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ATTACHMENT II.
<br /> " INDIAN RIVER COUNTY HEALTH DEPARTMENT
<br /> Part II. Sources of Contributions to County Health Department
<br /> October 1 , 2009 to September 30, 2010
<br /> State CHD County Total CHD
<br /> Trust Fund CHD Trust Fund Other
<br /> (cash) Trust Fund (cash) Contribution Total
<br /> 6 . MEDICAID - STATE/COUNTY
<br /> 001079 MEDICAID CASK MANAGEMENT 0 0 0 0 0
<br /> 001081 MEDICAID CHILD HEALTH CHECK I, JP 112,482 235 , 115 347, 597 0 347 , 597
<br /> 001082 MEDICAID DEN fAL 99, 785 2089574 308 , 359 0 308 , 359
<br /> 001083 MEDICAID FAMILY PLANNING 24 , 062 216 , 558 240, 620 0 240, 620
<br /> 001087 MEDICAID S' I' D 11 ,242 23 ,497
<br /> 34, 739 0 34, 739
<br /> 001089 MEDICAID AIDS 0 0
<br /> 0 0 O
<br /> 001147 MEDICAID HMO RATE 0 0
<br /> 0 0 0
<br /> 001191 MEDICAID MATERNITY 0 p
<br /> 0 0 0
<br /> 001192 MEDICAID COMPREIIENSIVE Cl{ ILD 162, 539 3394745 502,284 0 502 ,284
<br /> 001193 MEDICAID COMPREHENSIVE ADULT 79 ,995 167,207 247 ,202 0 2479202
<br /> 001194 MEDICAID LABORATORY 0 0
<br /> 0 0 0
<br /> 001208 MEDIPASS $2 . 00 ADM . FEE 43 , 500 43 , 500 87, 000 0 87 , 000
<br /> 001059 Medicaid Low InCOme Pool 0 0
<br /> 0 0 0
<br /> 001051 Emergency Medicaid 0 0
<br /> 0 0 0
<br /> 001058 Medicaid - Behavioral Health 0 0
<br /> 0 0 0
<br /> 001071 Medicaid - Orthopedic 0 0
<br /> 0 0 0
<br /> 001072 Medicaid - Dermatology 0 0
<br /> 0 0 0
<br /> 001075 Medicaid - School Health Certified Match 0 0 0 0 0
<br /> 001069 Medicaid - Refugee Health 0 0
<br /> 0 0 0
<br /> 001055 Medicaid - Hospital 0 0
<br /> 0 0 0
<br /> MEDICAID TOTAL 552 ,307 1 .252 ,899 1 , 805 ,206 0 1 , 805,206
<br /> 7. ALLOCABLE REVENUE - STATE
<br /> 018000 REFUNDS 0 0
<br /> 0 0 0
<br /> 037000 PRIOR YEAR WARRAN "f 0 p
<br /> 0 0 0
<br /> 038000 12 MONTI I OLD WARRAN "1' 0 0
<br /> 0 0 0
<br /> ALLOCABLE REVENUE TOTAL 0 0 0 0 0
<br /> S. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE
<br /> PHARMACY SERVICES 0 0
<br /> 0 731782 73 ,782
<br /> LABORATORY SLRVICES 0 0
<br /> 0 63 .883 63 , 883
<br /> 1 ' B SERVICES 0 0 0 0 0
<br /> IMMUNIZATION SFRVICES 0 0 0 553 , 153 553 , 153
<br /> S FD SERVICES 0 0 0 0 0
<br /> CON SrIRUCI' ION/RENOVATION 0 0 0 0 0
<br /> WIC FOOD 0 0 0 2430 , 275 2 ,430,275
<br /> ADAP 0 0 0 335 ,769 335 , 769
<br /> DENTAL SERVICES 0 0 0 0 0
<br /> O' IJIER ( SPECIFY) 0 0 0 0 0
<br /> 01' HER ( SPECIFY) 0 0 0 0 0
<br /> OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 3 ,4561862 34456 , 862
<br /> 9. DIRECT COUNTY CONTRIBUTIONS - COUNTY
<br /> 008030 BCC Contribution from Health Care Tax 0 0 0 0 0
<br /> 008034 BCC Contribution from General Fund 0 644 , 507 644, 507 0 644 , 507
<br /> DIRECT COUNTY CONTRIBUTION TOTAL 0 644, 507 644 . 507 0 644 , 507
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