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APPLICATION <br />MATERNAL AND INFANT OUTREACH PROJECT <br />Department of Environment, Health and Natural Resources <br />Division of Maternal and Child Health <br />Applicant Agency. <br />ORANGE COUNTY HEALTH DEPARTMENT <br />Telephone Number. ( 91 � 732-8181 County. ORANGE <br />"txz . <br />D Daniel B. Reimer P ject Director. Eileen C. Kugler <br />1. BUDGET JUSTIFICATION <br />a. Medicaid births in the county during FY 1991 <br />(Refer to Attachment II.) <br />5 <br />b. Using your response to question a. and the chart below, determine the number <br />of full time equivalencies you can justify and the corresponding level of <br />funding requested. <br />#FTE(s) <br />2 <br />Amount Requested $ 46,032 <br />Maternal Outreach Worker <br /># Medicaid Births <br /># Families Served <br />Amount * <br />Frill Time Equivalency (FTE) <br />During FY 1991 <br />Annually by MOW (s) <br />Requested <br />112 <br />[125 <br />25 <br />$ 11,508 <br />1 <br />125 <br />50 <br />$ 23,016 <br />2 <br />250 <br />100 <br />46,032 <br />3 <br />375 <br />150 <br />69,048 <br />4 <br />500 <br />200 <br />92,064 <br />c. Identify the name and title of the person who will be designated as the <br />supervisor for the Baby hove MOW (s) . (If a new position will be established <br />to handle these functions, please indicate as such.) <br />Name of Person Supervising MOW(5)Lynne Mason, MSW Carla Weinteld,MSW,MPF <br />Title of Person Supervising MOW(s)Pub zc Health Social Perinatal Prog . Coon <br />Work Uoordinator/MCC MCC <br />d. As a aandition of this grant, the local p=ject agency will provide .15 full <br />time equivalency (FTE) of a supervisor per each Baby Love MOW. Using the <br />chart below, indicate the extent of your required in -kind contribution of <br />supervisory time for this project. (Please note that this must be <br />cansistent with the number of Baby Love Maternal Outreach Worker positions <br />requested in question 1 b.) <br />Supervisor Full Time Equivalency . 3 0 Approximate # Hours /Week 12 <br /># of Maternal Outreach Supervisor Full Time Approximate # <br />Workers Requested Equivalency (FTE) Hours /Week <br />1/2 .15 6 <br />1 .15 6 <br />2 .3 0 12 <br />3 .45 18 <br />4 .60 24 <br />*Includes salary, fringe, MOW travel, and transportation far project participants. <br />This represents the annualized amount, half of which will be awarded for the period <br />January 1 - June 30, 1992. <br />