VVI, A
<br /> rVE
<br /> �Aw
<br /> All VAI
<br /> "moi 2-�' a r �� r -' '�¢5a". ° .N Iry Ys 7 F . .�''�
<br /> DINEt VIA VIA
<br /> VAIg *ATTACHNEAl vr�
<br /> �T IT ilk
<br /> , ` f� x � f
<br /> ars s�, x
<br /> III
<br /> IV. INDk1N RIPER CO TAI E�ARTMENT �^
<br /> 4vs t : tt"wl ', . t° wvw
<br /> 3 C, xy^r s
<br /> }`s xa ntx
<br /> ,Part II Sources ofobuIons oCountIII
<br /> yIealth Department `r
<br /> IV � �a . , s ._ Y 't '� rt `, � - t Uctober
<br /> 4 4 wt TN yt 2 4�+
<br /> ' , '�i-ux 's f x .� eu u ^tev
<br /> . y � ��. , r s i , x`� «: .x4.,�+' -s,'x `� CiOLLI11 '
<br /> d
<br /> , .. _,.� `s' �'txcad.,4.- � ;fi�` "�t ➢S LL (� AL
<br /> , � r; r� treII VIA ' 'ryLLB WAS t rt jib
<br /> VIA ,"` a zY lr * - �, F ; r III �s '" ,r`' z § fIf LI4 ,� i kty ? �"„
<br /> C83 Ly TCLL3L,BLLLLAIr
<br /> � ` 3 17 1
<br /> t nAtfg ryJ .3
<br /> Afr :1
<br /> Llf: RA-
<br /> 6. MEDICAID - STATE/COUNTY
<br /> 001083 MEDICAID FAMILY PLANNING 0 179,549 1795549 0 1791V549
<br /> 001087 MEDICAID STD 0 485579 483579 0 489579
<br /> 001089 MEDICAIDAIDS 0 39,099 393099 0 39,099
<br /> 001147 MEDICAID HMO CAPITATION 0 0 0 0 0
<br /> 001191 MEDICAID MATERNITY 0 0 0 0 0
<br /> 001192 MEDICAID COMPREHENSIVE CHILD 0 503 ,914 503 ,914 0 503 ,914
<br /> 001193 MEDICAID COMPREHENSIVE ADULT 0 309, 891 3095891 0 309, 891
<br /> 001194 MEDICAID LABORATORY 0 0 0 0 0
<br /> 001208 MEDIPASS $3 . 00 ADM. FEE 0 7200 725000 0 72,000
<br /> 001059 MEDICAID LOW INCOME POOL 0 0 0 0 0
<br /> 001051 EMERGENCY MEDICAID 0 0 0 0 0
<br /> 001058 MEDICAID - BEHAVIORAL HEALTH 0 0 0 0 0
<br /> 001071 MEDICAID - ORTHOPEDIC 0 0 0 0 0
<br /> 001072 MEDICAID - DERMATOLOGY 0 0 0 0 0
<br /> 001075 MEDICAID - SCHOOL HEALTH CERTIFIED MATCH 0 0 0 0 0
<br /> 001069 MEDICAID - REFUGEE HEALTH 0 0 0 0 0
<br /> 001055 MEDICAID - HOSPITAL 0 0 0 0 0
<br /> 001148 MEDICAID HMO NON-CAPITATION 0 0 0 0 0
<br /> 001074 MEDICAID - NEWBORN SCREENING 0 0 0 0 0
<br /> MEDICAID TOTAL 0 11970,484 159707484 0 15970,484
<br /> 7. ALLOCABLE REVENUE - STATE
<br /> 018000 REFUNDS 0 0 0 0 0
<br /> 037000 PRIOR YEAR WARRANT p
<br /> 0 0 0 0
<br /> 038000 12 MONTH OLD WARRANT p
<br /> 0 0 0 0
<br /> ALLOCABLE REVENUE TOTAL 0 0 0 0 0
<br /> 8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE
<br /> PHARMACY SERVICES 0 0
<br /> 0 76,889 765889
<br /> LABORATORY SERVICES 0 p
<br /> 0 43 , 579 43 ,579
<br /> TB SERVICES 0 0
<br /> 0 0 0
<br /> IMMUNIZATION SERVICES 0 p
<br /> 0 5451l362 54515362
<br /> STD SERVICES 0 0
<br /> 0 0 0
<br /> CONSTRUCTION/RENOVATION 0 p
<br /> 0 0 0
<br /> WIC FOOD 0 0
<br /> 0 2,057,867 2,057, 867
<br /> ADAP 0 0
<br /> 0 0 0
<br /> DENTAL SERVICES 0 p
<br /> 0 0 0
<br /> OTHER (SPECIFY) 0 0
<br /> 0 0 0
<br /> OTHER (SPECIFY) 0 p
<br /> 0 0 0
<br /> OTHER STATE CONTRIBUTIONS TOTAL 0 0 p 2, 723 ,697 2,723 ,697
<br /> 9. DIRECT LOCAL CONTRIBUTIONS - BCC/TAX DISTRICT
<br /> 008010 CONTRIBUTION FROM CITYGOVERNMENT 0 p
<br /> 0 0 0
<br /> 008020 CONTRIBUTION FROM HEALTH CARE TAX NOT THRU BCC 0 1 ,910, 845 15910, 845 0 1 ,9103845
<br /> 008040 BCC GRANT/CONTRACT 0 801488 805488 0 80,488
<br /> 008030 CONTRIBUTION FROM HEALTH CARE TAX 0 p
<br /> 0 0 0
<br /> 008034 BCC CONTRIBUTION FROM GENERALFUND 0 534, 521 534, 521 0 534, 521
<br /> /ersion : 1 Page 4 of 7
<br />
|