FINAL_RIV_COB_Amend_10_SFY23.pdf
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- Attached to
- Master Agreement AZ|CTR048044
- Contract number
- CTR048044
- Issued by
- Arizona
About this file
This document appears to be a detailed financial and budgetary contract for Region 4, specifically a state and local contract indefinite delivery vehicle covering various programs and services for aging and community support. The contract involves multiple funding sources including State Administration, Older Americans Act (OAA) Administration, Social Services Block Grant (SSBG), Title III programs, Medicare-related services, and various federal acts such as CARES, FFCRA, CRRSA, and ARPA.
The contract covers a period from 07/01/22 to 06/30/23 with a total reimbursement ceiling of approximately $9.17 million across multiple service categories. Key service areas include administrative support, direct care worker incentives, expanding public health workforce, home-delivered meals, congregate meals, caregiver support, transportation, information and referral services, legal services, and senior Medicare patrol. Funding sources are diverse, including state administrative funds, federal grants, and specific program allocations. The budget encompasses personnel expenses, employee-related expenses, travel, space costs, materials and supplies, and operating services across different program codes and funding streams, with specific allocations for direct services, purchased services, and administrative overhead.
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Organization Region 4 Contract No. CTR048044 Period 07/01/22 - 06/30/23 Alert 9.15.22 and 10.11.22
EPHW EPHW CRRSA VACCINE VACCINE
ADM ADM ADM ADM ADM ADM PGD ADM LTC CMG CEI
HCB HCB HCB HCB FCS FCS HCB HCB OMB HCB HCB
C19 C20 C21 C20 PHW PHW CRR VAC VAC
ADM AM5
Ln Fund Source
1 State Admin 59,370.00 8,890.00 2 OAA Admin (III C-1) 271,082.00 3 OAA Admin (III E) 39,532.00 4 SSBG Admin 58,389.00 5 Title III-B 6 Title III-C1 7 Title III-C2 8 Title III-D 9 Title III-E Caregiver
10 NSIP
11 Title VII Elder Abuse 12 Title VII FED OMB 13 State Ind Living Supports 30,990.67 4,287.33 14 State Ombudsman 15 State Respite 16 SSBG (Services)
17 SHIP
18 Senior Medicare Patrol 19 HB2695 Lottery 20 SCSEP (Title V) 21 SSBG - HCB Wait List 22 SSBG - One-Time Admin. 9,474.00 23 SSBG - One-Time (Services)
24 MIPPA - SHIP
25 MIPPA - AAA
26 MIPPA - ADRC
27 Adult Day Health
28 FFCRA - C1
29 FFCRA - C1 Admin
30 FFCRA - C2
31 CARES Act - III-B 32 CARES Act - III-C2 Admin 33 CARES Act - III-C2 34 CARES Act - III-E 35 CARES Act - III-E Admin - 36 CARES Act - III-VII - FED. OMB.
37 Cares Act ADRC 38 Title III-C2 COVID Supplemental 39 OAA Admin. III-C2 COVID Supp.
40 ACCESS VACCINES
41 ACCESS VACCINES ADMIN
42 CRRSA LTC OMB.
43 ADRC ACCESS VACCINES
44 ADRC ACCESS VACCINES ADMIN
45 ARPA - III-B
46 ARPA - III-C1
47 ARPA - III-C1 ADMIN
48 ARPA - III-C2
49 ARPA - III-D
50 ARPA - III-E
51 ARPA - III-E ADMIN
52 ARPA - VII FED OMBUDSMAN
53 STATE DIRECT CARE WORKER
54 STATE DIRECT CARE INCENTIVE
55 EXPANDING PH WORKFORCE 89,840.00
56 STATE LTC OMBUDSMAN
Reimbursement Ceiling 429,305.67 - - - 52,709.33 - 89,840.00 - - - -
DIRECT SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total - - - - - - - - - - -
PURCHASED SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total - - - - - - - - - - -
Grand Total 429,305.67 - - - 52,709.33 - 89,840.00 - - - -
EXPENSES (DIRECT)
Personnel - Direct 238,613.69 36,050.83 55,000.00 ERE - Direct 112,183.20 11,488.49 16,500.00 Professional/Out Direct 1,954.16 115.75 Sub-Contracted Travel - Direct 12,054.78 641.56 500.00 Space - Direct 28,000.00 1,276.00 2,000.00 Equipment - Direct One Time On Going 7,563.45 1,544.70 Material/Supplies - Direct 16,650.61 500.00 3,000.00 Operating Svcs - Direct 12,285.78 1,092.00 12,840.00 Allocated Indirect - Direct SubTotal DIRECT 429,305.67 - - - 52,709.33 - 89,840.00 - - - -
SubTotal PURCH - - - - - - - - - - -
TOTAL SERVICE 429,305.67 - - - 52,709.33 - 89,840.00 - - - -
Units/Direct Units/Purchased Units Total - - - - - - - - - - -
Unit Rate/Direct Unit Rate/Purch
Unit Rate/Total - - - - - - - - - - - Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) require a state match
Required State Match 90,360.67 - - - 13,177.33 - - - - - -
State Admin 59,370.00 - - - 8,890.00 - - - - - -l State ILS 30,990.67 - - - 4,287.33 - - - - - -
Additional match required - - - - 0.00 - - - - - -
DAARS Codes
AIMS Codes
SERVICE DETAIL
PROGRAM Codes
Admin
Organization Region 4
Ln Fund Source 1 State Admin 2 OAA Admin (III C-1) 3 OAA Admin (III E) 4 SSBG Admin 5 Title III-B 6 Title III-C1 7 Title III-C2 8 Title III-D 9 Title III-E Caregiver
10 NSIP
11 Title VII Elder Abuse 12 Title VII FED OMB 13 State Ind Living Supports 14 State Ombudsman 15 State Respite 16 SSBG (Services)
