RWPA_Budget_Template_2025.xlsx
XLSX spreadsheet 68 KB Posted
- Attached to
- Ryan White Services
- Solicitation number
- 2024-RFP-128
- Issued by
- New Haven County, Connecticut
About this file
The document is a Ryan White Part A Budget Template for 2025, prepared by a service agency for a comprehensive HIV care and support services contract with the City of New Haven, Connecticut. The budget template covers multiple service categories including Ambulatory Outpatient Health Services, Medical Case Management, Oral Health Care, Substance Abuse Services, Health Insurance Assistance, Mental Health Services, Housing Services, Emergency Financial Assistance, Medical Transportation, Food Bank/Home Delivered Meals, and Intensive Medical Case Management. The budget is structured to allocate funds across direct service and administrative costs for each service category, with a standard 10% administrative cost allocation.
The Ryan White Part A grant is federally funded through the US Health Services and Resources Administration, designed to assist low-income, uninsured, and underserved individuals with HIV by providing comprehensive medical and support services. The budget template shows zero-dollar allocations across most categories, suggesting this is a template or placeholder document for future funding. The contract is contingent upon the City of New Haven receiving the Ryan White Part A grant, with the overall goal of developing and enhancing access to community-based care for people living with HIV. The funding aims to improve medical outcomes by providing a comprehensive continuum of high-quality healthcare services within the designated geographic area.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Summary
| Ryan White PART A |
| Budget |
| Time Period: | ||||
| Service Category | Direct Service | Administration Costs | Total Amount | |
| 1 | Ambulatory Outpatient Health Services | - 0 | - 0 | - 0 |
| 2 | Medical Case Management Services | - 0 | ||
| 3 | Oral Health Care | - 0 | ||
| 4 | Substance Abuse Services (Outpatient) | - 0 | ||
| 6 | Health Insurance Assistance | - 0 | ||
| 5 | Mental Health Services | - 0 | ||
| 7 | Housing Services | - 0 | ||
| 8 | Emergency Financial Assistance | - 0 | ||
| 9 | Medical Transportation | - 0 | ||
| 10 | Food Bank/Home Delivered Meals | ERROR:#REF! | ||
| 11 | Substance Abuse Services (In-patient) | - 0 | ||
| 12 | Instensive Medical case Management | - 0 | ||
| Total | ERROR:#REF! |
AOHS
| Name of Agency | |||
| Budget By Service Category | |||
| Funding Period | |||
| Budget Category - Ambulatory Outpatient Health Services | Direct Service | Administrative | Total Budgeted |
| Cost | Amount | ||
| Travel | |||
| Mileage reimbursement for employees for their meetings and site visit to the sub agencies. 150miles/mth @ .55. (150*12*0.55) | - 0 | - 0 | |
| Total Travel | - 0 | - 0 | - 0 |
| Medical Materials and Supplies | |||
| Disposable medical supplies utilized during patients medical visits. 40 patients @ $10.87 per month x twelve months | - 0 | ||
| Total Medical Materials & Supplies | - 0 | - 0 | - 0 |
| Office and Program Supplies | |||
| Printing and copying papers, binder, toner and other office and program supplies, $150/mo in 12 months | - 0 | ||
| Total Office and Program Supplies | - 0 | - 0 | |
| Contractual: | |||
| - 0 | |||
| Total Contractual | - 0 | - 0 | - 0 |
CONTRACTUAL - 0 - 0
| PERSONNEL | |||
| - 0 | |||
| Fringe Benefits % of total wages | - 0 | - 0 | |
| Total Primary Care Cost | - 0 | - 0 | |
| Total Personnel Cost | - 0 | - 0 |
| Other Material and Supplies | |||
| Total Outpatient/ambulatory Medical Care | - 0 | - 0 | - 0 |
Administrative Costs (10%) - 0
TOTAL Ambulatory Outpatient Costs - 0 - 0 - 0
&D
MCM
| Name of Agency | |||
| Budget By Service Category | |||
| Funding Period | |||
| Budget Category - Medical Case Management | Direct Service | Administrative | Total Budgeted |
| Cost | Amount | ||
| PERSONNEL |
| Subtotal Wages | - 0 | - 0 | - 0 |
| Fringe Benefits - % of total wages | - 0 | - 0 | - 0 |
| Total Personnel Cost | - 0 | - 0 | - 0 |
| Total Medical Case Management Cost | - 0 | - 0 |
| Administrative Costs (10%) |
TOTAL MEDICAL CASE MANAGEMENT COSTS - 0
19.00
