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NAME AND ADDRESS IIome and Community Care Bloek Grant for Older Adults <br />COMMUNITY SERV1CE PROVIDER DOA-7.~2(Rev. ll00) <br />Cabatms County Department of Aging County Funding Plan County Cnbarrua <br />P.O. Box 707 July 1, 2000 through June 30, 2001 <br />c~cord, NC 28026 Provider Servlcee Summary <br /> <br /> I A B C D E F G H <br /> Set. Dcli'~ Projected Projected Projected Projcctcd <br /> <br /> tCh~ck Oae) Block Grant Funding Required Net* USDA Total HCCBG Reimburse, HCCBG Total <br /> <br />Services Dircct Parch. Access In-Home Other Total Local Matc] Scrv Cost Subsidy Funding Units Rate Clients Units <br />Info& Assistanc~ X 37,221 \\\\\\\\\\\\\\\\\\ 4136 41,357 41,357 75 <br /> <br />Transportation X 93.509 \\\\\\\\\\\\\\\\\ 10390 103,899 103,899 i 11998 8.66 400 25371 <br />Adult Day Care X 121,978 \\\\\\\\\\\\\\\\\\ 13553 135,531 135,531 4531 29.9098 60 5200 <br />Adult Day Heallh X 6,0ooi \\\\\\\\\\\\\\\\\\ 667 6,667 6,667 173 384356 5 202 <br />HHI X 30,518 ] \\\\\\\\\\\\\\\\\\ 3391 33,909 33.909 50 <br />IHA Services X X 34,328 \\\\\\\\\\\\\\\\\\ 3814 38142 38142 2139 17.8296 30 4500 <br />Congregate Nutrition X 113,707 \\\\\\\\\\\\\\\\\ 12634 126341 38909 165250 26914 4.6943 800 72000 <br />Supplemental Nutrition X 10885 \\~kX\\\~\\\\ 1209 12094 4593 16687 7224 1.6742 65 8500 <br /> \\\\\\\\\\\\\\\\\\ 0 0, <br />Total \\\\\\\ \\\\\\\ 130,730 192,824 124592 448,146 49794 497,940 43502 541,4~2 52979 ~\\\\\\\\\\\\\ 1485 115773 <br /> <br />'~Adult Day Cue & Adult Day Health Cam Net Service Cost <br />ADC ADHC <br />Tmr~pormtion 3.00 3.00 Required local match will bu expended simult~m~ousl¥ Authorized S is~nture. Title t / Datc <br />Administrafi~ 2.95 1.00 with Block Grant Funding. Community Service Provider <br />Sisn~tam, County Fiunn~ Offi~r Dnta Signata~, Chairman, BO~'d of Conm~i~sion~m Date <br /> <br />· I I I' I { ! I t I I I' ! f r <br /> <br /> <br />