Working Copy ATTACHMENT II.
<br /> INDIAN RIVERCOUNTY HEALTH DEPARTMENT
<br /> Part IL Sources of Contributions to County Heaitb Department
<br /> October 1, 2006 to September 30, 2007
<br /> Sate CHD County Total CHD
<br /> Trust Fund CHO Trust Fund -Other
<br /> (cash)-" ' " Trust Fund. (cash) Contribution Total
<br /> 5. OTHER CASH CONTRIBUTIONS - STATE
<br /> 010304 STATIONARY POLLUTANT STORAGE TANKS 0 0 0 0 0
<br /> 090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 132,894 0 132,894 0 132,894
<br /> OTHER CASH CONTRIBUTIONS TOTAL 132,894 0 132,894 0 132,894
<br /> 6. MEDICAID - STATE/COUNTY
<br /> 001056 MEDICAID PHARMACY 0 0 0 0 0
<br /> 001076 MEDICAID TB 0 0 0 0 0
<br /> 001078 MEDICAID ADMINISTRATION OF VACCINE 15,311 15,311 30,622 0 30,622
<br /> 001079 MEDICAID CASE MANAGEMENT 0 0 0 0 0
<br /> 001080 MEDICAID OTHER 0 0 0 0 0
<br /> 001081 MEDICAID CHILD HEALTH CHECK UP 161 ,720 230,423 392, 143 0 392, 143
<br /> 001082 MEDICAID DENTAL 94,764 135,023 229,787 0 229,787
<br /> 001087 MEDICAID STD 2,362 3,365 5,727 0 5,727
<br /> 001089 MEDICAID AIDS 0 0 0 0 0
<br /> 001147 MEDICAID HMO RATE 0 0 0 0 0
<br /> 001191 MEDICAID MATERNITY 45,522 64,862 110,384 0 110,384
<br /> 001192 MEDICAID COMPREHENSIVE CHILD 173,528 247,249 420,777 0 420,777
<br /> 001193 MEDICAID COMPREHENSIVE ADULT 125,641 179,017 304,658 0 304,658
<br /> 001194 MEDICAID LABORATORY 0 0 0 0 0
<br /> 001083 MEDICAID FAMILY PLANNING 6, 128 55, 149 61 ,277 0 61 ,277
<br /> 001208 MEDEPASS $3.00 ADM. FEE 67,608 67,608 135,216 0 135,216
<br /> MEDICAID TOTAL 692,584 998,007 1 ,690,591 0 1 ,690,591
<br /> 7. ALLOCABLE REVENUE - STATE
<br /> 018000 REFUNDS 500 0 500 0 500
<br /> 037000 PRIOR YEAR WARRANT 0 0 0 0 0
<br /> 038000 12 MONTH OLD WARRANT 0 0 0 0 0
<br /> ALLOCABLE REVENUE TOTAL 500 0 500 0 500
<br /> 8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE
<br /> PHARMACY SERVICES 0 0 0 151 ,831 151 ,831
<br /> LABORATORY SERVICES 0 0 0 102, 193 102, 193
<br /> TB SERVICES 0 0 0 0 0
<br /> IMMUNIZATION SERVICES 0 0 0 300, 163 300, 163
<br /> STD SERVICES 0 0 0 0 0
<br /> CONSTRUCTION/RENOVATION 0 0 0 0 0
<br /> WIC FOOD 0 0 0 1 ,612,083 1 ,612,083
<br /> ADAP 0 0 0 0 0
<br /> DENTAL SERVICES 0 0 0 0 0
<br /> OTHER (SPECIFY) 0 0 0 0 0
<br /> OTHER (SPECIFY) 0 0 0 0 0
<br /> OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 2, 166,270 2, 166,270
<br /> 9. DIRECT COUNTY CONTRIBUTIONS - COUNTY
<br /> 008030 GRANTS-COUNTY TAX DIRECT 0 1 ,742,802 1 ,742,802 0 11742,802
<br /> 008034 GRANTS CNTY COMMSN OTHER 0 863,623 863 ,623 0 863,623
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