HomeMy WebLinkAbout20043358.tiff RESOLUTION
RE: APPROVE TITLE III AND VII ANNUAL GRANT APPLICATION FOR AREA AGENCY ON
AGING PROGRAMS AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS,the Board has been presented with a Title III and VII Annual Grant Application
for Area Agency on Aging Programs between the County of Weld,State of Colorado,by and through
the Board of County Commissioners of Weld County, on behalf of the Department of Human
Services, Area Agency on Aging, and the Colorado Department of Health and Human Services,
commencing January 1, 2005, and ending December31, 2005,with further terms and conditions
being as stated in said application, and
WHEREAS,after review,the Board deems it advisable to approve said application,a copy
of which is attached hereto and incorporated herein by reference.
NOW,THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Title III and VII Annual Grant Application for area Agency on Aging
Programs between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Human Services,Area Agency on
Aging, and the Colorado Department of Health and Human Services be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said application.
The above and foregoing Resolution was, on motion duly made and seconded,adopted by
the following vote on the 22nd day of November, A.D., 2004.
BOARD OF COUNTY COMMISSIONERS
WE k.OLORA%
DO
4..' 7-1 fkl -44.O """" Robert D. Masden, Chair
T:146lerk to the Board
c
r
William H. J e, Pro-Tem
lerk to the Board PC
1/4 QX-113. M. J. eile
APPROV AS TO FO
EXCUSED
David E. Long
10-6A
County A ney A-A� V
Glenn Vaad
Date of signature: /c2 ".._177'
2004-3358
HR0075
(ja : hiS ( 26.1_,-;4 5 /,,I -O 9 -- 9y
a
MEMORANDUM
iDATE: November 12, 2004
TO: Robert Masden, Chair, Weld County Board of Commissioners
VIED
0 FROM:Walter Speckman, Executive Director, Division of Human !
COLORADO Services
SUBJECT: Weld County Area Agency on Aging Federal Fiscal Year
2005
Enclosed for Board approval is the 2005 Federal Funding for Senior Services Budget for the
Weld County Area Agency on Aging. The total budget for fiscal year 2005 (January 1, 2005
through December 31, 2005) is $523,953. These dollars fund programs such as: the long term
care ombudsman program, congregate meals, home delivered meals, in-home services, legal
program, Hispanic Senior Outreach, adult day programs, etc.
If you have additional questions, please contact Eva Jewell, Director,Weld County Area Agency on
Aging at 353-3800, extension 3331.
2004-3358
Title III an VII Annual Grant Application
Application and Planning Form
REGION 2B
Weld County Area Agency On Aging Northern Region
Cdh Linking People to
• HO
Colorado Department of Human Services l ,4
people who help people Independent Living Services
Calendar Year: 2005
These forms constitute a request for Title II! and Title VII Aging Services Grant Funds.
I agree that I have reviewed the information in each of the attached worksheets (including attachments 'A'through 'E'), and
verify that the grant application reflects an accurate projection of services provided through the Older Americans Act
SIGNATURE: SIGNATURE:
..a7"-) ? ; //C./22-72 / 'i '. / rn l(`( 2
DIRECT DATE CH AI P S DATE:
AREA A E CY ON AGING
Y COUNCIL
Chairman, Board of County Commissioners
NOV 2 2 ' isa
ATTEST: utedealia 1851t$66f)Vtr,
WELD CO 7Y CLERK TOT BOARDfik y
BY: �'��` acog-667
DEPUTY CLERK TO THE BOARD--
2005 TITLE III AWARD REQUEST
Region 2B
Grant Award# 02B-88
Revision # 0
Date 9/17/2004
Grant Application Period: from January 1, 2005 to December 31, 2005
Transfer Request NOGA Award
Potential Award Request
ADMINISTRATION
ADMIN CARRYOVER $ - $ -
ADMIN NEW ALLOC (FFY05) $ 53,385 $ 53,385
TOTAL ADMIN $,,,/,;,,,I.,1,1sy 153
�.‘ ',tit ': 53,3851'..
