2009-060 Health - State of NC Health Dept

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Co~pliatle~ AoeeaeM . Fir1 Page 7 of 19 a. The Department shall do budget revisions to their Local Appropriation budgets when appropriations will be increased a decreased and enter that information in the Electronic Aid to Counties Website. 3 (Local Earned Revenues) The Department shalt observe the following conditions when budgeting and reporting earned revenues: a. Locally appropriated funds may not be supplanted by earned revenues from persons, or public or private third party payers. b. AU earned revenue (officially classified as local limds) must be budgeted and apart in the program that earned it except, I) Revenue generated by WCH Suction Programs, except WIC, may be budgeted and expended (consequently reported) in any WCH Section Program activity. 2) Revenue generated by a local clinic or program that has no state funded activity budgd (no state/federal funds) should be budgeted and associated expenditures reported in a state program - activity that most closely matches the deliverables of the respective state program. This process will arable the collection of total expenditures in public health per program. a All foes collected shall be umd in the current year or succeeding fiscal years d. Use of program i~omc generated by the expenditure of Federal categorical funds will be governed by applicable Federal regulations. including, but not limited to, 45 CFR 4. e. Local Budgets for DHHS Reporting. 1) After preparing Local Budgets you must uae the Allocatwe/County Lme on the Electronic Aid to Counties Websile w show the approved local funding. Line item 101 on the Electronic Aid to Counties Website must be used to budgd local appropriations for each program activity, if applicable. ii Line item 102 on the Electronic Aid to Counties Website must be used to budgd TXIX Medicaid earned r+avarues for each program activity, if applicable. iii Linc item 103 on the Electronic Aid to Counties Website must be used to budgd other earned revenues (e.g., Home Health fees, patient fees (cash), other insurance payrnwts, and other grants and donations) for each program activity, if applicable. 2) When preparing DENR Program Budgets: i Line item 9000 on the program budget form must be used to budget the total of lines !01,102, and 103. ii Line item 101 on the program budget form must be used to budget local County appropriations for each program budget, if applicable. iii Line item 102 on the program budgd form is to be used to budget TXIX Medicaid earned revenues fw each program budgd. However, eaviroomental bcslth programs should not have any Medicaid to budgd. iv Lme item 103 ar the program budgd form must be used to budgd other earned revenues (e.g., Environmental Health Fees, grants, donations, de.) for each program, if applicable. v Under "STATE/FEDERAL/SPECIAL FUNDS" a new line has been added to reflect the amount of "Temporary Food F.stablishmeai (7'FE)" fees collected rot behalf of the State.