Recommended continuation budget

              State of North Carolina

Recommended

Continuation

Budget

2003- 2005

Michael F. Easley Health and Human Services

Governor Volume 3

State of North Carolina

Recommended

Continuation

Budget

2003- 2005

Health and Human Services

Volume 3

Office of State Budget and Management

Michael F. Easley Office of the Governor

Governor Raleigh, North Carolina

February 2003

Three hundred copies of this volume were printed at a cost of $ 17.88 per copy.

Volume 3 iii Health and Human Services

Contents

Section Page

Introduction v

A: Mission and Fund Descriptions A- 1

B: Budgets

Aging, Division of B- 55

Central Management and Support, Division of B- 1

Child Development, Division of B- 74

Education Services, Office of B- 92

Facility Services, Division of B- 473

Medical Assistance, Division of B- 267

Mental Health/ Developmental Disabilities/ Substance Abuse Services,

Division of B- 339

Public Health, Division of B- 119

Services for the Blind, Deaf, and Hard of Hearing, Division of B- 311

Social Services, Division of B- 211

Vocational Rehabilitation, Division of B- 497

Volume 3 v Health and Human Services

Introduction

The Recommended Continuation Budget, 2003- 2005 is a six- volume document that

details Governor Easley’s recommended fiscal plan for continuing operations of the

State of North Carolina for the upcoming biennium. For publication purposes, the

various departments of state government are grouped by function within the following

volumes:

Volume 1: Education

Volume 2: General Government

Volume 3: Health and Human Services

Volume 4: Justice and Public Safety

Volume 5: Natural and Economic Resources

Volume 6: Transportation

In Sections A and B of each volume, funds are presented in numerical order within

budget code. The budget codes are also ordered numerically by their last four digits,

which typically represent a department or division, and then by their first digit, which

represents a fund type. For example, in volume six, budget code 84210 precedes code

14222, which precedes 84290. The only exception to this order occurs where the last

four digits of the budget code deviate from the usual department/ division designation.

Section A provides mission statements for departments and a statement of purpose for

each fund, as well as full titles for each budget code and fund code. ( Mission and fund

purpose statements are also included for each separate university in the UNC system,

each division of the Department of Health and Human Services, and occupational

licensing boards.)

Section B presents the proposed budget for each budget code and fund code,

beginning with summary tables for each budget code followed by fund details for each

budgeted fund within the budget code. Summaries for each budget code are listed

below:

Summary by Fund

Summary by Account

Position Counts, Summary by Fund

Position Counts, Summary by Account

Volume 3 vi Health and Human Services

For each fund, “ Fund Detail” presents the information termed “ Worksheet I” in the

budget preparation system. Tabular data in Section B are presented for 2001- 02 actual

amounts spent or received, 2002- 03 certified and authorized amounts, and 2003- 04

and 2004- 05 recommended amounts.

Section A is intended both as an explanation of the operations supported by each fund

as well as an index to the fiscal data in Section B. Section A page numbers for budget

codes refer to the first page of the five summary tables for that code, and page

numbers for fund codes refer to the first page of the fund detail table.

A summary of Governor Easley’s recommended budget, including both continuation

and expansion budgets, is published separately from these six volumes.

Questions about the Recommended Continuation Budget, 2003- 2005 or requests for

further information may be directed to the Office of State Budget and Management,

20320 Mail Service Center, Raleigh, N. C. 27699- 0320, or telephone ( 919) 733- 7061.

The document may also be downloaded from the Office of State Budget and

Management web site, www. osbm. state. nc. us.

Brief Definitions

Recommended Budget

Total of continuation and expansion budgets submitted by the Governor to the General

Assembly for a biennium beginning with an odd- numbered year, for example, 2003- 05.

Continuation Budget

That portion of the recommended budget that maintains existing, authorized levels of

recurring services in agencies for a biennium. The continuation budget is based on the

current year’s authorized budget; it may be adjusted through Worksheet I’s for level of

expenditure, inflationary increase, increase in services required, annualization of

programs, reduction for nonrecurring programs, and adjustments for receipts.