SERVICES
PART B REALLOCATED (FFY04) $ 1,618 $ 1,618
PART B NEW ALLOC (FFY05) $ 171,835 $ 44,105 $ 215,940
PART C1 REALLOCATED (FFY04) $ 3,780 $ 3,780
PART C1 NEW ALLOC (FFY05) $ 174,756 $ 16,792 $ 191,548
PART C2 REALLOCATED (FFY04) $ 637 $ 637
PART C2 NEW ALLOC (FFY05) $ 91 ,260 $ (60,897) $ 30,363
tea„ . . ,
: . , . tP7 ,; is • #1,,I � i ' °`'.-,,» 1, .a, ,Dom;
PART D REALLOCATED (FFY04) $ 77 $ 77
PART D NEW ALLOC (FFY05) $ 12,570 $ 12,570
t4:. ! 'iAA 6 4 ,7 4{ fgijn, ',': v'l a;. 6!47
NA $ - $ -
4A , g 1 "rn ` l$gta„`:,,l 'a` 1' rdi . 1 $ `#err u/C{i• ',';;t � z £ 1 +,r;r� "
PART E REALLOCATED (FFY04) $ 480 $ 480
PART E NEW ALLOC (FFY05) $ 66,940 $ 66,940
TOTAL PART CC, `14, ;�'
,.rKCs n,,. �ti . l�, s la Jr. 'Afi:.,"r f'E„X i ..t 110.1
TOTAL SVC CARRYOVER `$11 ,t s' i�t 1f 1 ,
a r �hW�a��t(6�5g.2'�� r�,n�.Y+t W,,,;' 6;592`;
TOTAL SVC. NEW ALLOC ITitiat,00114 $7:„ r 51 ;361
TOTAL SERVICES $`• ..:r. ;523,953 $,xra'y. •. .' ,.. #" -"*, I 523;953
Title VII Award Request
■ . Total Programmatic Programmatic
Award Transfer Total
EAP CARRYOVER $ - $ - $ -
EAP NEW ALLOC (FFY05) $ 1,928 $ - $ 1,928
® a 1, 7, , C
S4 w.. .��� ° ` T '',I;,',,,,.jnrr.,)2:11)OV, 5 '1,1 1 « i 1:'?•" tI.g),,qi. 7s rnll71T'
LTC OMB CARRYOVER $ — $ — $ _
LTC OMB NEW ALLO (FFY05) $ 5,258 $ - $ 5,258
To i .
,+ Y
0 ,,.- [ S7 0: ;1 .',ifs e₹L.s y Yr ' " sI •'' ' ' .I
TOTAL TITLE VII $ '` 7,186 .$ ,''',v i','- '$ 7;186':
Annual Grant Application (AAS 200)
Budget Summary (NOGA 2003)
Region: 28
Fiscal Year 2005
Revision# 0
TITLE III
TOTAL SERVICES BUDGET:
Section 6: TITLE III PROGRAM INCOME LOCAL CASH LOCAL IN-KIND OTHER MATCH TOTAL BUDGET
PART B $ 217,558 $: -- - _ -.60,000 $ '192,500 $ : -=:: 69.000 $'. -- 4. =: $ 539,058
PART C-1 $ 195,328 $ . ': :188;850_:-.$'-':-:: $. w>z `.$-•:;_"•:': r. -- $ 384,178
PART C-2 $ 31,000 $ '35,000 ,t.': $ . . .t X4;360 $-;',..t-',: `. : $ 70,360
PART D $ ..; $ 12,647
Other Federal $ - '$ - $ - $ . $-. .. $ -
PART E $ 67,420 $ - $ 16,017 $ - $ 6,456 $ 89,893
TOTAL SERVICES: $ 523,953 $ 283,850 $ 205.517 $ 73,360 $ 6,456 $ 1,096,136
TOTAL ADMINISTRATIVE BUDGET:
TITLE III PROGRAM INCOME LOCAL CASH LOCAL IN-KIND NA TOTAL BUDGET
_
ADMINISTRATION $ 53,385 t? .�Ft;L $ 12.351 $ 5,444 $ 71,180
i,,,,...-, y Yt - r ites _r ra;g1�._ -1 � i-' --- Yt a - .1.1 1 1.1 11 =."� i3��' � it � 1 - y.W.tt r1r`v StS` :`Y
•� sr� ��.F.csK e ��ik3J��-.F•,� �,1s7:�:.-.+..C. �,�1 .--��- �3.tr-tt�k+1�.�:3'`.+.a��� -i��, -.e,�t:..�in�—a'-'"�,yy"�.� a ;.r if.
