Agenda - 08-17-1993 - VIII-F - Laserfiche WebLink

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22 State of North Carolina _ Division of Social Services Contract Application Page 3 of 8 II. Fiscal Provisions A. Amount of Reimbursement: • Reimbursement under the terms of this agreement will be limited to a maximum of: $ TOTAL = $ SSBG + $ IV-B + $ x,1,617.13 State + $ RAP + $ County + $20,882.87 Other (identify) : Federal (Optional: County funds consist of $ for (funding source) and $ for . ) (funding source) B. Method of Reimbursement: 1. For Purchase Contract (DSS-2497) Total and Unit Cost: (.)0 a. Reimbursement will be made in accordance with the current budget approved by the Department and on file with both parties. The amount of reimbursement will be based on allowable expenditures made in behalf of eligible clients, determined in accordance with acceptable cost allocation methods . The Provider will report all expenditures made under the terms of the contract. ( ) b. Reimbursement will be made at a unit cost rate of $ per unit of reimbursement delivered to eligible clients for an estimated number of units . The Provider will document total expenditures made under the terms of the contract to the Department within thirty days after the termination of this contract, or as instructed by the Department. Reimbursement which exceeds actual allowable cost will be adjusted to actual allowable cost. 2. For Vendor Agreements (DSS-2252). Fixed Rate Reimbursement will be based on: ( ) a. a standard fixed rate or ( ) b. an individual fixed rate. c. Reimbursement will be made at a fixed rate of $ per unit of (define) for an estimated number of units . Reimbursement will be based on the actual number of units delivered whether over or under the estimated number. If multiple components are being purchased, additional rates and units can be identified as follows: DSS-1292 (4/87) Family Services