17 SHIP
18 Senior Medicare Patrol 19 HB2695 Lottery 20 SCSEP (Title V) 21 SSBG - HCB Wait List 22 SSBG - One-Time Admin.
23 SSBG - One-Time (Services)
24 MIPPA - SHIP
25 MIPPA - AAA
26 MIPPA - ADRC
27 Adult Day Health
28 FFCRA - C1
29 FFCRA - C1 Admin
30 FFCRA - C2
31 CARES Act - III-B 32 CARES Act - III-C2 Admin 33 CARES Act - III-C2 34 CARES Act - III-E 35 CARES Act - III-E Admin 36 CARES Act - III-VII - FED. OMB.
37 Cares Act ADRC 38 Title III-C2 COVID Supplemental 39 OAA Admin. III-C2 COVID Supp.
40 ACCESS VACCINES
41 ACCESS VACCINES ADMIN
42 CRRSA LTC OMB.
43 ADRC ACCESS VACCINES
44 ADRC ACCESS VACCINES ADMIN
45 ARPA - III-B
46 ARPA - III-C1
47 ARPA - III-C1 ADMIN
48 ARPA - III-C2
49 ARPA - III-D
50 ARPA - III-E
51 ARPA - III-E ADMIN
52 ARPA - VII FED OMBUDSMAN
53 STATE DIRECT CARE WORKER
54 STATE DIRECT CARE INCENTIVE
55 EXPANDING PH WORKFORCE
56 STATE LTC OMBUDSMAN
Reimbursement Ceiling
DIRECT SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
PURCHASED SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
Grand Total
EXPENSES (DIRECT)
Personnel - Direct ERE - Direct Professional/Out Direct Sub-Contracted Travel - Direct Space - Direct Equipment - Direct One Time On Going Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT
SubTotal PURCH
TOTAL SERVICE
Units/Direct Units/Purchased Units Total
Unit Rate/Direct Unit Rate/Purch
Unit Rate/Total Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) require a s
Required State Match
State Admin l State ILS
Additional match required
DAARS Codes
AIMS Codes
SERVICE DETAIL
PROGRAM Codes
Amendment 10
VACCINE VACCINE VACCINE Legal ADRC Tran Senior Patrol Senior Patrol MIPPA SHIP MIPPA AAA MIPPA ADRC
ADM CEI ADM LGL INR SHI SHI SHI SHI SHI TSP TR5
HCB HCB HCB LSA HCB SMP SMP SHP SHP SHP HCB FCS
VAC VA1 VA1 CRT VOL OTP MSM MAM MDM
LGL AOC SMV TSP TR5
90,763.00 90,848.00
8,000.00
9,717.53 55,666.80
42,470.00
16,340.00 14,010.00
6,250.00
- - - 100,480.53 - - - 16,340.00 14,010.00 6,250.00 188,984.80 8,000.00
232.00 16,000.00 3,148.00 3,111.00 2,389.00
9,810.00 20,000.00
- - - 3,380.00 - - - - - - 48,921.00 2,389.00
- - - 103,860.53 - - - 16,340.00 14,010.00 6,250.00 237,905.80 10,389.00
8,360.00 7,043.50 2,246.00 3,176.80 2,676.50 854.00
120.00 115.00 100.00 103,860.53 203,446.00 10,389.00
80.00 60.00 50.00 16,000.00 1,800.00 1,500.00 1,200.00
300.00 275.00 200.00 1,000.00 915.00 600.00 18,459.80 1,503.20 1,425.00 1,000.00
- - - - - - - 16,340.00 14,010.00 6,250.00 34,459.80 -
- - - 103,860.53 - - - - - - 203,446.00 10,389.00
- - - 103,860.53 - - - 16,340.00 14,010.00 6,250.00 237,905.80 10,389.00
- - - 5,339.05 - - - - - - 5,344.05 -
- - - 9,717.53 - - - - - - 55,666.80 -
Transportaion
1 State Admin 2 OAA Admin (III C-1) 3 OAA Admin (III E) 4 SSBG Admin 5 Title III-B 6 Title III-C1 7 Title III-C2 8 Title III-D 9 Title III-E Caregiver
10 NSIP
11 Title VII Elder Abuse 12 Title VII FED OMB 13 State Ind Living Supports 14 State Ombudsman 15 State Respite 16 SSBG (Services)
17 SHIP
18 Senior Medicare Patrol 19 HB2695 Lottery 20 SCSEP (Title V) 21 SSBG - HCB Wait List 22 SSBG - One-Time Admin.
23 SSBG - One-Time (Services)
24 MIPPA - SHIP
25 MIPPA - AAA
26 MIPPA - ADRC
27 Adult Day Health
28 FFCRA - C1
29 FFCRA - C1 Admin
30 FFCRA - C2
31 CARES Act - III-B 32 CARES Act - III-C2 Admin 33 CARES Act - III-C2 34 CARES Act - III-E 35 CARES Act - III-E Admin 36 CARES Act - III-VII - FED. OMB.