TITLE VII LOCAL CASH LOCAL IN-KIND NA TOTAL BUDGET
ELDER ABUSE PREY. $ 1,928 $ - -: .$ _c,----..•-r-::--:•:;•_,.;'. ` 646 :; - . $ 2,574
OMBUDSMAN $ 5,258 $. • $. 1,750 .: $ 7,008
ITOTAL TITLE VII $ 7,186 -1 ,, _,- :.. '. , =.! $ $ 2,396 $ 9,582
•Per Volume 10 the required match for Title VII funds in 25%of total cost.(Federal S's!3)
Title III Match Requirement Title VII Match Requirement
Part B.C and D Match Required $ 50,726 l,taich Required $ 2,395
Actual Match $ 265,860 Actual Match $ 2,396
Over/Under Match $215,134 OverllJnderMatch $1
Part E Match Required $ 22,473
• Actual Match $ 22,473
Over/Under Match $0
Annual Grant Application(A'NS 240)
I
Attachment A
TRANSFER (B, Cl AND C2) REQUEST
Weld County Area Agency On Aging Northern Region
Region
2B
THIS WAVIER IS NOT REQUIRED!
Per amendments to the OAA of 2000, a statement of intent and justification for transfers budgeted
between Parts B, C-1, and C-2 (which exceed the allowable percentage of transfers) is required.
Note: Please indicate with brackets()those percentages which
SERVICE 30.00% Transfer are decreased.
PartBtoC I NA I
TOTAL FUNDS TRANSFERRED. From: NA To: NA
JUSTIFICATION FOR WAIVER COMPLETE:
Part C to B I NA
TOTAL FUNDS TRANSFERRED: From: NA To: NA
JUSTIFICATION FOR WAIVER:
Part Cl to C2 I NA
TOTAL FUNDS TRANSFERRED: From: NA To: NA
JUSTIFICATION FOR WAIVER:
Part C2 to C1 I NA
TOTAL FUNDS TRANSFERRED: From: NA To: NA
JUSTIFICATION FOR WAIVER:
ATTACHMENT B
Request for Use of Part B Funds
for Advocacy, Coordination,
and/or Program Development
Weld County Area Agency On Aging Northern Region
Region
2B
Per amendments to the OAA of 2000, a statement of intent and justification for use of Part B funds
for Advocacy, Coordination, and/or Program Development is required.
Service Usage Note: Please indicate with brackets ( )those percentages
Percentage which are decreased.
Part B 4.36%
Advocacy
Coordination 0.00%
Program Development 0.00%
JUSTIFICATION FOR USE OF PART P FUNDS FOR ADVOCACY,COORDINATION,AND/OR PROGRAM
DEVELOPMENT:
ATTACHMENT C
ADVISORY COUNCIL REVIEW
Weld County Area Agency On Aging Northern Region
Region
2B
The Area Agency on Aging Advisory Council has had the opportunity to review and
comment on the following items in the annual plan. (Comments are attached).
1. Statement of intent and justification for transfers budgeted between Parts B, C-1,
and C-2,which exceed the allowable percentage of transfers.
2. Statement of intent and justification for use of Part B funds for Advocacy,
Coordination, and/or Program Development, which exceed the allowable
percentage of transfers.
3. Request for waiver for the Area Agency on Aging to provide direct services.
4. Request for waiver to required support services percentages, which vary from the
allowable percentages.
(Access Services, 25%,In-Home Services, 15%and Legal Services, 3%).
5. Use of Federal and State funds to increase Program Services to the elderly.
ATTACHMENT f)
DIRECT SERVICE WAIVER REQUEST
Weid County Area Agency On Aging Northern Region
Region
28
Per,Direct Provision of Services, in accordance with Volume 10, Section 10.235 A through
10.240 C. 2. We hereby request approval of a Waiver to provide the direct services listed
below.
1. Legal Program
2. Caregiver Program
3. Health Promotion
4.
5.
6.
The Area Agency on Aging is responsible for insuring that all attachments covering the
requirements in Volume 10, Section 10.235 A through 10.240 C. 2, are included with this
Waiver Request.
Additionally,please attach documents describing fully the direct service to be provided to
include organizational structure and planned methods of program services delivery. Entitle
these sheets as "Direct Service Program Description".
PLEASE NOTE: If the Waiver Request is incomplete,this may result in a delay of the
approval of the Annual Plan.
Family Caregiver Coordinator Position (Part E)
The position continues to focus on linking family caregivers with existing services
and providing them with road map to senior and other community services. In
addition, the coordinator provides training opportunities, and maintains a respite
voucher program.