Expansion Budget

That portion of the recommended budget that presents additional operating funds for

expansion of existing programs, including inflationary cost for the state’s share of

locally- operated programs, new programs, or pilot projects; proposals to change a

statutory- controlled program by redirecting funds from one program to another;

onetime major equipment purchases; and continued phase- in of new programs

initiated in a previous biennium.

Volume 3 vii Health and Human Services

Certified Budget

Once the state budget is approved by the General Assembly and released, the Office

of State Budget and Management ( OSBM) certifies the official budgets to state

agencies. Agencies can then operate under the new budget. The State Budget Officer

certifies the appropriations, revenue, and condition of the fund to the Office of State

Controller and the State Treasurer. The certified budget reflects budget revisions that

were specifically mandated by the General Assembly.

Authorized Budget

The certified budget plus revisions delegated to the Office of State Budget and

Management and to agencies by the Executive Budget Act.

Fund Code

Funds ( or budget centers) are established as a result of authorization by the General

Assembly; changes in the accounting standards; authorizations by OSBM; and/ or grant

awards from federal, state, local, or private agencies, or from individuals. The fund

code is a four- digit number that, with its parent budget code, uniquely identifies the

fund.

Budget Code

The Office of State Budget and Management and the Office of State Controller

together with the State Treasurer determine a five- digit number ( budget code) for

budgetary reporting. This number generally identifies major fund types and the

responsible entity for reporting. The first digit is the fund type. The second and third

digits are usually the department/ division code. Budget codes are established for the

following fund types:

0xxxx - Institutional Funds Revenue

1xxxx - General Fund

2xxxx - Special Funds

3xxxx - Federal Funds

4xxxx - Capital Project Funds

5xxxx - Enterprise Funds

6xxxx - Trust and Agency Funds

7xxxx - Service Funds

8xxxx - Highway Funds

Worksheet I

A component of the Budget Preparation System ( BPS) used by state agencies to

develop their budget requests for the General Assembly. Each Worksheet I report,

except in the university system, has these eight columns:

Volume 3 viii Health and Human Services

1) Description of the expenditure or receipt

2) Amount actually spent or received as of June 30 of the first year ( 2001- 02) of

the current biennium ( 2001- 03)

3) Amount certified by the General Assembly for the second year ( 2002- 03) of the

current biennium ( 2001- 03). Not shown for the university system.

4) Amount authorized by OSBM for the expenditure or receipt during the second

year ( 2002- 03) of the current biennium ( 2001- 03)

5) Amount of the recommended increase or decrease for the first year ( 2003- 04)

of the next biennium ( 2003- 05), as compared to the current year ( 2002- 03) in

column 4

6) Total amount requested for the first year ( 2003- 04) of the next biennium ( 2003-

05)

7) Amount of the recommended increase or decrease for the second year ( 2004-

05) of the next biennium ( 2003- 05), as compared to the current year ( 2002- 03)

in column 4

8) Total amount requested for the second year ( 2004- 05) of the next biennium

( 2003- 05)

Section A

Mission and Fund Descriptions

Volume 3 A- 1 Health and Human Services

Department of Health and Human Services

Mission To serve the people of North Carolina by enabling individuals, families, and communities to be healthy and secure,

and to achieve social and economic well- being. To achieve this mission, the department will: provide comprehensive

and coordinated services for prevention, intervention, assistance, education, and empowerment; assure equal access

to services; be accountable for achieving meaningful results; continuously improve service delivery by involving

citizens; and support and develop employees as diverse, invaluable resources.

Division of Central Management and Support

Mission Direct operations and provide support services for the department's agencies and institutions to ensure that legislative

and administrative policies are properly implemented to the benefit of citizens, clients, and employees and to promote

health care access and self- sufficiency for underserved, low income, and developmentally disabled people.

