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Consolidated Agreement-FY14 Page 8 of 23 <br /> ii Line item 102 on the Electronic Aid to Counties Website must be used to budget Title <br /> XIX Medicaid earned revenues for each program activity,if applicable. <br /> iii Line item 103 on the Electronic Aid to Counties Website must be used to budget other <br /> earned revenues(e.g.,Home Health fees,patient fees(cash), other insurance payments, <br /> and other grants and donations)for each program activity,if applicable. <br /> iv Line item 104 on the Electronic Aid to Counties Website must be used to budget Local <br /> funding associated with Teen Pregnancy activities,if applicable. <br /> v Line item 106 on the Electronic Aid to Counties Website must be used to budget Local <br /> funding for bioterrorism activities,if applicable. <br /> vi Line item 107 on the Electronic Aid to Counties Website must be used to budget <br /> Temporary Food Establishment(TFE)fees collected,if applicable. <br /> Note: LHD shall report Local expenditures in the appropriate category(e.g., 101, 102, <br /> 103, 104,or 106)in the ZZZZ line item in the Aid to County Database and TFE fees <br /> collected in Category 107 in the ZZZZ line item in the Aid to County Database. <br /> f. When reporting local expenditures(local appropriations,Medicaid or other earned revenues)the <br /> department must use the electronic Aid-to-Counties Website to report the pertinent month's actual <br /> expenditures. (NOTE that an"actual expenditure"is one for which the item has been ordered, <br /> received,invoiced and the check has been cut)or if the Agreement Addenda allows for drawing <br /> down funds based on number of individuals screened or provided services,the actual number <br /> screened or served multiplied by the per capita rate specified in the Agreement Addenda. The <br /> Expenditure Reports must be submitted monthly in the electronic Website format and certified in <br /> the website to the DHHS Controller's Office. <br /> 1) Line item 101 on the Electronic Aid-to-Counties Website must be used to report local <br /> appropriations that were expended on a monthly basis. <br /> 2) Line item 102 on the Electronic Aid-to-Counties Website must be used to report Title XIX <br /> (Medicaid) earned revenues that were expended on a monthly basis. <br /> 3) Line item 103 on the Electronic Aid-to-Counties Website must be used to report other <br /> earned revenues that were expended on a monthly basis. <br /> 4) Local funding for Teen Pregnancy Prevention Initiatives(104)and Bioterrorism(106)must <br /> be reported on the Electronic Aid-to-Counties Website on a monthly basis. <br /> 5) Line item 107 must be used to report Temporary Food Establishment fees collected on a <br /> monthly basis. <br /> g. A local account shall be maintained for.unexpended earned revenues [i.e.,Title XIX fees, <br /> private insurance or private pay {cash}]. Accounts shall be maintained in sufficient detail to <br /> identify the program source generating the fees. <br /> h. The amount of Title XIX fees.budgeted and expended in FY 2013-2014 must equal or exceed <br /> the amount of Title XIX revenues earned during FY 2012-2013. The state will not approve <br /> program activity budgets that do not include an amount of Title X M fees sufficient to meet the <br /> requirements of this section. The State may waive this requirement if the Department provides <br /> sufficient justification. <br />