We believe the coordinator position will have the greatest chance to flourish and
be cost effect if housed within the Area Agency on Aging. The coordinator has
the benefit of working closely with our other in-house programs such as legal
assistance, the long term care ombudsman, dental, nutrition and Options for
Long Term Care. These programs have historically worked with seniors and
their caregivers and will continue to provide key caregiver services. The Area
Agency on Aging will work collaboratively with other community agencies that
provide direct caregiver services and will explore providing funding to these
agencies if appropriate and financially feasible. In addition, the Area Agency on
Aging Advisory Board continues to strongly support the current in-house
program.
Legal Services Position (Part B)
For many years we have provided paralegal services directly out of the Weld
County Area Agency on Aging and have worked with an attorney (under contract)
to support the paralegal as needed. The paralegal works closely with community
agencies and has regular contact with key senior centers throughout the county.
The program continues to be cost effective.
Health Promotion (Part D)
For six years the Weld County Area Agency on Aging has been a major
sponsored of the Weld County Senior Health Fair. The AAA works actively with
the Health Fair committee. The committee is comprised of many community
agencies and key community volunteers. Part D funds help support this effort by
providing staff time and other supportive services such as bone density
screening .
In addition, we are starting an educational outreach program that will address
issue such as medication compliance, medication interactions, nutrition and
medication etc. These programs will be presented by the MA staff (RN, RC etc)
at all the senior centers. We will also explore the possibility of providing these
programs to other key groups in the community.
ATTACHMENT E
NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM
REPORT ON PLANNED SERVICES
Weld County Area Agency On Aging Northern Region Region: 2B
1. Provide a detailed description of direct and/or indirect services offered in your region.
Include details as to provision of each service listed below(indicate N/A for those not
implemented):
A. Information to Caregivers
The Family Caregiver Coordinator and the Grandparent Raising Grandchildren Coordinator
will continue to provide information to caregivers by one on one contact, service information,
trainings, technical assistance, etc.
B. Assistance to Caregivers
The Family Caregiver Coordinator and the Grandparent Raising Grandchildren Coordinator
will continue to provide training/confernces and assitance opportunities through out the year.
C. Individual Counselina or Training for Caregivers
D. Respite Care for Caregivers
IThe Respite Voucher Program will continue to provide services for caregivers caring for
seniors.
E. Supplemental Services: (include types of supplemental services)(Limited to 20%)
We will provide limited assistance with material aide items.
F. Grand Parenting Program (Limited to 10%)
See Above For Program comments
2. List the agencies with which you are collaborating within your PSA. Include a
description as to the nature of this collaboration and a statement as to efforts to
prevent duplication of services with these agencies.
The staff works closely will all of our major home health care agencies(RVNA, Banner, Home
Instead, Caring Heart, CompleteHome Care, etc)and all of our key senior service agencies
(Eldergarden Adult Day, Catholic Charities Northern, Meals on Wheels, etc)and other
governmental agencies such as the Department of Social Services. In order not to duplicate
services provided to individuals, the staff reviews each caregiver referral carefully through the
intake process to determine the client's needs and what services apppear appropriate and not
intake process to determine the client's needs and what services apppear appropriate and not
dupulicative.
ATTACHMENT F
USE OF FUNDS WAIVER REQUEST
Weld County Area Agency On Aging Northern Region
Region
2B
Per, Restrictions On Use Of Funds, Volume 10, Section 10.413 B.3, we request approval of a
Waiver for the following services to the indicated percentage(s):
SERVICE TARGET PLANNED SHORTAGE
,ACCESS 25.00% 10.34% -14.66%
'JUSTIFICATION FOR WAIVER:
JUSTIFICATION FOR WAIVER'We are not meeting the 25%guideline because we opted many years ago not to fund the senior transportation
program but rather support the county's efforts in locating other funding sources for senior transportation Our transportation program is currently being
supported nv community service block Grants and CDOT/FTA daliars. In addition,due to ongoing legal needs expressed by our senior community we
have supported an in-house paralegal program and have purchased attorney services as needed from a local attorney. This aliows us to provide
information regarding many legal issues that seniors are facing and giving us the opponunity to provide actual hands on assistance ranter titer,just
referral information This program has been very cost effective and accessible to seniors through out the county.In addition.we are funding an in-house
information and referral program and contract with Catholic Cnarities Northern for Hispanic senior outreach services Therefore,we have opted to limited
our funding for access services to 20.52%.
,IN-HOME SERVICES 15,00% 9.73% -5.27%
JUSTIFICATION FOR WAIVER:
We are currently funding homemaker and personal care services through RVNA Home Care Services.
