Home and Community Care Block Grant for Older Adults
<br />DAAS-732
<br /> County Funding Plan County:
<br />July 2021 through June 2022
<br /> Provider Services Summary Date:
<br />B C D E F G H I
<br />Block Grant Funding
<br />Services Direct Purchase Access In-Home Other Total
<br />Senior Center Operation -$ -$ 101,494$ 101,494$ 11,277$ 112,771$ -$ 112,771$ 205,000 0.5501$ 2,700 205,000
<br />HDM to Congregate Clients/Delivery/Carry Out -$ 144,142$ -$ 144,142$ 16,016$ 160,158$ -$ 160,158$ 21,000 7.6266$ 800 21,000
<br />Information & Case Assistance 267,688$ -$ -$ 267,688$ 29,743$ 297,431$ -$ 297,431$ - -$ 1,000 -
<br />In-Home Aide-Level II - Personal Care -$ 116,141$ -$ 116,141$ 12,905$ 129,046$ -$ 129,046$ 8,962 14.3992$ 10 8,962
<br />Adult Day Care -$ 10,000$ -$ 10,000$ 1,111$ 11,111$ -$ 11,111$ 302 36.7914$ 302 302
<br />Adult Day Health -$ 50,184$ -$ 50,184$ 5,576$ 55,760$ -$ 55,760$ 1,302 42.8264$ 1,302 1,302
<br />0 -$ -$ -$ -$ -$ -$ -$ -$ - -$ -
<br />0 -$ -$ -$ -$ -$ -$ -$ -$ - -$ -
<br />0 -$ -$ -$ -$ -$ -$ -$ -$ - -$ -
<br />0 -$ -$ -$ -$ -$ -$ -$ -$ - -$ -
<br />0 -$ -$ -$ -$ -$ -$ -$ -$ - -$ -
<br />0 -$ -$ -$ -$ -$ -$ -$ -$ - -$ -
<br />0 -$ -$ -$ -$ -$ -$ -$ -$ - -$ -
<br />0 -$ -$ -$ -$ -$ -$ -$ -$ - -$ -
<br />Total 267,688$ 320,467$ 101,494$ 689,649$ 76,628$ 766,277$ -$ 766,277$ 236,566 6,114 236,566
<br />ADHC
<br />Daily Care 40.00$ Certification of required minimum local match availability.
<br />Administrative Required local match will be expended simultaneously Authorized Signature, Title Date
<br />with Block Grant Funding.Community Service Provider
<br />Proj. Reimbursement Rate 40.00$
<br />Administrative %0.00%
<br />Signature, County Finance Officer Date Signature, County Manager Date
<br />0.00%
<br />Projected
<br />HCCBG
<br />Units
<br />Projected
<br />Reimburse
<br />Rate*
<br />Projected
<br />HCCBG
<br />Clients
<br />Projected
<br />Total Units
<br />Required
<br />Local
<br />Match
<br />Net Service
<br />Cost
<br />NSIP
<br />Subsidy
<br />Total
<br />Funding
<br />$33.07
<br />Orange County
<br />PO Box 8181
<br />Hillsborough NC 27278
<br />Orange
<br />Budget Period:
<br />Revision #:
<br />A
<br />(Check One)
<br />Serv. Delivery
<br />ADC
<br />$33.07
<br />*Adult Day Care & Adult Day Health Care Proj. Service Cost/Rate
<br />DocuSign Envelope ID: 16A1D963-40F9-46F1-A38B-8B0D62C87C54
<br />7/28/2021
<br />8/4/2021 8/4/2021
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