|
NAM~ANDADDRESS
<br />COM~UNITYSERVICEPROVIDER
<br />Gabarrus Go. Dept. of Aging
<br />P. O. Box 707
<br />
<br />C__oncord, N.C. 28026
<br />
<br />Ilome and Community Care Block (;rant for Older Adults
<br />
<br /> County Funding Plan
<br />
<br /> Provider Services Summary
<br />
<br />!)OA-132 {Rev. Itgg)
<br />Coun~ Cabarrus
<br />July 1, 1998 Ihro. ugh June 30, 1999
<br />
<br /> ^ 'B C D E F G
<br />Set. Deliver/ Projected Projected Projcctcd pxOJcclcd
<br />(C~k O~e) Block Grant Funding Required Net* USDA Total HCCBG teimbmsc HCCBG Total
<br />~i~ec~ ~cl~. Access In-Home Other Total Local Match Serv Cost Subsidy Funding Units Rate ClieolS Units
<br /> X 90,920 ~\\~\\\\\\\\~\\\\\ 10,102 101,02..~ 101,022 21,046 4.80 270 21,658
<br />X 31,739 ~\\\\\\\\\\\\\\\\3,527 35,266 35,266i 3,414 10.33 30 3,656
<br />X 21,929 \\\\\\\\\\\\\\\\\\ 2,437 24,366 24,366 N/A N/A 45 N/A
<br /> X 119,389 \\\\\\\\\\\\\\\\\\ 13,265* 132,265 ~ 132,65,4 .5,768 23. O0 50 6,681
<br />~ X 113,707 \\\\\\\\\\\\\\\\\\ 12,633 126,340 .2..8,057 154,397 37,713 3.35 325 47,904
<br />X i 9,185 \\\\\\\\\\\\\\\\\\ 1,021 10,206 4,260 14,466 6,261 1.63 50 7,273
<br />\\\\\\\ ,\\\\\\ 90,920 173,057 122,892 386,869 42,985 429,854 32,317 462,171
<br />Day Itcalth Care Net Service Cost
<br />,oc ^o.c d/idq
<br />21. O0 Certification ofrequired minimum local match availability.
<br />2. O0 . Required local match will be expended simullancously Aull~orizcd Signature. Title if ff - [ ' ' Dart
<br />; with Block Grant Funding. Community S. ervice Provider
<br />
<br />:,ervices
<br />
<br />Transportation
<br />
<br />In-Home Aide Il
<br />Housing/Home
<br />
<br />Adult
<br />
<br />Congregate Meal
<br />
<br />Supplemental
<br />
<br /> Totat
<br />
<br />'Adult Day Cal'e & Adult Da
<br />
<br />)ally Care
<br />
<br />'ransportation
<br />
<br />\dministrative
<br />
<br />4et Set Cost Total
<br />
<br />*County Match - $13,103
<br />LIFE Center - $ 162
<br />
<br />S~guature, County Financc Officcr
<br />
<br />Dale
<br />
<br />Signature, Chainoan Board of Commission~:~s Date
<br />
<br />
<br />
|