Based on focus group information, advisory board feedback and the 1998 needs survey we continue to
have a clear need for adult day care services (Eldergarden Adult Day Care)and senior peer counseling
program (North Range Behavioral Health). In order to meet these two significant needs we have opted to
limit our funding for in—home services to 9.73%.
LEGAL SERVICES 3.00% 19.57% NA
JUSTIFICATION FOR WAIVER:
I
Annual Title III and VII Grant Application Calendar Year: 2005
Weld County Area Agency On Aging Northern Region Region: 2B
Registered Client Demographics
Total Undup. Undup. Undup.Low- Undup. Undup. PSA%Low PSA% PSA% le I " 1'e 'g t% v %Dill.Low %Dill. %Difference
Clients Low-Income Income Minority Rural Disabled Inc. Minority Rural Disabled rl ., rag 0d„ . Inc. Minority Rural Disabled
Previous Year(2003) 8623 1065 238 7180 432 200% 30.00% 40,00% em094 Dxi.✓n 0.76% 53,27% -34.99%
Projected Targets(2004) 5000 2000 120 1200 450 2.00% 30.00% 40.00% Mao SOMA, 9i00%Qa 0.40% -6.00% -31.00%
Service Delivery and Projected Cost
Total Clients/Units Cost Projection By Funding Source Budget Computations
Total Aggregate Fed/State Other/ Program Local Total Average Average
tlUste'snOne-- _ .' Total Units Undup.Clients Persons Part B Part C-1 Part C-2 Part D Federal Income Cash In-kind NSIP(USDA) Cost Unit Cost Per Client
Personal Care 350 20 10,587 0 0 0 3,000 13,587 38.82 679.35
Homemaker 1,000 50''.. 10,588 0 0 0 3,000 13,588 13.588 271.76
Chore 0 0 0 0 0 0 0; ,; 0 0 0
Home Delivered Meals 16,500 115 I 31,000 0 35,000 0 4,360 12,600 70,360 4.264242424 611.826087
Adult Day Care 9,000 45 25,000 - 0 60,000 95,000 34,000 214,000 23.77777778 4755.555556
Case Management 1 1 I 1 1 1 1 1 1 1
m
Congregate Meals 70,000 1,700 �.. { 0 188850 0 0 48,346 377226 5.388942857 221.8976471
Nutntion Counseling 50 50 i 0 0 0 1 1 1 I 4,635 92.7 92.7
Assisted Transportation 0 0 0 0 1 1 1 •
. 1 1 0
illste'Y'; '$ s.,.. ,".w *^,_.,_.... -"If -=' m..,.e1'?"-''' 1....-1OM44 *'$ r e :.er•; •.ffi" '*h q :::liPierlbettr t.�. le?"; ... ita,'k3,,,,, -..s-,7:-,-,-,;,,,,.1..,-..:-..k---- -,--..
Transportation 0 0 0 0 ) 0 0 0 0 0 0 0
Legal Assistance 900 j 330 42,583 0 0 500 12,000 55,083 61.20333333 166.9181818
Nutrition Education 46 0 2,500 0 0 0 0 0 0 2,317 50.36956522 0.9268
Information&Assistance 0 0 0 0 0 0 0 0 0 0 0 0
Outreach 400 60 150 22,500 0 0 0 0 0 17,000 0 39,500 98.75 188.0952381
Atherservlces.»k=. x ,,.m,_, , `Fixi __ f ' e4II_ ' , ttIa.E „w .,._ -z- . . a.. t, f: . 'r., - .- , II ,'4,-."'";:•-,---.---', m ,;zlz;x -
Counseling 2,500 0 130 33,000 0 0 0 0 0 80,000 17,000 130,000 52 1000
Education 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Health Promotion 100 0 500 0 0 0 12,647 0 0 0 0 12,647 126.47 25.294
Institutional Respite 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ombudsman Activities 3,600 _ 1,600 63,822 0 0 0 0 0 0_ 0' 63,822 17.72833333 39.88875
Screening 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Material Aid 0 0 0 0 0 0 0 0 0 0 0: 1 0 0 0
Reassurance 0 0 0 0 0 0 0 0 0 0 0, „1 0 0 0
Total 1 o4,446Millialli 5,210 208,080 195,3281 31,000 12,647 0 283,850 192,500 73,360 60,946 996,765
National Family Caregiver Services (Part E)
Total Caregiver Clients/Units Cost Projections by Funding Source Budget Computations
