HomeMy WebLinkAboutFY18 HCCBG Final funding plan revisionsNAME 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, 2017 through June 30, 2018
Wilmington. NC28403 Provider Services Summary IREVISION # 2 FINAL , DATE: 7/1712018
A
B
C
D
E
F
G
H
1
Services
Ser. D&-y
(Check One)
1 Block Grant Funding
Required
Local Match
Net`
Sery Cost
NSIP
Subsidy
Total
Funding
Projected
HCCBG
Units
Projected
Reimburse
Rate
Projected
HCCBG
Clients
Projected
Total
Units
Died
Perch.
Access
In -Home
Other
Total
I &R Case Assistance
x
180093
11111111111 \111111
20010
200103
200103
2150
Congregate Nutrition
x
84940
11111 \II \II \Ilgl
9438
94378
11812
106190
10442
8.86
485
16200
HDM Nutrition
x
327975
\ \111 \11111 \Illill
36442
364417
64687
429104
59781
5.97
590
82250
Sr. Center Ops
x
37032
11111111111111\111
4115
41147
41147
Transportation - General
x
22367
\111 \ \II \II \II \ \II
2485
24852
24852
2716
9.41
125
8750
Transportation - Medical
x
1 56376
1011111111111111\
6264
62642
62642
4719
13.9
210
8750
11111111111111111
0
0
0
1111111111N111 \11
0
0
0
11111\111111111111
0
0
0
10111111111111111
0
0
0
11 \0001 \1 \11 \11
0
0
0
111111111111111111
0
0
0
011011110111111
0
0
0
10111111111111111
0
0
0
Total
11110110110
258838
0
449947
708785
78754
787539
76499
864038
1 77658
11111111N \q
35fi0
115950
*Adult Day Care & Adult Day Health Care Net Service Cost
ADC ADHC
Daily Care Certification of required minimumlocal match availability. y 8
Transportation Required local match will be expended simultaneously Avrr, finder, Deputy County Manager ate
Administrative with Block Grant Funding. uaP
Net Ser. Cost Total �6 V),— q film
/a
Lisa Wurtzbacher, County Finance Officer Date Chairman, Woody White tare
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, 2017 through June 30, 2018
1950 Amphiteater Dr. Provider Services Summary REVISION 8 , DATE: 07/17
Wilmington, NC 28401
*Adult Day Care & Adult Day Health Care
A
B
C
D
E
F
G
H
I
Services
Ser. Deuvery
check Dnei Block Grant Funding
Required
Local Match
Net*
Sery Cost
NSIP
Subsidy
Total
Funding
Projected
HCCBG
Units
Projected
Reimburse
Rate
Projected
HCCBG
Clients
Projected
Total
Units
Direct
Purch.
Access
In -Home
Other I
Total
Adult Day Care
� { It =0LX
-7 '
Signature, County Finance Officer Date Signature, Chairman, Board of Commissioners
\ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \1
8656
86559
86559
1328
75.31
Adult Day I lealth
21083
`, \ \ \ \ \ \ \ \ \ \ \ \1 \ \\
2343
23426
23426
399
63.76
Transportation- ADC
1628
\ \ \ \ \1 \ \ \ \ \ \ \ \ \ \ \\
181
1809
1809
1206
1.50
Transportation- ADH
284
1P. \ \ \ \ \1 \ \ \1 \ \ \ \\
32
316
316
233
1.30
\ \ \ \ \1 \ \ \ \ \ \ \ \ \ \ \\
0
0
0
\ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \1
0
0
0
\ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \\
0
0
0
\ \ \ \ \R \ \ \ \ \ \ \ \1 \\
0
0
0
\ \ \ \ \ \ \ \ \ \ \ \ \ \U \\
0
0
0
\ \ \ \ \1 \ \ \ \ \ \ \ \ \ \ \\
0
0
0
\ \ \ \ \ \ \ \ \ \ \ \ \ \ \1 \\
0
0
0
\ \ \ \W \N\ \ \ \%
0
0
0
\ \ \ \ \ \ \ \ \ \ \ \ \ \ \0\
0
0
0
\ \ \ \ \ \ \ \ \ \ \ \ \1 \ \ \\
0
0
0
Total I 1\\ \% \\\ \ \ \\ 1 0 1 1 - , --4 1912 11212 1 112110 1 0 1 112110 1 3166 \1 \ \ \ \1 \ \1 \ \11 0 1 0
*Adult Day Care & Adult Day Health Care
Net Service Cost
I QOIC(00
h �yt � (�
ADC
ADHC
t 6
Daily Care
33.07
40.00
Certification of required minimum local match availability.
Transportation
Required local match will be expended simultaneously Authorized Si Lure, Title
Date
Administrative
42.24
23.76
with Block Grant Funding. ice eider
Net Sec Cost Total
75.31
63.76
� { It =0LX
Date
Signature, County Finance Officer Date Signature, Chairman, Board of Commissioners
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, 2017 through June 30, 2018
Whiteville, NC 28472 Provider Services Summary IREVISION # 3 . DATE: 07/16/2018
A
B
C I
D
E
F
G
H
I
Services
Ser. Deo.)