37 Cares Act ADRC 38 Title III-C2 COVID Supplemental 39 OAA Admin. III-C2 COVID Supp.
40 ACCESS VACCINES
41 ACCESS VACCINES ADMIN
42 CRRSA LTC OMB.
43 ADRC ACCESS VACCINES
44 ADRC ACCESS VACCINES ADMIN
45 ARPA - III-B
46 ARPA - III-C1
47 ARPA - III-C1 ADMIN
48 ARPA - III-C2
49 ARPA - III-D
50 ARPA - III-E
51 ARPA - III-E ADMIN
52 ARPA - VII FED OMBUDSMAN
53 STATE DIRECT CARE WORKER
54 STATE DIRECT CARE INCENTIVE
55 EXPANDING PH WORKFORCE
56 STATE LTC OMBUDSMAN
Reimbursement Ceiling
DIRECT SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
PURCHASED SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
Grand Total
EXPENSES (DIRECT)
Personnel - Direct ERE - Direct Professional/Out Direct Sub-Contracted Travel - Direct Space - Direct Equipment - Direct One Time On Going Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT
SubTotal PURCH
TOTAL SERVICE
Units/Direct Units/Purchased Units Total
Unit Rate/Direct Unit Rate/Purch
Unit Rate/Total Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) require a s
Required State Match
State Admin l State ILS
Additional match required
DAARS Codes
AIMS Codes
SERVICE DETAIL
PROGRAM Codes
Home D Meals Home D Meals Home D Meals Home D Meals Home D Meals HDM FCSP
CNG CNG CNG CNG HDM HDM HDM HDM HDM SUP HED
HCB HCB HCB HCB HCB HCB HCB HCB HCB FCS HCB
C19 C20 C21 C19 C20 C21 BOC
CNG HDM IM5 HPR
744,218.00 713,842.00
60,763.00
26,467.00 162,445.00
54,766.11 76,533.36
254,004.00
825,451.11 - - - 1,206,824.36 - - - - - 60,763.00
114,551.00 135,382.00 81,787.00 115,046.00 200,751.00 131,162.00 169,206.00
11,600.00 58,668.00 393,190.00 - - - 624,963.00 - - - - - -
1,218,641.11 - - - 1,831,787.36 - - - - - 60,763.00
30,000.00 10,135.52
327.00 1,218,641.11 - 1,831,787.36
5,403.62 2,676.68
1,220.18 7,000.00
- - 4,000.00
- - - - - - - - - - 60,763.00
1,218,641.11 - - - 1,831,787.36 - - - - - -
1,218,641.11 - - - 1,831,787.36 - - - - - 60,763.00
43,777.90 - - - 41,991.06 - - - - - -
54,766.11 - - - 76,533.36 - - - - - -
Congregate
1 State Admin 2 OAA Admin (III C-1) 3 OAA Admin (III E) 4 SSBG Admin 5 Title III-B 6 Title III-C1 7 Title III-C2 8 Title III-D 9 Title III-E Caregiver
10 NSIP
11 Title VII Elder Abuse 12 Title VII FED OMB 13 State Ind Living Supports 14 State Ombudsman 15 State Respite 16 SSBG (Services)
17 SHIP
18 Senior Medicare Patrol 19 HB2695 Lottery 20 SCSEP (Title V) 21 SSBG - HCB Wait List 22 SSBG - One-Time Admin.
23 SSBG - One-Time (Services)
24 MIPPA - SHIP
25 MIPPA - AAA
26 MIPPA - ADRC
27 Adult Day Health
28 FFCRA - C1
29 FFCRA - C1 Admin
30 FFCRA - C2
31 CARES Act - III-B 32 CARES Act - III-C2 Admin 33 CARES Act - III-C2 34 CARES Act - III-E 35 CARES Act - III-E Admin 36 CARES Act - III-VII - FED. OMB.
