Human Services Agreement Manual (HSAM) is a manual which specifies administration and  fiscal policy for grants and contracts, cost reimbursement contracts, and grant-in-aid and  purchase of services contracts for human services funding which are made by the Maryland  Department of Health and Mental Hygiene (MDH). This manual does not address programmatic  issues. This manual shall, by reference, become part of each MDH grant/contract agreement  and the provisions are extended to all sub vendors.