Total Aggregate Fed/State Program Local Other Other Total Percent Percent Unit Total
Service Category Total Units Undup.Clients Persons Part E Income Cash In-kind Match Federal Funding Grandparent Funding Cost Match
Information to Caregivers 60 0 600 6,742 0, 0 0 0 0 6,742 '0.00% 7.500% 112.37 0
Assistance to Caregivers 175 0 175 36,080 0 0 0 0 0 36,080 -..0.00% 40.137% 206.17 0
Individual Counseling 0 0 0 0 0 0 0 0 0 0 -, 0.00% 0.000% 0.00 0
Respite Care 3,000 50 0 24,098 0 16,017 0 6,456 0 46,571 .'.0.00% 51.807% 15.52_ 22,473
Supplemental Services 3 3 0 500 0 0 0 0 0 500 ,'0,00% 0.556% 166.67 0
Total 3,238 53 775 67,420 0 16,017 0 6,456 0 89,893
Annual Grant Application(AAS 230)
I
Other Operations Activities Budget
National Family Caregiver, Part E (Other Operation Activities)
Cost Projection By Funding Source Budget Computations
Fed/State Program Local Other Total Percent Total
Operation Category ' =- -5 :. a Part E Income Cash In-kind Match Funding Funding Match
Program'y Development(Survey and Needs Analysis) 0 0 0 0 0.000% 0
YAW v�V-Fay-` ',' + t
'a a r-
Capital Expenditures and Equipment 0 0 0 0 0 0 0.000% 0
To Be Determined 0 0 0 0 0 0.000% 0
Total Operation Activities 0 0 0 0 0 0 lei i 0
Total Part E Expenditures 67,420 0 16,017 0 6,456 89,893 - We� 22,473
Title Ill(B, C-1, C-2, D) Other Operation Activities
Cost Projection By Funding Source Budget Computations
Program Local s Total Total
Part B Part C-1 Part C-2 Part D NA Part E Income Cash In-kind =mac .: Cost Match
Program Development 0 0 0 = 0 0 4
Senior Cntr.Operations 0 - 0 0 0 r .'' ? 0 0I
E. A. Prevention/Provider Training 0 0 0 0erarY,C140 0
Coordination/Advocacy 9,478 rkiiiilacii,:lii:i 0 0 0 ,'*tea �' 9,478 0
Task Force Participation 0 0 0 0 rBlittkiais,iii: 0 0
Capital Expenditures 0 0 0 0 ', r. 0 0:
To Be Determined 0 0 0 0 are:: i ! 0 0 0 0 0
Y .
Total Operation Activities ) 9,478 0 0 0 0 0 0 0 ,Yr_. 9,478 0'
Budget Summary(Title Ill Parts B, C-1, C-2, and D)
Cost Projection For Service Categories Total
Service Targeting Areas Other Program Local Grant Total
Total Expenses Part B Part C-1 Part C-2 Part D Federal Part E Income Cash In-kind USDA Expenditures Expenditures
Access 22,500 0 0 0... t'+* -1,�.. 22,500,"trd. .� +a't,.,04 47g In-Home Services 21,175 0 0 0 Z ,4 . 4 42,583114 -..TT,q{i -:
Legal Services 42,583( '': -
Nutrition Services 195,328 31,000 0 - _ 226,328 z
Other Services/Operations 131,300 0 0 9638 ' - y= faT- ;G :a 140,938
Medication Management -. >10 _ "' .. 3,009 i =.0 ₹_-- .A . , ._-„ 3,009 ,A- N " . ,_'
TOTAL 217,558 195,328 31,000 12,647 0 283,850! 192,5001 73,360 60,946 456,533 1,067,189
SERVICE TARGETING(VOLUME 10&OLDER AMERICANS ACT)
Access 25.00% Demonstration Services/Projects
In-Home Services 15.00% Federal/State Program Local Total
Legal Services 3.00% Description: Part B Part D Income Cash In-Kind Budget
Medication Management $ 3,009 0 0 0 0 0 0 0
Percentage Minimum 0 0 0 0 0 0 0
Focus of PartB Amount 0 0 0 0 0 0 0
Access 10.34%i ';_, 0 0- 0 0 0 0 0
In-Home Services 9.73%l , 0 0 0 0 0 0 0
Legal Services 19.57% 0 0 0 0 0 0 0
Medication Management 3,009 TOTAL 0 0 0 0 0 0
Annual Grant Application(AAS 230)
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