HomeMy WebLinkAboutFiscal - Commonwealth of PA, Bureau of Financial OperationsRevision Number: 1
$0
Carryover (1) Allotment (2) Total Allocation (3)
A. Early Intervention Services
1. Early Intervention Services 10235 $0 $1,187,668 $1,187,668 $1,181,495 $6,173 $0 $6,173
2. Early Intervention Training 10235 $0 $4,218 $4,218 $4,218 $0 $0 $0
3. Early Intervention Administration 10235 $0 $72,208 $72,208 $72,208 $0 $0 $0
4. Infants & Toddlers w/Disabilities (Part C) 70170 $0 $144,473 $144,473 $144,473 $0 $0 $0
5. Medicaid Administration-State 10235 $0 $57,362 $57,362 $56,521 $841 $0 $841
6. Reserved 00001 $0 $0 $0 $0 $0 $0 $0
Total Early Intervention Services $0 $1,465,929 $1,465,929 $1,458,915 $7,014 $0 $7,014
Date Authorized Signature Printed Name/Title
Date Authorized Signature Printed Name/Title
Grant Fund
Adjustments (6)
Total Fund
Balance (7)
I certify that the statement of receipts and expenditures for the period shown is true and correct to the best of my knowledge and belief, that the fund balance shown on this report has been reconciled with the related
balances of the books of this program, that the funds expended have been used in accordance with the official plan and estimates of the local authorities approved by the Department of Human Services, with the
regulations of the Department and further that local authorities understand that payments made to this program hereunder will be made in reliance by the Commonwealth upon the statements herein made.
Sources of DHS Funding App
DHS Funds Available Cost Eligible for
DHS Participation
(4)
Balance Of Funds
(5)
Franklin/Fulton EI Program
Commonwealth of Pennsylvania
DHS - Bureau of Financial Operations
County Early Intervention Services Report
EI15 -Early Intervention Services
Fiscal Year 2024-2025
Revision Number: 1 $0
Admin Office Early Intervention
Service
Coordination Total
I. TOTAL ALLOCATION $1,465,929
II. TOTAL EXPENDITURES $208,396 $1,292,527 $186,067 $1,686,990
III. COSTS OVER ALLOCATION
A. County Funded Eligible $0 $0 $0
$0
B. County Funded Ineligible $0 $0 $0
$0
C. Other Eligible $0 $0 $0
$0
D. Other Ineligible $0 $0 $0 $0
Subtotal Costs Over Allocation $0 $0 $0 $0
IV. REVENUES
A. Program Service Fees $0 $0 $0 $0
B. Private Insurance $0 $0 $0 $0
C. Medical Assistance $0 $0 $0
$0
D. Medical Assistance Admin Claims -EI Waiver $19,812 $0 $0 $19,812
E. Medical Assistance Admin Claims-EI Other $36,709 $0 $0
$36,709
F. Earned Interest $15,123 $0 $0 $15,123
G. Other $0 $609 $0
$609
Subtotal Revenues $71,644 $609 $0 $72,253
V. DHS REIMBURSEMENT
A. DHS Categorical Funding 90% $72,208 $1,162,726 $167,460 $1,402,394
B. DHS Categorical Funding 100%$56,521 $0 $0 $56,521
Subtotal DHS Reimbursement $128,729 $1,162,726 $167,460 $1,458,915
VI. COUNTY MATCH
10% County Match $8,023 $129,192 $18,607
$155,822
Subtotal County Match $8,023 $129,192 $18,607 $155,822
VII. TOTAL DHS REIMB & COUNTY MATCH $136,752 $1,291,918 $186,067 $1,614,737
VIII. TOTAL CARRYOVER $7,014
Revenues=Expenditures Check $0 $0 $0 $0
Franklin/Fulton EI Program
DHS - Bureau of Financial Operations
County Early Intervention Report of Income and Expenditures
EI16 - Report of Income and Expenditures
Fiscal Year 2024-2025
Revision Number: 1
$0
Admin Office Early Intervention
Service
Coordination Total
A. Personnel Services
1. Wages and Salaries $87,750 $14,412 $0
$102,162
2. Employee Benefits $20,663 $2,300 $0 $22,963
3. Misc. Personnel Expenses $325 $0 $0
$325
Subtotal Personnel Services $108,738 $16,712 $0 $125,450
B. Operating Expenses
1. Occupancy $6,946 $0 $0 $6,946
2. Communications $496 $0 $0
$496
3. Administrative Supplies $75 $0 $0 $75
4. Treatment & Supportive Supplies $0 $2,159 $0
$2,159
5. Transportation $1,137 $0 $0 $1,137
6. Misc. Purchased Treatment Services $0 $2,528 $0
$2,528
7. Misc. Operating Expenses $65,220 $8,899 $0 $74,119
8. Reserved $0 $0 $0
$0
Subtotal Operating Expenses $73,874 $13,586 $0 $87,460
C. Equipment and Other Fixed Assets
1. Purchase of Fixed Assets $0 $0 $0
$0
2. Repair & Improvement of Fixed Assets $22 $0 $0
$22
Subtotal Equipment and Other Fixed Assets $22 $0 $0 $22
D. Indirect Costs
1. County Indirect Costs $25,762 $25,762
Subtotal Indirect Costs $25,762 $0 $0 $25,762
E. Total Costs - County $208,396 $30,298 $0 $238,694
F. Purchased Services $0 $1,262,229 $186,067 $1,448,296
G. Total Expenditures $208,396 $1,292,527 $186,067 $1,686,990
H. DHS Reimbursement/County Match $136,752 $1,291,918 $186,067 $1,614,737
Franklin/Fulton EI Program
Commonwealth of Pennsylvania
DHS - Bureau of Financial Operations
County Early Intervention Report of Income and Expenditures
EI17 - EI Expenditure Report
Fiscal Year 2024-2025