37 Cares Act ADRC 38 Title III-C2 COVID Supplemental 39 OAA Admin. III-C2 COVID Supp.
40 ACCESS VACCINES
41 ACCESS VACCINES ADMIN
42 CRRSA LTC OMB.
43 ADRC ACCESS VACCINES
44 ADRC ACCESS VACCINES ADMIN
45 ARPA - III-B
46 ARPA - III-C1
47 ARPA - III-C1 ADMIN
48 ARPA - III-C2
49 ARPA - III-D
50 ARPA - III-E
51 ARPA - III-E ADMIN
52 ARPA - VII FED OMBUDSMAN
53 STATE DIRECT CARE WORKER
54 STATE DIRECT CARE INCENTIVE
55 EXPANDING PH WORKFORCE
56 STATE LTC OMBUDSMAN
Reimbursement Ceiling
DIRECT SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
PURCHASED SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
Grand Total
EXPENSES (DIRECT)
Personnel - Direct ERE - Direct Professional/Out Direct Sub-Contracted Travel - Direct Space - Direct Equipment - Direct One Time On Going Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT
SubTotal PURCH
TOTAL SERVICE
Units/Direct Units/Purchased Units Total
Unit Rate/Direct Unit Rate/Purch
Unit Rate/Total Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) require a s
Required State Match
State Admin l State ILS
Additional match required
DAARS Codes
AIMS Codes
SERVICE DETAIL
PROGRAM Codes
Caregiver Out Ombudsman Ombudsman Advocacy Advocacy Home Care
HED OTR CMG CMG CMG CMG CMG LTC LTC ADV ADV HSK
HCB FCS FCS FCS HCB HCB HCB OMB OMB HCB HCB HCB
C20 C20 C20 BOC C20 C20
IR5 CM5 CMG LTC ADV HSK
144,130.45 2,608.00 94,798.00
25,748.00 155,672.12
5,614.00 41,539.00
2,775.00 9,214.00 72,616.70 10,108.00 16,262.90 43,095.00
131,952.00
85,268.00
68,905.00
- 28,523.00 164,886.12 - 433,967.15 - - 171,869.00 - 111,060.90 - -
7,203.00 5,728.00 9,190.00 4,475.00
- - 7,203.00 - 5,728.00 - - 9,190.00 - 4,475.00 - -
- 28,523.00 172,089.12 - 439,695.15 - - 181,059.00 - 115,535.90 - -
8,698.00 95,863.12 258,252.77 - - 115,602.00 73,713.90 3,715.00 40,952.00 103,790.38 - - 39,000.00 21,646.00
14,515.00 293.00 1,079.00 - 285.00 245.00
217.00 2,346.00 8,560.00 - 2,000.00 3,000.00
776.00 12,048.00 24,793.00 - 5,000.00 4,634.00
80.00 2,736.00 4,027.00 - 800.00 1,343.00
22.00 3,166.00 9,455.00 - - 4,182.00 3,000.00
500.00 7,482.00 24,010.00 - 5,000.00 3,479.00 7,203.00 5,728.00 9,190.00 4,475.00
- 28,523.00 172,089.12 - 439,695.15 - - 181,059.00 - 115,535.90 - -
- 28,523.00 172,089.12 - 439,695.15 - - 181,059.00 - 115,535.90 - -
- - - - 8,478.33 - - 153.41 - 5,576.40 - -
- 2,775.00 9,214.00 - 72,616.70 - - 10,108.00 - 16,262.90 - -
Case Management
1 State Admin 2 OAA Admin (III C-1) 3 OAA Admin (III E) 4 SSBG Admin 5 Title III-B 6 Title III-C1 7 Title III-C2 8 Title III-D 9 Title III-E Caregiver
10 NSIP
11 Title VII Elder Abuse 12 Title VII FED OMB 13 State Ind Living Supports 14 State Ombudsman 15 State Respite 16 SSBG (Services)
17 SHIP
18 Senior Medicare Patrol 19 HB2695 Lottery 20 SCSEP (Title V) 21 SSBG - HCB Wait List 22 SSBG - One-Time Admin.
23 SSBG - One-Time (Services)
24 MIPPA - SHIP
25 MIPPA - AAA
26 MIPPA - ADRC
27 Adult Day Health
28 FFCRA - C1
29 FFCRA - C1 Admin
30 FFCRA - C2
31 CARES Act - III-B 32 CARES Act - III-C2 Admin 33 CARES Act - III-C2 34 CARES Act - III-E 35 CARES Act - III-E Admin 36 CARES Act - III-VII - FED. OMB.
37 Cares Act ADRC 38 Title III-C2 COVID Supplemental 39 OAA Admin. III-C2 COVID Supp.
40 ACCESS VACCINES
41 ACCESS VACCINES ADMIN
42 CRRSA LTC OMB.
43 ADRC ACCESS VACCINES
44 ADRC ACCESS VACCINES ADMIN
45 ARPA - III-B
46 ARPA - III-C1
47 ARPA - III-C1 ADMIN
48 ARPA - III-C2
49 ARPA - III-D
50 ARPA - III-E
51 ARPA - III-E ADMIN
52 ARPA - VII FED OMBUDSMAN
53 STATE DIRECT CARE WORKER
54 STATE DIRECT CARE INCENTIVE
55 EXPANDING PH WORKFORCE
56 STATE LTC OMBUDSMAN
Reimbursement Ceiling
DIRECT SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
PURCHASED SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
Grand Total
EXPENSES (DIRECT)
Personnel - Direct ERE - Direct Professional/Out Direct Sub-Contracted Travel - Direct Space - Direct Equipment - Direct One Time On Going Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT
SubTotal PURCH
TOTAL SERVICE
Units/Direct Units/Purchased Units Total
Unit Rate/Direct Unit Rate/Purch
Unit Rate/Total Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) require a s
Required State Match
State Admin l State ILS
Additional match required
DAARS Codes
AIMS Codes
SERVICE DETAIL
PROGRAM Codes
I & R Care Transitions Home Repair Home Repair Respite Respite Respite
HSK ATT ATT INR INR INR RPR RPR RSP RSP RSP
HCB HCB HCB HCB HCB HCB FCS FCS FCS FCS FCS
C20 C20 C20 BOC C20 ADH C20
ATT IR2 RSP RSP
62,621.00 127,973.55 40,000.00
12,098.00 104,257.88
51,641.88 12,025.43 5,000.00 24,049.00
34,743.00 80,299.00 41,496.00
92,726.00
- 194,561.88 - 139,998.98 - 137,726.00 12,098.00 - 204,545.88 - -
- 194,561.88 - 139,998.98 - 137,726.00 12,098.00 - 204,545.88 - -
94,841.98 89,000.00 27,000.00 33,820.00
576.00 550.00 12,098.00 194,561.88 204,545.88
1,687.00 1,350.00 10,594.00 7,000.00
1,800.00 1,506.00 1,500.00 2,000.00 2,000.00 2,500.00
- - - 139,998.98 - 137,726.00 12,098.00 - - - -
- 194,561.88 - - - - - - 204,545.88 - -
- 194,561.88 - 139,998.98 - 137,726.00 12,098.00 - 204,545.88 - -
- 3,683.62 - 7,527.92 - 2,352.96 - - - - -
- 51,641.88 - 12,025.43 - 5,000.00 - - 24,049.00 - -
1 State Admin 2 OAA Admin (III C-1) 3 OAA Admin (III E) 4 SSBG Admin 5 Title III-B 6 Title III-C1 7 Title III-C2 8 Title III-D 9 Title III-E Caregiver
10 NSIP
11 Title VII Elder Abuse 12 Title VII FED OMB 13 State Ind Living Supports 14 State Ombudsman 15 State Respite 16 SSBG (Services)
