ATTACHMENT 4 Budget Table.docx

This is a budget table attachment for RFGP #6291, the Oregon Health Plan Health System Navigation Grant Program, administered by the State of Oregon's Oregon Health Authority (OHA). The budget table outlines the proposed expenses for a 24-month grant period and requires applicants to complete and submit the form with their proposals. The budget categories include personnel expenses (salary and benefits), travel expenses (mileage calculated at current State of Oregon rates), outreach and system navigation expenses (with space for two itemized descriptions), staff training, language access, and indirect/administrative expenses. The budget structure provides line items for subtotal expenses and total proposed budget calculations.

The budget submission is subject to a critical expense limitation requiring that no single month's expenses may exceed 9 percent of the total award amount to ensure continued grant activity throughout the entire grant period. The OHA reserves the right to request documentation related to the proposed budget and expenses at any time during the grant term. Applicants must present detailed and justified budget narratives within these specified categories to demonstrate how grant funds will be allocated across personnel, operational, and administrative functions over the 24-month performance period.