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HomeMy WebLinkAboutFY17 HCCBG Final revisionDAAS -731 (Rev. 2116) Home and Community Care Block Grant for Older Adults County New Hanover County Funding Plan July 1, 2016 through June 30, 2017 County Services Summary Revision 1.5 July 18, 2017 A B C D E F G H I Services Block Grant Funding Required Local Match Net Service Cost NSIP Subsidy Total Funding Projected HCCBG Units Projected Reimbursemeni Rate Projected HCCBG Clients Projected Total Units Access in Other Total I &R Case Assist 180093 \ \ \ \1 \ \ \ \ \ \\ 20010 200103 200103 2100 Congregate Nut. 79273 \ \ \ \ \ \ \ \ \ \ \\ 8808 88081 10875 98956 9431 9.34 450 14170 HDM Nutrition 348358 \\\ \ \ \ \A% 38706 387064 56063 443127 60480 6.4 548 74644 Sr. Center O s 28849 \ \ \ \ \ \ \ \ \ \ \\ 3205 32054 32054 Trans.- General 26545 \ \ \ \ \ \ \ \1 \ \\ 2949 29494 29494 3516 8.39 142 7342 Trans.- Medical 22681 \ \ \ \ \ \ \ \ \ \ \\ 2520 25201 25201 2776 9.08 251 3018 Adult Day Care 62768 \\\\\\A%\ 6974 69742 69742 1120 62.25 Adult Day Health 29152 \ \ % \ \ \ \ \ \\ 3239 32391 32391 443 73.1 Trans. -ADC 1163 \ \ \ \ \ \ \ \ \ \ \\ 129 1292 1292 861 1.5 Trans: ADH 317 \ \ % \A \ \ \\ 35 352 352 235 1.5 In -Home Aide 1 8619 \ \ \ \ \ \ \ \ \ \1\ 958 9577 9577 567 16.9788 4 567 In -Home Aide II 82139 \ \ \ \ \ \ \ \ \ \ \\ 9127 91266 91266 5300 17.2576 18 5300 In -Home Aide III 107353 \ \ \ \ \ \ \ \ \ \ \\ 11928 119281 119281 6842 17.4476 23 6842 \ \ \ \ \ \ \ \ \ \ \\ 0 0 0 Total 229319 290031 457960 977310 108590 1085898 66938 1152836 91571 % \A \ \ \ \ \ \ \\ 3536 111883 \�4kR_ r Signature, Chairman, Board of Commissioners Date V. \� C NAME AND ADDRESS Home and Community Care Block Grant for Older Adults COMMUNITY SERVICE PROVIDER DAAS -732 (Rev. 2/16) NHC Senior Resource Center County Funding Plan County New Hanover 2222 S. College Rd. July 1,2016_ through June 30, _2017_ Wilmington, NC 28403 Provider Services Summary IREVISION # 1.5 , DATE: 7/18/2017 Services A Ser. Delivery (Check one) Block Grant Funding B C D E F G H I Required Local Match Net" Sery Cost NSIP Subsidy Total Funding Projected HCCBG Units Projected Reimburse Rate Projected HCCBG Clients Projected Total Units Direct Porch. Access In -Home Other Total I &R Case Assist X 180093 \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \\ 20010 200103 200103 2100 Cong Nutrition X 79273 \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \\ 8808 88081 10875 98956 9431 9.34 450 14170 HDM Nutrition X 348358 \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \\ 1 38706 387064 1 56063 443127 1 60480 6.4 1 548 74644 Sr. Center Op X 28849 \ \ \ \ \ \ \\ \\\\ \!'° 3205 32054 32054 Transportation-General X 26545 2949 29494 29494 3516 8.39 142 7342 Transportation - Medical X 22681 \ \ \ \ \ \ \ \ \P:c. 2520 25201 25201 2776 9.08 251 3018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 VAAAAAAUer. 