17 SHIP
18 Senior Medicare Patrol 19 HB2695 Lottery 20 SCSEP (Title V) 21 SSBG - HCB Wait List 22 SSBG - One-Time Admin.
23 SSBG - One-Time (Services)
24 MIPPA - SHIP
25 MIPPA - AAA
26 MIPPA - ADRC
27 Adult Day Health
28 FFCRA - C1
29 FFCRA - C1 Admin
30 FFCRA - C2
31 CARES Act - III-B 32 CARES Act - III-C2 Admin 33 CARES Act - III-C2 34 CARES Act - III-E 35 CARES Act - III-E Admin 36 CARES Act - III-VII - FED. OMB.
37 Cares Act ADRC 38 Title III-C2 COVID Supplemental 39 OAA Admin. III-C2 COVID Supp.
40 ACCESS VACCINES
41 ACCESS VACCINES ADMIN
42 CRRSA LTC OMB.
43 ADRC ACCESS VACCINES
44 ADRC ACCESS VACCINES ADMIN
45 ARPA - III-B
46 ARPA - III-C1
47 ARPA - III-C1 ADMIN
48 ARPA - III-C2
49 ARPA - III-D
50 ARPA - III-E
51 ARPA - III-E ADMIN
52 ARPA - VII FED OMBUDSMAN
53 STATE DIRECT CARE WORKER
54 STATE DIRECT CARE INCENTIVE
55 EXPANDING PH WORKFORCE
56 STATE LTC OMBUDSMAN
Reimbursement Ceiling
DIRECT SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
PURCHASED SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
Grand Total
EXPENSES (DIRECT)
Personnel - Direct ERE - Direct Professional/Out Direct Sub-Contracted Travel - Direct Space - Direct Equipment - Direct One Time On Going Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT
SubTotal PURCH
TOTAL SERVICE
Units/Direct Units/Purchased Units Total
Unit Rate/Direct Unit Rate/Purch
Unit Rate/Total Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) require a s
Required State Match
State Admin l State ILS
Additional match required
DAARS Codes
AIMS Codes
SERVICE DETAIL
PROGRAM Codes
SHIP I&R
ADC ADC CGT CGT CEI INR PCS ADP ADP ADP ADP SHI
FCS FCS FCS FCS FCS FCS FCS FCS FCS HCB HCB SHP
C20 C20 C20 C20 OTR
AC5 CT5 EI5 IN5 PC5 ADP IR1
37,500.00
55,535.00 35,911.00 3,757.00 6,000.00 10,055.00 11,070.00
4,022.00
80,829.00 43,080.00
136,364.00 - 35,911.00 - 3,757.00 6,000.00 10,055.00 11,070.00 - - - 84,602.00
1,074.00 220.00 220.00 1,000.00 750.00
- - 1,074.00 - 220.00 220.00 1,000.00 - - - - 750.00
791.00 -
791.00 - - - - - - - - - - -
137,155.00 - 36,985.00 - 3,977.00 6,220.00 11,055.00 11,070.00 - - - 85,352.00
4,648.00 2,124.00 3,544.00 3,439.00 52,249.00 1,985.00 907.00 1,514.00 1,469.00 16,000.00
27,378.00 25.00 28.00 1,665.00 11,070.00 - - 355.00 137,155.00
160.00 47.00 96.00 259.00 4,738.00
283.00 155.00 223.00 265.00 5,254.00
154.00 142.00 150.00 362.00 1,171.00
924.00 111.00 139.00 1,431.00 - 2,052.00
379.00 246.00 306.00 1,165.00 2,783.00
1,074.00 220.00 220.00 1,000.00 750.00
- - 36,985.00 - 3,977.00 6,220.00 11,055.00 11,070.00 - - - 85,352.00
137,155.00 - - - - - - - - - - -
137,155.00 - 36,985.00 - 3,977.00 6,220.00 11,055.00 11,070.00 - - - 85,352.00
- - - - - - - - - - - 2,205.90
- - - - - - - - - - - 4,022.00
Title III-E/Caregiger
1 State Admin 2 OAA Admin (III C-1) 3 OAA Admin (III E) 4 SSBG Admin 5 Title III-B 6 Title III-C1 7 Title III-C2 8 Title III-D 9 Title III-E Caregiver
10 NSIP
11 Title VII Elder Abuse 12 Title VII FED OMB 13 State Ind Living Supports 14 State Ombudsman 15 State Respite 16 SSBG (Services)
17 SHIP
18 Senior Medicare Patrol 19 HB2695 Lottery 20 SCSEP (Title V) 21 SSBG - HCB Wait List 22 SSBG - One-Time Admin.
23 SSBG - One-Time (Services)
24 MIPPA - SHIP
25 MIPPA - AAA
26 MIPPA - ADRC
27 Adult Day Health
28 FFCRA - C1
29 FFCRA - C1 Admin
30 FFCRA - C2
31 CARES Act - III-B 32 CARES Act - III-C2 Admin 33 CARES Act - III-C2 34 CARES Act - III-E 35 CARES Act - III-E Admin 36 CARES Act - III-VII - FED. OMB.