Block Grant Funding
Required
Local Match
Net-
Sery Cost
NSIP
Subsidv
Total
Funding
Projected
HCCBG
Units
Projected
Rcmdurse
Rate
Projected
HCCBG
Clients
Projected
Total
Units
(cha.-7)
Dom
Porch
Access
In -Home
Other
Total
In -Home Aide Lev 1
15499
1A1g1A11PPdAAli
1722
17221
17221
1018
16.9851
10
1018
In -Home Aide Lev 2
77641
\ \ \D. \11'':'41 \ \1 \\
8627
86268
86268
5009
17.2575
20
5009
In -Home Aide Lev 3
112768
\l \1 \ \ \1 \`J\q,1C,,
12530
125298
125298
7182
17.4496
25
7182
VAAAAAC4UVAAA1AA
0
0
0
1 \a0 \U1N \1111\
0
0
0
VAAAC:AWAAA4.1
0
0
0
1A11b.0.tAlAlAAAA1
0
0
0
cav +vcavvm
o
0
0
m`ncr;4vovvy;
0
6
0
\o.\oova�,aar
o
WWI,a�aae;;a
0
EO
0
Total
UN.%d
•w`
1 0
205908
0
205908
22879
228787
0
228787
13209
55
13209
*Adult Day Care & Adult Day Health Care Net Service Cost /1
ADC ADHC t i
Daily Care Certification of required minimum local match availability. 1, 'd
Transportation Required local match will be expended simultaneously Authorized Si�ia ore. Title jl, -_ �� rice
Administrative with Block Grant Funding. Gorton ily wi ovi er
Net Ser, Cost Total -
!P^z —16
Sigtature, Cotmty Finance Officer Date Signature. Chairman, Board of Commissioners Date
Grant Document Routing
Start date: 7/30/18
From: Teresa Hewett, Finance Department (7408)
Signatures required:
Lisa Wurtzbacher, Chief Financial Officer
Avril Pinder, Deputy County Manager
Chairman Woody White
Return to Teresa Hewett, Finance Department (7408)
Type(s) of document(s) attached:
1 original — Senior Resource Center HCCBG (Home and Community Care Block Grant)
funding plan revisions for the SRC, Elderhaus and Interim.
Explanation of document(s):
The attached funding plan revisions will finalize allocations based on the actual care needed in
each program. I have attached a summary showing how the dollars are being distributed. Please
let me know if you have any questions. Thank you.
for finance department use-------------------- - - - - --
DATE ADDED TO LASERFICHE
PICKED UP BY:
Print Name & Date
Signature
additional allocation from area Counties
2,637
Current
allocation from
Elderhaus
Previous
Revision
Change
NHC SRC
4,265
Case Assistance
180,093
180,093
Congregate Meals
84,940
84,940
1,303
Home Delivered Meals
323,040
327,975
4,935
SRC Operations
34,395
37,032
2,637
Transportation general
23,000
22,367
(633)
Transportation medical
59,052
56,378
(2,674)
Interim
704,520
708,785
4,265
additional allocation from area Counties
2,637
additional
allocation from
Elderhaus
-
additional allocation from Interim
1,628
4,265
Elderhaus
Adult Day Care
76,602
77,905
1,303
Adult Day Health
22,280
21,083
(1,197)
Transportation ADC
1,768
1,628
(140)
Transportation ADH
250
284
34
100,900
100,900
-
Interim
In -Home Lev 1
15,764
15,499
(265)
In -Home Lev 2
78,003
77,641
(362)
In -Home Lev 3
113,769
112,768
(1,001)
207,536
205,908
(1,628)
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NAML AND ADDREY" llome and Community Care Block Grant for Older Adults
COMMI INI "1'y SI :RVI('I: PROVIDER DOA -732 (Rev. 4/14)
County Funding Plan County New I lanover
i?Iderhaus. file. July I, 2017 through ,[uric 30, 2018
1950 Amphiteater Dr. Provider Services Surnmary IREVISION # , DA "t'[; : 7/04
Wilmington. NC 2X401
Set D.Iwcry
Projected
Projected
Projected
Projected
(Check unc) Gluck Gr:un Funding
Required
Net*
NSIP
Focal
IICCBG
Reimburse
I ICCB(;
Total
Services
Local Match
Sety Cost
Subsidy
Funding
Units
Rate
Clients
Units
threw
t'u„h
Access
I11-1 Ionic
Other
"Total
Adult Dar Care
76602
1 \ \ \ \1\ \ \ \ \ \\ \ \ \ \1
8511
85113
85113
1344
03.3395
Adult Day I leuilh
22290
\ \\ \1111 \ \1\ \ \ \1V
2476
24756
24756
352
70.2497
I ransporialion- ADC
1768
\1\ \ \ \ \\ \ \ \1\1 \1 \\
196
1964
1964
1309
1.50
I ruisportatiun- ADI 1
2511
11 \ \ \1\ \ \ \ \ \\1 \ \1\
29
278
278
185
1.50
1 \U \1\\ \1\1 \11\ \1
0
(1
0
n =
o
o
SNOW
0
o
u
0
51 \\\ \11 \\1 \1 \ \ \ \\
0
0
n
I otal
11
98882 1
2018
100900 1
1 121 1
1 121 1 1
1)
1 121 1 1
3190.82538
1 \ \ \1t\\ \ \ \ \11
0
0
# Adull Da\ Care X Adult Day I Icalth C arc Nei Service Cost
ADC ADIIC
Daily C'arc 33.07 40.00 Certification ol'reyuired minimum local match availability. JN1 _INI Lto 7 5
Transportation Required local match \%ill he expended simultaneously Atrthm i:r,i 1..rn; ere Title bate
Administrative 30.27 30.24 with Block Grant funding. C'omm,�ni)'. ,ice E ovt 'r
Net tier. Cost "Total 63.34
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__71 qlql
Signature, County I:inancc Officer Date Signatue, Chairmat and of Commissioners 114e
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