Orange County NC Website
Browse       Search
DocuSign Envelope ID:871596FB-EB3F-4768-BC79-A5D9ADF74E87 <br /> outreach event that focuses on people who are aging and/or had disabilities <br /> other than mental illness. <br /> 2) Relay for Extra Help materials will be used at all outreach events. <br /> 3) Coordinate with both Orange County SHIIP sites and NC SHIIP to refer individuals who <br /> are likely eligible for LIS and MSP. <br /> 4) Enter Client Counseling Contact forms for individual counseling and Public& Media <br /> Outreach forms for outreach events monthly in the national SHIPtalk reporting system <br /> and provide TJAAA with reports. <br /> 5) Will continue to develop new partnerships for planning and conducting successful <br /> outreach events with OC SHIIP counselors and community organizations. <br /> 6) OC SHIIP counselors will encourage Medicare beneficiaries to participate in local <br /> disease prevention and wellness activities. <br /> 7) Monthly reporting forms for contracted activities and expenses incurred will be submitted <br /> electronically by the 10th of each month for the month prior to Susan Reed at <br /> susan.reeda-wakeaov.com. The final report of expenses incurred will be submitted by <br /> November 10, 2015. <br /> Attachment C <br /> Line Item Budget and Budget Narrative <br /> Using the budget line items listed below, please provide a budget and a short narrative on how <br /> you plan to spend the funding amount reflected in the agreement. Allowable expenses include <br /> telephone, postage, salary/stipends, equipment purchases, internet services, etc. New CMS <br /> regulations stipulate that federal dollars cannot be used to purchase food. If any of your <br /> outreach events include food, it must be paid for from other funds. Additionally, please note that <br /> indirect charges will not be allowed under this agreement. <br /> Subcontractor Name: Oran de Co6ntv `North Carolina <br /> Amount Requested: <br /> Budget Category A_ mount <br /> Contractual <br /> Page 8 of 12 <br />