Page

Budget Code - 14410 DHHS - Division of Central Management and Support B- 1

Fund Code

14410- 1010 Central Management and Administration B- 13

The Office of the Secretary sets policy and coordinates program administration fiscal, automation and personnel

activities in the Department of Health and Human Services to ensure that legislation and policy direction from the

Governor are properly implemented. Additionally, this fund includes activities of the Office of Public Affairs, Office of

Governmental Relations, Office of General Council, and the Office of Policy and Planning.

14410- 1011 Administration and Support B- 16

The purpose of this fund is to provide fiscal and program analyses, and evaluations, coordination of capital projects,

property control, purchase and contracts management to ensure services are administered in an efficient and effective

manner. Included in this fund are activities of the Office of Grants Management, Division of Budget and Analysis,

Office of Internal Audit, and Office of Property and Construction.

14410- 1012 Controller's Office B- 19

The purpose of this fund is to perform all accounting and financial reporting functions for the divisions and institutions

within the department and to provide accountability for the resources appropriated to the department via the

establishment of accounting, internal control, rate setting and cash management policies.

Volume 3 A- 2 Health and Human Services

14410- 1030 Citizen Services B- 23

This program guides citizens through the human service delivery system by providing information and referral to the

proper department or agency and provides problem resolution for concerns or complaints via the ombudsman

component. The Ombudsman responds to requests referred to the office by the Governor's Office, the Secretary of

Health and Human Services, and other officials to investigate complaints or concerns relating to programs and

services of the Department of Health and Human Services. Citizen Affairs staff effectively respond to requests

received through the toll- free Information and Referral Service known as the CARE- LINE for information on and/ or

referral to human services programs and organizations, in government, non- profit agencies and support groups. The

Office of Citizen Affairs assists agencies and organizations across the state that are interested in developing or

enhancing information and referral operations by providing technical assistance and consultation, and educates the

general public and agency personnel on information and referral services. This program provides statistical information

on calls and ombudsman cases to the DHHS divisions for program evaluation and agency planning.

14410- 1110 NC Council on Developmental Disabilities B- 25

The purpose of the N. C. Council on Developmental Disabilities is to promote access to and participation in the design

of culturally competent community services, individualized supports, and other forms of assistance and opportunities

that enhance self- determination, independence, productivity, and integration and inclusion into the community for

individuals with developmental disabilities and their families. This is done through conducting systemic change,

capacity building, and advocacy activities, that are consistent with a participant and family- centered, comprehensive

system, and coordinated array of services, supports and other assistance, in the areas of ( 1) employment; ( 2)

community living; ( 3) prevention and child development; 4) self- determination; 5) healthcare; 6) recreation; 7)

transportation; 8) education; 9) housing; and ( 10) system coordination and community education.

14410- 1210 Human Resources B- 27

The Division of Human Resources' mission is to provide the highest principles of professional human resources

administration to the Department of Health and Human Services. Staff throughout the Division serve as management

consultants and employee advocates in support of the Department's mission and goals. The purpose of this fund is to

provide consultative, regulatory and monitoring services to over 19,000 employees and managers of the 14

divisions/ offices and 18 institutions that comprise the Department of Health and Human Services. Through the broad

functional areas of Classification and Pay, Employee and Management Development, Employee Relations, Employee

Safety and Health, Recruitment Services, and Work/ Life and Benefits Services, the Division of Human Resources: ( 1)

Administers the State of North Carolina classification and pay plan for all positions in the Department and maintains

compliance with the Fair Labor Standards Act; ( 2) provides consulting services in training development, needs

assessment and curriculum planning while overseeing training and staff development for the Department; ( 3) oversees

the Department's grievance process, performance rating dispute process, unemployment insurance program and

manages the resolution of employee appeals filed with the Office of Administrative Hearings, the State Personnel

Commission and the courts; ( 4) administers and coordinates safety and health related programs for the

Volume 3 A- 3 Health and Human Services

Department to ensure compliance with federal, state, and department regulations to maintain safe work environments

for employees and clients; ( 5) coordinates and facilitates recruitment activities throughout the Department to ensure

fair employment practices; and ( 6) provides interpretation and consultation in the development and application of

personnel policies and employee benefit programs.

