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L' <br />Page 10 of 12 11 <br />Based on expenditures reported for the first, second, and third <br />quarters, payments shall be adjusted either upward or downward, in <br />payments made on the 25th of the following months: <br />November February May <br />3. For departments selecting quarterly reimbursement option, payments shall <br />be made by the 25th of the month in which-the quarterly expenditure <br />report is received. <br />4. For departments receiving Rural Obstetrical Care Incentive funds, <br />payment of such funds shall be made in one lump sum the month following <br />receipt and approval of the activity budget. <br />5. For departments receiving Maternal Outreach project funds, payment will <br />be based on actual reported expenditures. Separate monthly payments <br />will be made provided that expenditure reports are received as required <br />in C. 4. h. <br />6. Food and lodging fees will be disbursed to the department in one sum the <br />month following receipt and approval of the activity budget and any <br />subsequent budget revisions. <br />7. Quarterly payment for reported expenditures in Line Item 1000 shall be <br />limited to one - fourth of the budgeted amount in that line item. <br />8. Increased or decreased payments necessitated by changes in the total <br />budgeted amount will be reflected in the monthly payments subsequent to <br />approval of the budget revision. <br />9. Payments shall be suspended when expenditure reports are not received by <br />the time specified. Payments will resume on the specified dates in the <br />months subsequent to receipt of the expenditure reports. <br />10. Payment is limited to the total amount of the budget by line item. <br />11. Final payments will be made based on the 4th quarter expenditure report. <br />Final payments will be equal to the difference between approved reported <br />expenditures and the sum of previous payments. Final payments should be <br />made not later than September 15th. <br />12. Transfer of Title XIX Fees <br />a. Upon receipt of Title XIX fees, transfer of such funds will be made <br />to departments participating in GMTS on the 15th of the month and <br />to departments not participating in GMTS on the 25th of the month. <br />b. When fees received exceed the amount shown by program in Activity <br />3109 an internal adjustment will be made to increase the amount <br />shown. <br />