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Home and Community Care Block Grant for Older Adults
<br />ORANGE COUNTY DAAS-732
<br /> County Funding Plan County: ORANGE
<br />PO Box 8181
<br />Provider Services Summary
<br />Budget Period:
<br />Revision #:
<br />July 2022 throu
<br />gh
<br />June 2023
<br />Hillsborough NC 27278 Dat
<br />e:
<br />
<br />
<br />
<br />
<br />
<br />
<br />Services
<br />
<br />Serv. Delivery
<br />A B C D E F G H I
<br />
<br />Block Grant Funding
<br />
<br />Required
<br />Local
<br />Match
<br />
<br />
<br />Net Service
<br />Cost
<br />
<br />
<br />NSIP
<br />Subsidy
<br />
<br />
<br />Total
<br />Funding
<br />
<br />Projected
<br />HCCBG
<br />Units
<br />
<br />Projected
<br />Reimburse
<br />Rate
<br />
<br />Proje
<br />cted
<br />HC
<br />
<br />
<br />Projected
<br />Total Units
<br />(Check One)
<br />
<br />Direct
<br />
<br />Purchase
<br />
<br />Access
<br />
<br />In-Home
<br />
<br />Other
<br />
<br />Total
<br />Senior Center Operation $ - $ - $ 102,580 $ 102,580 $ 11,398 $ 113,978 $ - $ 113,978 2,700
<br />Congregate Nutrition $ - $ - $ 214,168 $ 214,168 $ 23,796 $ 237,964 $ 18,400 $ 256,364 23,000 $ 10.3463 800 23,000
<br />Information & Case Assistance $ 263,713 $ - $ - $ 263,713 $ 29,301 $ 293,014 $ - $ 293,014 200
<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 $ - $ 20,184 $ - $ 20,184 $ 2,243 $ 22,427 $ - $ 22,427 374 $ 59.9652 2 374
<br />Adult Day Health $ - $ 40,000 $ - $ 40,000 $ 4,444 $ 44,444 $ - $ 44,444 684 $ 64.9766 4
<br />
<br />684
<br />0 $ - $ - $ - $ - $ - $ - $ - $ - - $ - -
<br />0 $ - $ - $ - $ - $ - $ - $ - $ - - $ - -
<br />0 $ - $ - $ - $ - $ - $ - $ - $ - - $ - -
<br />0 $ - $ - $ - $ - $ - $ - $ - $ - - $ - -
<br />0 $ - $ - $ - $ - $ - $ - $ - $ - - $ - -
<br />0 $ - $ - $ - $ - $ - $ - $ - $ - - $ - -
<br />0 $ - $ - $ - $ - $ - $ - $ - $ - - $ - -
<br />0 $ - $ - $ - $ - $ - $ - $ - $ - - $ - -
<br />
<br />Total $ 263,713 $ 176,325 $ 316,748 $ 756,786 $ 84,087 $ 840,873 $ 18,400 $ 859,273 266,020 3,710 266,020
<br />
<br />Certification of required minimum local match availability.
<br /> Required local match will be expended simultaneously
<br />with Block Grant Funding.
<br />Authorized Signature, Title Community
<br />Service Provider
<br /> Date
<br />
<br /> Signature, County Finance Officer Date Signature, County Manager Date
<br />
<br />DocuSign Envelope ID: 77B99AE1-C8D6-40A2-BBF0-532F9F8FCC22
<br />6/28/2022
<br />6/29/2022 6/29/2022
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