider that Falling Colors is not to be held responsible in the case the Provider’s allocation is increased or decreased during the FY.
Below this segment, you will see a blank space where you can post the expectations, objectives, goals, and/or deliverables the provider will provide.
The Annual Financial Reports section: this section dictates the annual financial reporting information the provider will provide. The provider will be prompted to choose between:
Option 1: For vendors that will expend $750,000 or more during the listed Fiscal Year.
Option 2: For vendors that will expend less than $750,000 during the listed Fiscal Year. The provider is then prompted to choose one of the four listed options provided.
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Falling Colors will require the Provider to choose one of these options (and subsequent fields) when signing their SOW. |
The Execution Page is to be filled out by the Provider:
Name of Provider: the provider will include the name of their provider.
Authorized Signature and Date: The Signatory Authority for the provider will sign and date on these fields.
Name: The Signatory Authority will provider their name on this field.
Title: The Signatory Authority will include their title as it relates to their role at the provider.
Address: the provider will include the address of their location.
Email Address: the Signatory Authority will include their email address.
Phone: The Signatory Authority will include a phone number they or the provider can be reached at.
TIN: the provider will include their Tax Identification Number.
Fax and NPI: Falling Colors does not require these fields but can collect this information if desired.
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Falling Colors will require the Provider to fill out the required fields (a-h) at the time of signature. |
The final page of the Scope of Work include the Provider Instructions for Non-Medicaid Documents. This page directs the Provider on how to review and fill out the SOW, and to reach out to Falling Colors if there are any issues/questions.