37 Cares Act ADRC 38 Title III-C2 COVID Supplemental 39 OAA Admin. III-C2 COVID Supp.
40 ACCESS VACCINES
41 ACCESS VACCINES ADMIN
42 CRRSA LTC OMB.
43 ADRC ACCESS VACCINES
44 ADRC ACCESS VACCINES ADMIN
45 ARPA - III-B
46 ARPA - III-C1
47 ARPA - III-C1 ADMIN
48 ARPA - III-C2
49 ARPA - III-D
50 ARPA - III-E
51 ARPA - III-E ADMIN
52 ARPA - VII FED OMBUDSMAN
53 STATE DIRECT CARE WORKER
54 STATE DIRECT CARE INCENTIVE
55 EXPANDING PH WORKFORCE
56 STATE LTC OMBUDSMAN
Reimbursement Ceiling
DIRECT SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
PURCHASED SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
Grand Total
EXPENSES (DIRECT)
Personnel - Direct ERE - Direct Professional/Out Direct Sub-Contracted Travel - Direct Space - Direct Equipment - Direct One Time On Going Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT
SubTotal PURCH
TOTAL SERVICE
Units/Direct Units/Purchased Units Total
Unit Rate/Direct Unit Rate/Purch
Unit Rate/Total Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) require a s
Required State Match
State Admin l State ILS
Additional match required
DAARS Codes
AIMS Codes
SERVICE DETAIL
PROGRAM Codes
SMP Out Vol Pr Senior Patrol Volunteer Mgt Volunteer Mgt Adult Day Adult Day Prog Developm Prog Developm Lifespn Voucher Ombudsman Direct Care Worker Direct Care Worker
SHI SHI VOS VOS ADC ADC PGD PGD RSP LTC ATT PRC
SMP SMP HCB HCB HCB HCB HCB HCB FCS OMB HCB HCB
OVP VMS C20 C20 C20 VCH FTE DCW DCW
OVP SMP VMS ADC PGD RSV
39,502.00 169,581.00
2,876.00 9,975.44
59,646.00
14,524.00
111,991.00
- 14,524.00 102,024.00 - - - 179,556.44 - - - 111,991.00 -
4,800.00 3,950.00
- 4,800.00 3,950.00 - - - - - - - - -
- 19,324.00 105,974.00 - - - 179,556.44 - - - 111,991.00 -
7,500.00 56,477.00 85,486.30 3,000.00 20,398.00 33,339.66
115.00 466.00 4,294.00 111,991.00
350.00 4,177.00 5,219.00 1,000.00 4,552.00 8,500.00
24,420.34
500.00 4,270.00 1,400.00
926.00 5,684.00 8,000.00
1,133.00 6,000.00 8,897.14 4,800.00 3,950.00
- 19,324.00 105,974.00 - - - 179,556.44 - - - - -
- - - - - - - - - - 111,991.00 -
- 19,324.00 105,974.00 - - - 179,556.44 - - - 111,991.00 -
- - 2,323.67 - - - 9,975.44 - - - - -
- - 2,876.00 - - - 9,975.44 - - - - -
1 State Admin 2 OAA Admin (III C-1) 3 OAA Admin (III E) 4 SSBG Admin 5 Title III-B 6 Title III-C1 7 Title III-C2 8 Title III-D 9 Title III-E Caregiver
10 NSIP
11 Title VII Elder Abuse 12 Title VII FED OMB 13 State Ind Living Supports 14 State Ombudsman 15 State Respite 16 SSBG (Services)
17 SHIP
18 Senior Medicare Patrol 19 HB2695 Lottery 20 SCSEP (Title V) 21 SSBG - HCB Wait List 22 SSBG - One-Time Admin.
23 SSBG - One-Time (Services)
24 MIPPA - SHIP
25 MIPPA - AAA
26 MIPPA - ADRC
27 Adult Day Health
28 FFCRA - C1
29 FFCRA - C1 Admin
30 FFCRA - C2
31 CARES Act - III-B 32 CARES Act - III-C2 Admin 33 CARES Act - III-C2 34 CARES Act - III-E 35 CARES Act - III-E Admin 36 CARES Act - III-VII - FED. OMB.
