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Attachment <br /> <br /> DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES <br /> DMSION OF MATERNAL AND CHILD HEALTH <br /> MATERNITY CARE COORDINATION GRANT APPLICATION <br /> <br />APPLJCANTAGENCY: Cabarrus County Health DeparCmenC <br /> <br />TELEPHONE NUMBER: (7.04] 786-8121 COUNTY: Cabarrus <br /> <br />DIRECTOR: William F. Pilkin~ton~ D.P,.,A.~ Health Director , <br /> <br />ESTIMATED ANNUAL NUMBER OF MEDICAID RECIPIENTS IN COUNTY <br />WHO ARE NOT, CONTRACTED TO RI~CEA/E MCC SERVICES. <br />(REFER TO ATTACHMENT I11 OR_ ATTACHMENT IV) <br /> <br />269 <br /> <br />ESTIMATED ANNUAL NUMBER OF ADDITIONAL MEDICAID RECIPIENTS IN <br />THE COUNTY WHO WILL BE PROVIDED MCC SERVICES BY THE APPLICANT <br />AGENCY IF FUNDING 15 RECEIVED FROM THE DIVISION OF MATERNAL <br />AND CHILD HEALTH. 235 <br /> <br />ADDITIONAL FULL-TIME AND/OR PART-TIME MCC STAFF TO BE EMPLOYED <br />IF FUNDING IS RECEIVED FROM THE DIVISION OF MATERNAL AND CHILD <br />HEALTH. <br /> <br />ENTER NUMBER OF POSITIONS NEXT TO THE APPROPRIATE TIME <br />PERCENTAGE(S) (REFER TO ATTACHMENT III OR IV FOR MAXIMUM NUMBER <br />THAT MAY BE APPLIED FOR) <br /> <br />PERCENTAGE NUMBER <br /> TIME OF POSITIONS X COST <br /> <br /> 100% 2 15,000 <br /> 80% 12,000 <br /> 75% 11,250 <br /> 60% 9,000 <br /> 5O% 1 7,500 <br /> 40% 6,000 <br /> 25% 3,750 <br /> 20% 3,000 <br /> <br />TOTAL <br /> <br />AMOUNT <br />~EClUESTE..D <br /> $30 ~ 000 <br /> <br /> $ <br /> <br /> $ 7,500 <br /> <br /> $ <br /> <br /> $ <br /> <br /> $ <br /> <br />D. AMOUNT OF MATERNITY CARE COORDINATION FUNDING REQUESTED $37,500 <br /> <br />DEHNR T-659 (1 <br />Maternal Health Branch <br /> <br /> <br />