Laserfiche WebLink
HCCBG Budget <br />NAME AND ADDRESS <br />Home and Community Care Block Grant for Older Adults <br />COMMUNITY SERVICE PROVIDER <br />DOA -732 (Rev. 03/12) <br />Cabarrus County Planning and Development <br />County Funding Plan <br />County Cabarus <br />July 1, 2012 through June 30, 2013 <br />Provider Services Summary <br />A <br />B <br />C <br />D <br />E <br />F <br />G <br />H <br />Ser. Delivery <br />Projected <br />Projected <br />Projected <br />(Check One) <br />Block Grant Funding <br />Required <br />Net* <br />USDA <br />Total <br />HCCBG <br />Reimburse. <br />HCCBG <br />Services <br />Local Match <br />Sery Cost <br />Subsidy <br />Funding <br />Units <br />Rate <br />Clients <br />Direct <br />Purch. <br />Access <br />In -Home <br />Other <br />Total <br />Housing/ Home Repair 14(x <br />40202 <br />\ \ \ \ \ \ \ \ \ \ \ \ \ \\ <br />4467 <br />44669 <br />#REF! <br />0 <br />#REF! <br />#DIV /0! <br />#DIV /0! <br />25 <br />\ \ \ \ \ \ \ \ \ \ \ \ \ \\ <br />0 <br />0 <br />0 <br />0 <br />0 <br />\ \ \ \ \ \ \ \ \ \ \ \ \ \\ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />\ \ \ \ \ \ \ \ \ \ \ \ \ \\ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />\ \ \ \ \ \ \ \ \ \ \ \ \ \\ <br />0 <br />0 <br />0 <br />1 0 <br />1 0 <br />1 0 <br />\ \ \ \ \ \ \ \ \ \ \ \ \\\ <br />0 <br />0 <br />0 <br />1 0 <br />1 0 <br />1 0 <br />Total <br />\ \ \ \ \ \\ <br />\ \ \ \ \ \\ <br />0 <br />0 <br />40,202 <br />40,202 <br />4467 <br />44669 <br />#REF! <br />I #REF! <br />\ \ \ \ \ \ \ \ \ \ \ \ \\ <br />\ \ \ \ \ \ \ \ \ \ \ \ \\ <br />25 <br />*Adult Day Care & Adult Day Health Care Net Service Cost <br />ADC ADHC <br />Daily Care <br />Certification of required minimum local match <br />Transportation <br />availability. Required local match will be expended <br />Authorized Signature, Title <br />Administrative <br />simultaneously with Block Grant Funding. <br />Community Service Provider <br />Net Ser. Cost Total <br />Signature, County Finance Officer Date <br />Signature, Chairman, Board of Commissioners <br />F -3 Page 82 <br />