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12 <br /> TO: County Budget Office <br /> From: Jerry ��J <br /> rry M. F'assmor� A ing Director <br /> Date: December 19, 1 . 89 <br /> Re: DOA Budget Amendment #1 to incorporate State Medicaid Funds <br /> for DOA Case Management Services. <br /> This is to request Dept. on Aging budget amendment #1 to include <br /> the state Medicaid reimbursement funds anticipated from Provider <br /> Agreement for Case Management service to State Community Alternatives <br /> Program and additional required expenditures. This service is <br /> coordinated with the DOA Care Management funded with OAA Title III-B <br /> funds. Thus, DOA bills the appropriate agency (COG- Title III or <br /> EDS- Medicaid) depending on the clients situation and funding source <br /> requirements. DOA is reimbursed by EDS at $95 per initial assessment <br /> and $4 : per Case management hour. DOA Director monitors closely the <br /> reimbursement revenue in order to cover all additional expenses. <br /> See attached signed provider agreement. <br /> Please establish 'the following Revenue account and amount for tracking <br /> separate state fund program income. <br /> Rev. Acct. Tax Acct. Description <br /> Incr. Amount <br /> XAG-17 St. Medicaid Reimb. (Case Mgt ) in <br /> , 180 <br /> Total $ 10, 180 <br /> Please distribute the $10, 180 in the following expenditure accounts. <br /> Acct Number Description Incr. Amount <br /> 10-675-(x)10 DOA Care Mgt. -Temp Pers r <br /> 1 0-475-005x0 DOA Care Mgt. -Soc. Security J 428 <br /> 10-675-10e:)} DOA Care Mgt. -F'ersonal_.Mi loge 820 <br /> 10-675-18(:)1 DOA Care Mgt. -Printing <br /> 10-675-2201 DOA Care Mgt. -Prof. Contract Services 1 , 000 <br /> 10-675-7401 DOA Care Mgt. -Capital , Equip. <br /> 1 , 649 <br /> Total $ 10, 180 <br /> FN: BudAmenl . Doc <br />