14410- 1310 Office of Economic Opportunity B- 29

The Office of Economic Opportunity administers federal and state programs that provide funds to local agencies to

raise families, including homeless persons, out of poverty. Funds from the major grant programs ( Community Services

Block Grant, and Emergency Shelter Grants) are used in local communities to carry out a wide range of strategies,

based on local needs, which are designed to lead families to self- sufficiency.

14410- 1311 Residential Energy Conservation Assistance Program B- 32

The Residential Energy Conservation Assistance Program helps reduce energy costs for low- income families through

conservation education, weatherization, and repair and replacement of inefficient heating systems. In addition, health

and safety hazards are addressed.

14410- 1410 Information Systems Services B- 34

The Division of Information Resource Management ( DIRM) supports the business functions of the Department of

Health and Human Services by developing, modifying, transferring, maintaining, and supporting automated systems;

telecommunications and network design and management support; computer hardware planning and installation

support; operational support including printing and distributing computer output; and technical assistance with

acquisitions of computer hardware and software. DIRM also researches and analyzes existing federal, state, and

departmental Information Resource Management ( IRM) policies; develops recommendations for new IRM policies; and

monitors the implementation of IRM policies adopted by the Department; coordinates and supports IRM planning,

quality assurance, and information resource security processes of the Department.

14410- 1411 DIRM - Welfare Automation B- 38

This Fund was established in July, 1998, at the request of the Office of State Budget and Management. The purpose

of doing so was to create a method of capturing and reporting Welfare Reform automation costs for the Division of

Information Resource Management and the Department. This separation from DIRM routine applications has assisted

with federal reporting, as well as information prepared for the Information Resource Management Commission.

Projects are included based upon their individual relationships to the overall Welfare Reform initiatives and include

both applications development efforts as well as infrastructure projects.

14410- 1510 Office of Rural Health and Resource Development B- 40

The purpose of the Office of Research, Demonstrations, and Rural Health Development is to make quality primary

medical and dental care available and accessible to North Carolina's rural communities by assisting them in identifying

appropriate resources, recruiting physicians and dentists, and by developing primary care systems and

Volume 3 A- 4 Health and Human Services

centers. The Office designs and tests innovative health care delivery strategies for Medicaid and other indigent

residents to bring about improvement in health status, reduction of health disparities, and improvement in cost

effectiveness. Assistance is provided to migrant and seasonal farmworkers in obtaining needed services, to small rural

hospitals in network development, and to communities in developing prescription drug assistance programs.

14410- 1710 More at Four Prekindergarten Pilot Program B- 43

The purpose of the More at Four Pre- K Program is to establish high quality educational pre- kindergarten classrooms

for at- risk four- year- olds who are likely not to succeed in K- 12 education. These funds must be combined with other

funding and resources to establish these classrooms in each county for 2002- 03. The first priority is to serve children

who have not received child care or are currently unserved. Secondary priorities are to serve children eligible for

subsidy but not receiving it and children who are in facilities that do not meet the More at Four standards.

14410- 1810 Revenue Clearing Account B- 45

The Revenue Clearing Fund records accounting transactions that detail by funding source the revenue due from

federal and other funding agencies as a result of expenditures that earned those dollars in the operating Funds of the

agency. Actual receipts received from funding agencies are also recorded in this Fund. The Revenue Clearing Fund

balance indicates the current status of the agency's accounts receivable for the funding sources reflected in the

Clearing Account at any point in the fiscal year.

14410- 1910 Reserves and Transfers B- 48

This Fund is used to record budgetary reserves and non- operating transfers to other State agencies.

14410- 191A Statewide Reserve B- 47

A fund used by the General Assembly to set aside a specific amount of money for distribution to certain or all agencies

for salaries, health benefits, computer equipment, and other designated uses.