0 0 0 VAAAAAAAAAAAAAAAAA 0 0 0 Total \ % \ \\ 1 229319 0 456480 685799 76198 761997 66938 828935 76203 \ \ \ \ \ \ \ \ \ \ \ \ \\ 3491 99174 'Adult Day Care & Adult Day Health Care Net Service Cost ADC ADHC Daily Care Certification of required minimum local match availability. y /i Transportation Required local match will be expended simultaneously ut (Zed Signature, Title X111 M aCkEr Date Administrative with Block Grant Funding. ommunity Service Provider -TXP,&�j Coua+( I Net Ser. Cost Total Signature, County Finance ODicer Date Signature, Chairman, Board of Commission ate —\ 1950 AND ADDRESS Home and Community Care Block Grant for Older Adults UNITY SERVICE PROVIDER us. Inc. County Funding Plan uphitheater Drive oton. NC 28401 Provider Services Summary DOA -732 (Rev. 2/15) County_New Hanover July 1, 2016_ through June 30, 2017 REVISION N . DATE : 7/18/17 Services Ser, Detivcry (Ch «k one) Block Grant Funding Required Local Mad Nct" Sery Cost NSIP Subsidy I Total Funding Projected HCCBG Units Projected Reimburse Rate Projected HCCBG Clients I Projected Total Units Df , lrch. Access In -Home Other Total Adult Day Care 62766 \ \ \ \\ \ \1 \ \ \ \ \ \ \1 \\ 6974 69742 0 69742 1120 62.25 Adult Day Health 29152 1 \ \ \ \ \ \\ \ \ \1 \ \ \ \\ 3239 32391 \l1 \l \ \ \1 \ \ \ \ \ \1 \\ 32391 443 73.1 0 Transportation - ADC 1163 \ \ \ \\ \ \ \ \ \ \ \1 \ \ \ \\ 129 1292 1292 861 1.5 0 0 Trans nation -ADH 0 317 \ \ \ \1 \ \\ \ \ \ \ \ \ \\ \\ 35 352 352 235 1.5 \l \ \1 \ \ \ \ \ \U \ \ \ \\ 0 0 0 \ \ \ \1 \ \ \1 \ \ \ \ \R \\ i 0 0 0 I-7 \ \ \ \1 \ \ \1 \ \ \ \ \ \1 \\ 0 1 0 1 0 \ % \ \ \\\\ \ \ \ \ \ \\ 0 0 0 \l1 \l \ \ \1 \ \ \ \ \ \1 \\ 0 0 0 VAAAUVAAAAA1AAAAA 0 0 0 \l \ \1 \ \ \ \ \ \U \ \ \ \\ 0 0 0 \1 \ \ \ \ \\ \ \ \ \ \ \ \ \U 0 0 0 \ \ \ \ \\\\ \ \ \ \ \% \\ 0 0 0 m\\m\\\\\\\\\\ 0 0 0 m\\\A\\\\e 0 0 0 Total AAAA1AA AAAAAR 0 91920 1480 93400 10377 103777 0 103777 2659 AAAAAAAAAA %A 0 0 'Adult Day Care & Adult Day Health Care Net Service Cost ADC ADHC O Daily Care qRR# 40.00 Certification of required minimum (oral match availability. Transportation Required local match will be expended simultaneously Auth iud Signature. Title Date Administrative 9999 33.1 with Block Grant Funding. Community Service ProviyC Net Ser. Cost Total 099 73.1 � ' �1 . .\ ` o(loo� 1�.J_ �4 I 11 W Signature County Finance Office Date Signature, Chairman, Board of Commissioners to I _v,.a, � c I-7 NAME AND ADDRESS Home and Community Care Block Grant for Older Adults COMMUNITY SERVICE PROVIDER DAAS -732 (Rev. 2/16) Interim Healthcare of the Eastern Carolinas, Inc. County Funding Plan County New Hanover PO Box 2249 July 1, 2016 through June 30, 21117 Whiteville, NC 28472 Provider Services Summary IREVISION#1 , DATE: 071072017 A B C D E F G H 1 Sur Delivery Projected Projected Projected Projected (Chak 0.) Block Grant Funding Required Net* NSIP Total HCCBG Reimburse HCCBG Total D.