37 Cares Act ADRC 38 Title III-C2 COVID Supplemental 39 OAA Admin. III-C2 COVID Supp.
40 ACCESS VACCINES
41 ACCESS VACCINES ADMIN
42 CRRSA LTC OMB.
43 ADRC ACCESS VACCINES
44 ADRC ACCESS VACCINES ADMIN
45 ARPA - III-B
46 ARPA - III-C1
47 ARPA - III-C1 ADMIN
48 ARPA - III-C2
49 ARPA - III-D
50 ARPA - III-E
51 ARPA - III-E ADMIN
52 ARPA - VII FED OMBUDSMAN
53 STATE DIRECT CARE WORKER
54 STATE DIRECT CARE INCENTIVE
55 EXPANDING PH WORKFORCE
56 STATE LTC OMBUDSMAN
Reimbursement Ceiling
DIRECT SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
PURCHASED SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
Grand Total
EXPENSES (DIRECT)
Personnel - Direct ERE - Direct Professional/Out Direct Sub-Contracted Travel - Direct Space - Direct Equipment - Direct One Time On Going Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT
SubTotal PURCH
TOTAL SERVICE
Units/Direct Units/Purchased Units Total
Unit Rate/Direct Unit Rate/Purch
Unit Rate/Total Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) require a s
Required State Match
State Admin l State ILS
Additional match required
DAARS Codes
AIMS Codes
SERVICE DETAIL
PROGRAM Codes
Direct Care Worker Direct Care Worker Direct Care Worker Direct Care Worker Direct Care Incentive Direct Care Incentive Direct Care Incentive Direct Care Incentive ARPA ARPA ARPA
HSK RSP ADC NRH ATT PRC HSK RSP ADM ADM TSP
HCB FCS HCB HCB HCB HCB HCB FCS HCB FCS HCB
DCW DCW DCW DCW DCI DCI DCI DCI ARP ARP ARP
26,652.00 3,274.00 5,294.48
90,000.00
79,956.00
9,820.00
70,711.00 112,702.00 70,000.00
- 70,711.00 - - 112,702.00 - - 70,000.00 106,608.00 13,094.00 95,294.48
- 70,711.00 - - 112,702.00 - - 70,000.00 106,608.00 13,094.00 95,294.48
70,000.00 6,274.00 26,652.00 2,000.00
52,353.00 70,711.00 112,702.00 70,000.00 42,941.48
4,000.00 500.00
4,000.00 4,000.00 1,956.00 320.00
- - - - - - - - 106,608.00 13,094.00 52,353.00
- 70,711.00 - - 112,702.00 - - 70,000.00 - - 42,941.48
- 70,711.00 - - 112,702.00 - - 70,000.00 106,608.00 13,094.00 95,294.48
- - - - - - - - 26,652.00 3,273.33 5,294.16
- - - - - - - - 26,652.00 3,274.00 5,294.48
1 State Admin 2 OAA Admin (III C-1) 3 OAA Admin (III E) 4 SSBG Admin 5 Title III-B 6 Title III-C1 7 Title III-C2 8 Title III-D 9 Title III-E Caregiver
10 NSIP
11 Title VII Elder Abuse 12 Title VII FED OMB 13 State Ind Living Supports 14 State Ombudsman 15 State Respite 16 SSBG (Services)
17 SHIP
18 Senior Medicare Patrol 19 HB2695 Lottery 20 SCSEP (Title V) 21 SSBG - HCB Wait List 22 SSBG - One-Time Admin.
23 SSBG - One-Time (Services)
24 MIPPA - SHIP
25 MIPPA - AAA
26 MIPPA - ADRC
27 Adult Day Health
28 FFCRA - C1
29 FFCRA - C1 Admin
30 FFCRA - C2
31 CARES Act - III-B 32 CARES Act - III-C2 Admin 33 CARES Act - III-C2 34 CARES Act - III-E 35 CARES Act - III-E Admin 36 CARES Act - III-VII - FED. OMB.
37 Cares Act ADRC 38 Title III-C2 COVID Supplemental 39 OAA Admin. III-C2 COVID Supp.
40 ACCESS VACCINES
41 ACCESS VACCINES ADMIN
42 CRRSA LTC OMB.
43 ADRC ACCESS VACCINES
44 ADRC ACCESS VACCINES ADMIN
45 ARPA - III-B
46 ARPA - III-C1
47 ARPA - III-C1 ADMIN
48 ARPA - III-C2
49 ARPA - III-D
50 ARPA - III-E
51 ARPA - III-E ADMIN
52 ARPA - VII FED OMBUDSMAN
53 STATE DIRECT CARE WORKER
54 STATE DIRECT CARE INCENTIVE
55 EXPANDING PH WORKFORCE
56 STATE LTC OMBUDSMAN
Reimbursement Ceiling
DIRECT SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
PURCHASED SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
Grand Total
EXPENSES (DIRECT)
Personnel - Direct ERE - Direct Professional/Out Direct Sub-Contracted Travel - Direct Space - Direct Equipment - Direct One Time On Going Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT
SubTotal PURCH
TOTAL SERVICE
Units/Direct Units/Purchased Units Total
Unit Rate/Direct Unit Rate/Purch
Unit Rate/Total Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) require a s
Required State Match
State Admin l State ILS
Additional match required
DAARS Codes
AIMS Codes
SERVICE DETAIL
PROGRAM Codes
ARPA ARPA ARPA ARPA ARPA ARPA ARPA ARPA ARPA ARPA ARPA ARPA
ADP RPR CMG CMG CNG HDM HED LTC PGD RSP ATT PRC
FCS FCS HCB HCB HCB HCB HCB OMB HCB FCS HCB HCB
ARP ARP ARP ARP ARP ARP ARP ARP ARP ARP ARP ARP
706.00 1,177.00 5,882.95 6,943.29 19,041.00 15,000.13
12,000.00 20,000.00 100,000.00 255,000.00 118,035.00
305,656.00
114,000.00
12,706.00 21,177.00 - 105,882.95 124,978.29 324,697.00 - - - 114,000.00 270,000.13 -
12,706.00 21,177.00 - 105,882.95 124,978.29 324,697.00 - - - 114,000.00 270,000.13 -
68,000.00 22,500.00
12,706.00 21,177.00 124,978.29 324,697.00 114,000.00 270,000.13
8,000.00
1,971.95 5,411.00
12,706.00 21,177.00 - 105,882.95 - - - - - - - -
- - - - 124,978.29 324,697.00 - - - 114,000.00 270,000.13 -
12,706.00 21,177.00 - 105,882.95 124,978.29 324,697.00 - - - 114,000.00 270,000.13 -
705.89 1,176.48 - 5,882.40 6,943.29 17,979.92 - - - - 15,000.13 -
706.00 1,177.00 - 5,882.95 6,943.29 19,041.00 - - - - 15,000.13 -
- - - - 0.00 - - - - - - -
1 State Admin 2 OAA Admin (III C-1) 3 OAA Admin (III E) 4 SSBG Admin 5 Title III-B 6 Title III-C1 7 Title III-C2 8 Title III-D 9 Title III-E Caregiver
10 NSIP
11 Title VII Elder Abuse 12 Title VII FED OMB 13 State Ind Living Supports 14 State Ombudsman 15 State Respite 16 SSBG (Services)