14410- 1991 Indirect Cost - Reserve B- 49

The purpose of this fund is to account for funds earned for indirect costs from federal funding sources. The rate or

amount of indirect cost that may be earned is negotiated each year with the federal DHHS Division of Cost Allocation

based upon prior year statewide and departmental overhead costs.

14410- 1992 Prior Year Earned Revenue B- 51

This fund is used to record revenue received in the current fiscal year, primarily from federal funding sources, that was

earned in a prior fiscal year.

14410- 1993 Prior Years Audits and Adjustments B- 53

This fund is used to record adjustments to expenditures or receipts for activities or transactions that occurred in a prior

fiscal year. Adjustments tracked in this fund include paybacks from subgrantees as a result of audits of prior year

operations.

Volume 3 A- 5 Health and Human Services

Division of Aging

Mission Plan, administer, coordinate, and evaluate the activities, programs, and services developed under the Older

Americans Act and related programs which include specific state appropriations for the older adult population.

Provide leadership to achieve successful aging for North Carolina's older population by providing a system of services,

opportunities, and protective supports.

Page

Budget Code - 14411 DHHS - Division of Aging B- 55

Fund Code

14411- 1110 State Administration B- 62

These funds are used to provide administration for the Division of Aging. This program advocates for opportunities to

enable older adults to remain active in their community, assists older adult citizens and/ or their family caregivers by

developing programs, fiscal policies and guidelines for an array of social, health, employment support and nutritional

services funded under the Older Americans Act and with state funds. The division also provides technical assistance

and training for Area Agencies on Aging and more than 440 local service providers as well as conducts programs and

disseminates information on topics of interest to current and future older adults and family caregivers. The division

monitors through Area Agencies on Aging for compliance with state and federal program and fiscal requirements. The

division also provides leadership to facilitate local, regional, and state level strategic planning to meet the needs of

well, moderately impaired, and frail older adults.

14411- 1210 Community Based Services B- 65

This program assists North Carolina's older citizens and/ or their family caregivers by funding Area Agencies on Aging

which administer and monitor various home and community based services that: help frail older adults remain at home

as long as possible; promote the health, wellness and nutritional status of older adults; support the development and

operation of senior centers; provide transportation assistance for medical, recreational, nutritional, and social reasons;

increase employment opportunities for older adults as well as promote educational, volunteer, and leisure

opportunities for older adults. The division also administers a Family Caregiver Support Program that develops local

capacity through Area Agencies on Aging to provide programs and supportive services for caregivers of at- risk older

adults.

14411- 1310 Elder Rights Program B- 68

This program assists North Carolina's older adults by developing programs which enhance advocacy efforts on behalf

of residents in long- term care facilities, strengthens public awareness efforts aimed at the prevention of abuse,

Volume 3 A- 6 Health and Human Services

neglect, and/ or exploitation of older individuals through the federally mandated Long Term Care Ombudsman

Program. The Elder Rights Program also serves to increase access to and counseling on public benefits and

pensions; expands legal assistance available to older adults; and strengthens consumer protections.

14411- 1810 Revenue Clearing B- 70

The Revenue Clearing Fund records accounting transactions that detail by funding source the revenue due from

federal and other funding agencies as a result of expenditures that earned those dollars in the operating Funds of the

agency. Actual receipts received from funding agencies are also recorded in this Fund. The Revenue Clearing Fund

balance indicates the current status of the agency's accounts receivable for the funding sources reflected in the

Clearing Account at any point in the fiscal year.

14411- 191A Statewide Reserve B- 71

A fund used by the General Assembly to set aside a specific amount of money for distribution to certain or all agencies

for salaries, health benefits, computer equipment, and other designated uses.

14411- 1992 Prior Year Earned Revenue B- 72

This fund is used to record revenue received in the current fiscal year, primarily from federal funding sources, that was

earned in a prior fiscal year.

14411- 1993 Prior Year Adjustments or Audit Exceptions B- 73

This fund is used to record adjustments to expenditures or receipts for activities or transactions that occurred in a prior

fiscal year. Adjustments tracked in this fund include paybacks from subgrantees as a result of audits of prior year

operations.

