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HCCBG Budget <br />NAME AND ADDRESS <br />Home and Community Care Block Grant for Older Adults <br />COMMUNITY SERVICE PROVIDER <br />Cabarrus County -Combined <br />County Funding Plan <br />County <br />1303 S. Cannon Blvd <br />July 1 <br />Kannapolis, NC 28083 <br />Provider Services Summary <br />Revision <br />A <br />B <br />C <br />D <br />E <br />Ser. Delivery <br />(Check One) <br />Block Grant Funding <br />Required <br />Net' <br />USDA <br />Total <br />Services Direct Purch. <br />Access In-HoME Other Total <br />Local Match <br />Sery Cost <br />Subsidy <br />Fundinc <br />Trans 250 x <br />81221 \\\\\\\\\\\\\\ <br />9025 <br />90246 <br />0 <br />90246 <br />Medical Transit 033 x <br />86453 <br />9606 <br />96059 <br />0 <br />96059 <br />In -Home II - Personal Cale 042 <br />x <br />x <br />144690 \\\\\\\\\\\\\\ <br />47555 \\\\\\\\\\\\\\ <br />16077 <br />160767 <br />0 <br />160767 <br />In -Home III Personal Care 045 <br />5284 <br />52839 <br />0 <br />52839 <br />Congregate 180 <br />x <br />107168 \\\\\\\\\\\\\\ <br />11908 <br />119076 <br />28628 <br />147704 <br />Adult Day care 030 <br />x <br />20613 \\\\\\\\\\\\\\ <br />2290 <br />22903 <br />0 <br />22903 <br />Adult Day Health 155 <br />x <br />138764 \\\\\\\\\\\\\\ <br />15418 <br />154182 <br />0 <br />154182 <br />Housing/ Home Repair 140 x <br />51439 \\\\\\\\\\\\\\ <br />5715 <br />57154 <br />0 <br />57154 <br />senior Center Operation 170 <br />89522 \\\\\\\\\\\\\\ <br />9947 <br />99469 <br />0 <br />99469 <br />Home Delivered 020 x <br />92427 \\\\\\\\\\\\\\ <br />10270 <br />102697 <br />36000 <br />138697 <br />\\\\\\\\\\\\\\ <br />0 <br />0 <br />0 <br />0 <br />\\\\\\\\\\\\\\ <br />0 <br />0 <br />0 <br />0 <br />Total \\\\\\\ <br />\\\\\\\ <br />167674 284672 407506 859,852 <br />95540 <br />955392 <br />64628 <br />1020020 <br />'Adult Day Care & Adult Day Health Care Net Service Cost <br />ADC <br />ADHC <br />Daily Care <br />Certification of required minimum local match <br />Transportation <br />availability. Required local match will be expended <br />Authoriz <br />Administrative <br />simultaneously with Block Grant Funding. <br />Commul <br />Net Ser. Cost Total <br />Signature, County Finance Officer Date <br />Signatur <br />F-5 <br />