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DiVision 'of Aging <br />Service Cost Computation Worksheet 1/98 <br /> In-Home Service Service Service Service Service Service <br /> Grand Aide <br />III. Computation of Rates Total Level II <br /> <br /> 1. Total Expenses (equals line II.J) 105,267 ~11111111111111 105,267 0.00O 0 0 0 0 <br /> <br /> 1. Total Revenues (equals line I.J) 105,237 /III/I/Ill/lIE 105,237 0.001 0 0 (] 0 0 <br /> 2. Less: USDA (equals line I.D) 0 IIIIIIIIIIIIIII 0 0.00 0 0 0 0 0 <br /> Non Match In-Kind (equals line LH and II.C) 0 ///1111/11/'/111 0 0.00 0 0 0 (] 0 <br /> 3. Revenues Subject to Unit Reimbursement I05,237 IIIIIIIIIIIIIII 105,237 O.OO 0 0 B Oi 0 <br /> 5. Total Reimbursement Rate IIIlflllllllllll liJl~llllllllfl 11 .g2 #DIVIO! #DIV/O! #DIV/O! #DIVI0! #DIVIO! #DIVIO! <br /> C. Units Reimbursed Through HCCBG IIIIIIIIIIIIIIII IIII/I/I//111/I 8,787 #DIV/OI" #DIV/01 #DIV/01 #DlVl01 #DIV/01 #DIV/01 <br /> D. Units Reimbursed Through Program Income' IIIIIIIIIIIIIIII IIIIIIIIIIIIIII 42 #DlVl0i #DIVIOI #DIV/01 #DIVI01 #DIV/01 #DIVI01 <br /> <br />..E.... Units Reimbursed Through Remaining Revenues IIIIIIIIIIIIIIII IIIIIIIIIIIIIII 0.00 #DIVlOi #DIVlOI #DlVl01 #DIV/01 #DIV/01 #DIV/01 <br /> F. Total Units Reimbursed/Total Projected Units IIIIIIIIIIIIIIII IIIIIIIIIIIIIII 8,829.00 #DlVl01 #DlVl01 #DlVl01 #DlVl01 #DIVI01 #DIVlOl <br />' The Division of Aging ARMS deducts reported program <br /> income from reimbursement paid to providers. Line III.D <br /> indicates the number of units that will have to be produced <br /> in addition to those stated on line III,C in order to earn the <br /> net revenues stated on line I.C. <br /> <br />Information on this form (DOA-732A) corresponds with <br />information stated on the Provider Sewices Summary <br />DCA-732) as follows: <br /> DOA-73?.A DCA-732 <br /> Block Grant Funding Line I.A Col. A <br /> Required Local Match-Cash & In-Kind Line I.B Col. B <br /> Net Service Cost Line I.C Col. C <br /> USDA Subsidy Line I.D Col. D <br /> Total Funding L.I.C+I,D Col. E <br /> Projected HCCBG Reimbursed Units Line IILC Col. F <br /> Total Reimbursement Rate Line III.B.5 Col. G <br /> Projected Total Service Units Line III.F Col. I <br /> 3 <br /> <br /> <br />