Oral HC
| Name of Agency | |||
| Budget By Service Category | |||
| Funding Period | |||
| Budget category - Oral Health Care | Direct Service | Administrative | Total Budgeted |
| Cost | Amount | ||
| CONTRACTUAL | |||
| - 0 |
Administrative Costs (10%) - 0
TOTAL ORAL HEALTH CARE COSTS - 0 - 0 - 0
SA OP
| Name of Agency | |||
| Budget By Service Category | |||
| Funding Period | |||
| Budget category - Substance Abuse - Outpatient | Direct Service | Administrative | Total Budgeted |
| Cost | Amount | ||
| PERSONNEL |
| - 0 | ||
| Subtotal Wages | - 0 | - 0 |
| Fringe Benefits - % of total wages | - 0 | - 0 |
| Total Personnel Cost | - 0 | - 0 |
| Other Materials and Supplies | - 0 |
Total Other Materials and Supplies - 0
| Total Substance Abuse Cost | - 0 | - 0 | - 0 |
| Administrative Costs (10%) | - 0 |
TOTAL SUBSTANCE ABUSE OP COSTS - 0 - 0 - 0
HIA
| Name of Agency | |||
| Budget By Service Category | |||
| Funding Period | |||
| Budget Category - Health Insurance Co-Pay Assistance | Direct Service | Administrative Cost | Total Budgeted Amount |
| Contractual: | |||
| - 0 | |||
| TOTAL CONTRACTUAL | - 0 | - 0 | $0 |
Administrative Costs (10%) - 0
TOTAL HEALTH INSURANCE ASSIST COSTS - 0 - 0 - 0
MH
| Name of Agency | |||
| Budget By Service Category | |||
| Funding Period | |||
| Budget Category - Mental Health Services | Direct Service | Administrative | Total Budgeted |
| Cost | Amount | ||
| PERSONNEL |
| - 0 | |||
| Subtotal Wages | - 0 | - 0 | - 0 |
| Fringe Benefits - % of total wages | - 0 | - 0 | |
| Total Personnel Cost | - 0 | - 0 | - 0 |
| Other Material and Supplies | - 0 | ||
| Total Mental Health Cost | - 0 | - 0 | - 0 |
| Administrative Costs (10%) | - 0 | - 0 |
TOTAL MENTAL HEALTH COSTS - 0 - 0 - 0
Hous
| Name of Agency | |||
| Budget By Service Category | |||
| Funding Period | |||
| Budget category - Housing Assistance | Direct Service | Administrative | Total Budgeted |
| Cost | Amount | ||
| PERSONNEL |
| - 0 | ||
| Total Wages | - 0 | - 0 |
| Fringe Benefits - % of total wages | - 0 | - 0 |
| Total Personnel Cost | - 0 | - 0 |
- 0
Administrative Costs (10%) - 0
TOTAL HOUSING COSTS - 0 - 0 - 0
EFA
| Name of Agency | |||
| Budget By Service Category | |||
| Funding Period | |||
| Budget category - Emergency Financial Assistance (EFA) | Direct Service | Administrative | Total Budgeted |
| Cost | Amount | ||
| PERSONNEL | |||
| - 0 | |||
| Fringe Benefits - % of total wages | - 0 | - 0 | |
| Total Personnel Cost | - 0 | - 0 |
| - 0 | ||
| - 0 | - 0 | |
| Administrative Costs (10%) | - 0 |
TOTAL EFA COSTS - 0 - 0 - 0
FB
| Name of Agency | ||||
| Budget By Service Category | ||||
| Funding Period | ||||
| City of NH Cost Center | Budget Category - Food Bank/Home Delivered Meals | Direct Service | Administrative Cost | Total Budgeted Amount |
| PERSONNEL | |||
| 50110 | - 0 | ||
| 51100 | Fringe Benefits - % of total wages | - 0 | - 0 |
| Total Personnel Cost | - 0 | - 0 |
| 55584 | Food Products | |||
| - 0 | ||||
| Total Food & Food products | - 0 | - 0 | $0 | |
| 56900 | Administrative Costs (10%) | - 0 |
TOTAL FOOD BANK COSTS ERROR:#REF! - 0 ERROR:#REF!
SA IP
| Name of Agency | |||
| Budget By Service Category | |||
| Funding Period | |||
| Budget category - Substance Abuse-Inpatient | Direct Service | Administrative | Total Budgeted |
| Cost | Amount | ||
| CONTRACTUAL | |||
| - 0 | |||
| TOTAL SUBSTANCE ABUSE IP COST | - 0 | - 0 | |
| Administrative Costs (10%) | - 0 | ||
| TOTAL SUBSTANCE ABUSE IP COSTS | - 0 | - 0 | - 0 |
ICM
| Name of Agency | |||
| Budget By Service Category | |||
| Funding Period | |||
| Budget category - Intensive Medical Case Management | Direct Service | Administrative | Total Budgeted |
| Cost | Amount | ||
| PERSONNEL |
| Total Wages | - 0 | - 0 | - 0 |
| Fringe Benefits - % of total wages | - 0 | - 0 | - 0 |
| Total Personnel Cost | - 0 | - 0 | - 0 |
| Travel | |||
| - 0 | |||
| Total Travel Costs | - 0 | - 0 | - 0 |
| Supplies and education material | - 0 | ||
| Total Other Materials and Supplies | - 0 | - 0 | - 0 |
| Total ICM/MAI | - 0 | - 0 | - 0 |
| Administrative Costs (10%) | - 0 | ||
| TOTAL ICM/MAI COSTS | - 0 | - 0 | - 0 |
File details come from the government source that posted it. Updated .