— JNRh . Access Io -Home Other Total Services Local Mauch Sery Cost Substdv Funding Units Rate Clients Units In -Home Aide Lev 1 8619 \ \ \ \ \1 \ \\ \1\ \ \\ \ \\ 958 9577 9627 567 16.9788 4 567 In -Home Aide 1-- 2 82139 \ \ \U \ \1 \ \A111 \\ 9127 91266 91465 5300 17.2576 18 5300 In -Home Aide 1-3 107353 MMIN M\ \% 11928 119281 119281 6842 17.4476 23 6842 \ \ \\\U \t \ \ \ \ \ \\\1 0 0 0 \ \ \ \11 \ \1 \tl \1 \\1\ 0 0 0 \ \ \ \I \ \ \ \ \l \ \ \ \ \U 0 0 0 VAAAlAUAAAA1AIAA 0 0 0 1 \ \I \ \ \1 \OU \1 \1\ 0 0 0 1\UR \1\ \ \q \1 \ \1 0 0 0 \ \ \ \l \ \1N \\ \\1 \ \\ 0 0 0 \ \ \ \ \ \l1\ \ \\ \l \ \ \\ 0 0 0 \\ \1\ \ \ \l \l \ \ \\ \11 0 0 0 U \111 \1 \ \ \ \ \1l \ \\ 0 0 0 U \ \1 \ \ \ \1 \ \1l \ \ \\ 0 0 0 Total % \\11 % \% 0 198111 0 198111 22013 220124 0 220124 12709 \ \w \\ \N %\\ 45 12709 *Adult Day Care & Adult Day Ha th Care Net Service Cost ADC ADHC Daily Care Certification of required minimum local mateb availability. Transportation Required local match will be ntpcnded simultaneously Authonzi ignature. Ti0e Date Administrative with Block Grant Funding. Comm nY ce Pr Na Set. Cast Toml Signature, County Finmce O1Ticer Date Signature, Chatrman Board of Commissioners e 7/17 Grant Document Routing 140 Start date: 8/1/17 From: Teresa Hewett, Finance Department (7408) Signatures required: V/ Lisa Wurtzbacher, Chief Financial Officer Avril Pinder, Deputy County Manager V Wood y White, Chairman Return to Teresa Hewett, Finance Department (7408) Type(s) of document(s) attached: 1 original — County Funding Plans for the Senior Resource Center's Home and Community Care Block Grant funding Explanation of document(s): Attached are revised FYI SRC HCCBG funding plans. The revisions will move revenue between programs. I have attached Amber Smith's explanation as well as the original funding plans for you reference. Please let me know if you have any questions. Thank you. --------- or finance department use-------------------------------------------- - - - - -- DATE ADDED TO LASERFICHE PICKED UP BY: Print Name & Date Signature Hewett, Teresa From: Smith, Amber Sent: Friday, July 28, 2017 2:44 PM To: Hewett, Teresa Cc: Akin, Amy; Ginny Brinson Subject: HCCBG FY 17 revisions Attachments: HCCBG Elderhaus Revised 732 7 -18 -17 FY17.pdf; HCCBG FY 17 Interim Revision 1 7- 7- 2017.pdf; 731 County Services Summary FY 2017_0 Revision 1.xls; 732 -A Service Cost Computation Blank Formatted FY2017_0 Revision 1 with added contributions.xls; 732 Provider Services Summary FY 2017 Revision 1 with added contributions.xls Importance: High Teresa, The FY 17 HCCBG revisions are completed and approved by COG AAA and DAAS. Let me know if you want me to drop off a hard copy of the revisions for NHC, Elderhaus, and Interim. All of the DAAS -731 and DAAS -732 forms will need to be signed. Interim gave back $5,892, which we put into HDM. The other transfers were unspent Transportation HCCBG and we put that into HDM HCCBG. Attached are copies of the revisions. Let me know if you have any questions. Thanks. -Amber Amber Smith I Director Senior Resource Center New Hanover County 2222 S. College Road Wilmington, NC 28403 (910) 798 -6410 p 1 (910) 798 -6411 f www.nhcgov.com i� r�� A Ll a J c N �1 -29 a 0 -@ i � U v N o U V N N ¢ E Vr N O � n N 0 O m Odi n N N IL n a a Z V N N anD O Omi a N Z O E t N 6 p p R =18 - d LL N � T T U � ¢ [ T � 0 0 0 7j6 ^ = LL Q O E o m o rn 2 H 0 m � N v ❑ p a a a S �- 10 Z �1 � � � � � � � � d � k ° f /!• ! F e c cu #! !\ \ kk ¢ ! )! CIO ` \ ` ` ■ | )) } L E •I § - �)} / \ !f E r J ! § § _ t § 7k; a/§ / F ! " �_! ! 8t *0x `!) • «� �(�mk �`` j � / {° §().{ ,< ! /)!� z6!�° k §k :3 =\ - 2|!; � � � � d � NAME AND ADDRESS Home and Community Care Block Grant for Older Adults COMMUNITY SERVICE PROVIDER DOA -732 (Rev. 4/14) County Funding Plan County_ New Hanover Elderhaus, Inc. July 1, 2016 through June 30, 2017 1950 Am hiteater Dr. Provider Services Summary REVISION p , DATE : 6/16 Wilmington, NC 28401 A B C D E 1� G H Projected Projected Projected Projected Ser. Detiwry Icn «t oael Block Grant Funding Required Net" NSIP Total HCCBG Reimburse HCCBG Total Direst JPureh. I Access In -Home Other I Total Services Local Mate Sery Cost Subsidy Funding Units Rate Clients Units Adult Day Care 62158 \ \ \ % \A \ \ \ \ \ \\\\ 6906 69064 69064 1109 62.25 Adult Day Health 30401 \ \ \ \ \ \ \ \ \ \ \ \ \ \1 \\ 3378 33779 33779 462 73.1 Transportation- ADC 701 \ \ \ \ \ \ \ \ \ \ \ \ \1 \ \\\ 78 779 779 519 1.50 Transportation- ADH 140 \ \ \ \ \ \ \1 \ \ \1 \\ \ \ \\ 16 156 156 104 1.30 \ %A \ \ \ \ \ \ \ \R \\ 0 0 0 \ \ \ \ \ \ \ \ \ \1 \ \1 \ \ \\ 0 0 0 \ \ \ \ \ \ \ \ \ \ \ \A \U 0 0 0 VAVVA \VAAVAAVA1VV\ 0 0 0 11 \ \ \ \ \1 \ \ \1 \ \1 \\\ 0 0 0 l \ \11 \ \ \\ \1 \ \11 \ \\ 0 0 0 \ \ \ \ \ \ \1 \ \ \ \ \ \ \ \ \\ 0 0 0 \ \ \ \ \ \1 \ \ \ \ \11\ \ \\ 0 0 0 \ \ \ \ \ \ \ \ \ \ \ \ \1 \ \ \\ 0 0 0 Total \ \1 \\1\ 1U \ \U 0 92559 841 ��t.lnu 10378 103778 0 103778 2194 \\ \ \ \ \6 \11 \\1 0 0 'Adult Day Care & Adult Day Health Care Net Service Cost ADC ADHC l' �['� Daily Care 33.07 40.00 Certification of required minimum local match availability. """1 l_l."""'C- �V 1 Transportation Required local match will be expended simultaneously Authorized Signature, Title Date Administrative 29.18 33.10 with Block Grant Funding. ommunity Service Provider Net Ser. Cost Total 62.25 73.10 (� Signature, County Finance Officer Date Si ature, Chairman, Board of Commissioners Date f e C-, Cro C r a aen � 0 � � � 2 � � � % � � 2 ©!! ° ! ! zo \ \� (/ }\. {)®!2! =z a ■ ® \ { � / , _ _ _ _ _ , � ! / : ! =f - � Ll ■Q »; / /Z /`<2\ / / / \377$ , _ / `* f _\ !{\j :e!£k � 2 � � � % � �