Orange County NC Website
<br /> 3 <br />o Reason for call/visit <br />o Age <br />o CNDS ID <br />o Referral Source <br />o County of residence <br />o Insurance <br />o Arrival date/time <br />o Discharge date/time <br />o Disposition <br />o IVC Initiation <br />o Need for transport to an ED (medical vs acuity) <br /> <br /> <br />A quarterly report will be provided to DMHDDSUS outlining the progress toward operations of the <br />service. Reports to include summary of <br />o Programmatic design planning <br />o Programmatic updates (staffing, operations, contracting etc.) <br />o Risks/barriers <br /> <br />Quarterly reports are expected to be delivered to DMHDDSUS by the 15th of the Month following the <br />quarter <br />Quarter 1: July – September, Due October 15th <br />Quarter 2: October – December, Due January 15th <br />Quarter 3: January – March, Due April 15th <br />Quarter 4: April – June, Due July 15 <br />Annual Report Due August 15 <br /> <br /> <br /> <br />FUND ALLOCATION: <br /> <br /> <br />NCFS: <br /> <br />Agency Budget <br />Fund <br />Account Agency <br />Mgmt <br />Unit <br />(AMU) <br />Agency <br />Program <br />Funding <br />Source <br />Project Amount <br />3000 134604 56900100 30TB183 300003B 2000 2000400000 $579,500 <br /> <br /> <br />Please do not hesitate to contact Lisa DeCiantis at lisa.deciantis@dhhs.nc.gov or 984-236-5059 <br />regarding any questions or concerns about this allocation. <br /> <br />cc: Tailored Plan Finance Officer <br />DMHDDSUS Business and Financial Operations Team <br />DMHDDSUS Executive Leadership Team <br /> <br /><br />                <br />Docusign Envelope ID: A4374658-8DD0-496B-9EC6-BB9E582C46B8