17 SHIP
18 Senior Medicare Patrol 19 HB2695 Lottery 20 SCSEP (Title V) 21 SSBG - HCB Wait List 22 SSBG - One-Time Admin.
23 SSBG - One-Time (Services)
24 MIPPA - SHIP
25 MIPPA - AAA
26 MIPPA - ADRC
27 Adult Day Health
28 FFCRA - C1
29 FFCRA - C1 Admin
30 FFCRA - C2
31 CARES Act - III-B 32 CARES Act - III-C2 Admin 33 CARES Act - III-C2 34 CARES Act - III-E 35 CARES Act - III-E Admin 36 CARES Act - III-VII - FED. OMB.
37 Cares Act ADRC 38 Title III-C2 COVID Supplemental 39 OAA Admin. III-C2 COVID Supp.
40 ACCESS VACCINES
41 ACCESS VACCINES ADMIN
42 CRRSA LTC OMB.
43 ADRC ACCESS VACCINES
44 ADRC ACCESS VACCINES ADMIN
45 ARPA - III-B
46 ARPA - III-C1
47 ARPA - III-C1 ADMIN
48 ARPA - III-C2
49 ARPA - III-D
50 ARPA - III-E
51 ARPA - III-E ADMIN
52 ARPA - VII FED OMBUDSMAN
53 STATE DIRECT CARE WORKER
54 STATE DIRECT CARE INCENTIVE
55 EXPANDING PH WORKFORCE
56 STATE LTC OMBUDSMAN
Reimbursement Ceiling
DIRECT SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
PURCHASED SERVICES
ALTCS
Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total
Grand Total
EXPENSES (DIRECT)
Personnel - Direct ERE - Direct Professional/Out Direct Sub-Contracted Travel - Direct Space - Direct Equipment - Direct One Time On Going Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT
SubTotal PURCH
TOTAL SERVICE
Units/Direct Units/Purchased Units Total
Unit Rate/Direct Unit Rate/Purch
Unit Rate/Total Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) require a s
Required State Match
State Admin l State ILS
Additional match required
DAARS Codes
AIMS Codes
SERVICE DETAIL
PROGRAM Codes
ARPA ARPA ARPA ARPA
CGT PCS HSK HOLD HDM ATT CMG EHS RSP
FCS FCS HCB HOLD HCB HCB HCB HCB HCB
ARP ARP ARP HOLD WTL WTL WTL LCA LCA
EHL RSA
TOTAL
68,260.00 271,082.00
39,532.00 58,389.00
900,325.00 744,218.00 713,842.00
60,763.00 428,104.00 188,912.00
5,614.00 41,539.00
536,499.00 43,095.00 34,743.00
690,696.00 43,080.00 14,524.00
225,405.00 80,000.00 100,000.00 405,405.00 9,474.00
85,268.00 16,340.00 14,010.00
6,250.00
92,726.00
656,202.00 1,133,202.00 236,071.00 354,106.00 159,912.00 239,868.00 611,313.00 916,969.00
89,659.00 89,659.00 34,126.00 19,000.00 188,253.00 355,379.00
19,641.00 29,461.00 20,377.00 20,377.00
182,702.00 182,702.00
89,840.00 68,905.00
34,126.00 19,000.00 - 1,981,428.00 225,405.00 80,000.00 100,000.00 - - 9,175,860.00
38,610.00
- - - - - - - - - 38,610.00
114,551.00 233,401.00
- - 325,236.00 310,178.00
90,268.00
- - - - - - - 1,073,634.00
34,126.00 19,000.00 - 1,981,428.00 225,405.00 80,000.00 100,000.00 - - 10,288,104.00
62,543.00 1,535,570.09 26,718.00 583,420.55
34,126.00 19,000.00 1,981,428.00 200.00 2,198,758.91 225,405.00 80,000.00 5,451,812.66
832.00 69,827.96 3,389.00 139,418.68
24,420.34
805.00 32,349.33 1,963.00 102,652.36 3,550.00 111,263.12
38,610.00 34,126.00 19,000.00 - 1,981,428.00 - - 100,000.00 - - 4,836,291.34
- - - - 225,405.00 80,000.00 - - - 5,451,812.66
34,126.00 19,000.00 - 1,981,428.00 225,405.00 80,000.00 100,000.00 - - 10,288,104.00
- - - - - - - - 325,175.31
- - - - - - - - 68,260.00
- - - - - - - - 536,499.00
LTC Assisted livingSSBG Wait List
File details come from the government source that posted it. Updated .