Division of Child Development

Mission Build a stronger social and economic future for North Carolina by promoting high quality early childhood experiences.

Page

Budget Code - 14420 DHHS - Division of Child Development B- 74

Fund Code

14420- 1111 General Administration B- 81

The purpose of the General Administration fund is to support child care and other early child development programs.

These funds are used to provide administration for the Division of Child Development; inspect all child care centers

and homes for compliance with applicable laws; investigate all reports of alleged abuse or neglect in child care

Volume 3 A- 7 Health and Human Services

centers and homes and take appropriate action to protect children; and to provide administration for the child care

subsidy program.

14420- 1190 Revenue Clearing B- 84

The Revenue Clearing Fund records accounting transactions that detail by funding source the revenue due from

federal and other funding agencies as a result of expenditures that earned those dollars in the operating Funds of the

agency. Actual receipts received from funding agencies are also recorded in this Fund. The Revenue Clearing Fund

balance indicates the current status of the agency's accounts receivable for the funding sources reflected in the

Clearing Account at any point in the fiscal year.

14420- 1711 Early Childhood Initiative B- 85

The purpose of the Early Childhood Initiatives program is to support local and statewide Smart Start Initiatives in

making high quality early childhood education programs and support services available to all preschool children and

their families.

14420- 1811 Child Development Services B- 86

The purpose of the Child Development Services program is to support subsidized child care and special initiatives to

improve the quality and availability of the services provided. To carry out this responsibility, these funds are used to

subsidize the cost of child care for eligible children to enable their parents to work or receive training and to enhance

the development of children. Funds are also used to improve child care by promoting training and increased

compensation for caregivers; providing loans or grants to child care providers to improve and expand services;

promoting the development of child care resource and referral to assist families with locating high quality child care;

and supporting implementation of the star rated child care licensing system.

14420- 191A Statewide Reserve B- 88

A fund used by the General Assembly to set aside a specific amount of money for distribution to certain or all agencies

for salaries, health benefits, computer equipment, and other designated uses.

14420- 1992 Prior Year Earned Revenue B- 89

This fund is used to record revenue received in the current fiscal year, primarily from federal funding sources, that was

earned in a prior fiscal year.

14420- 1993 Prior Year Unearned Revenue B- 90

This fund is used to record adjustments to expenditures or receipts for activities or transactions that occurred in a prior

fiscal year. Adjustments tracked in this fund include paybacks from subgrantees as a result of audits of prior year

operations.

Volume 3 A- 8 Health and Human Services

Office of Education Services

Mission The Office of Education Services ( OES) manages the Schools for the Deaf, the Governor Morehead School for the

Blind, and their preschool components in order to improve student academic and post- secondary outcomes and to

strengthen collaborative relationships with local education agencies and with the State Board of Education.

Page

Budget Code - 14424 DHHS - Office of Education Services B- 92

Fund Code

14424- 1101 Western NC School for the Deaf B- 99

This fund is used to provide quality educational programming for students who are deaf, hard of hearing and deaf-blind

from the 48 western NC counties and whose Individual Educational Plans ( IEP) recommend their attendance at

a day program or residential school for the deaf. Funds allow students to receive K- 12 instructional services leading to

a diploma, as well as, related services specified by their IEPs. Funding supports staff collaboration with Vocational

Rehabilitation to facilitate transition services for students 14- 21 years of age. Funding also supports outreach efforts

that provide students, local education agencies, public school educators, parents, and community members' access to

a variety of services related to the intellectual, social, and emotional development of deaf and hard of hearing

students.

14424- 1201 Eastern NC School for the Deaf B- 102

This fund is used to provide quality educational programming for students who are deaf, hard of hearing and deaf-blind

from the 52 eastern NC counties and whose Individual Educational Plans recommend their attendance at a day

program or residential school for the deaf. Funds allow students to receive K- 12 instructional services leading to a

diploma, as well as, related services specified by their Individual Educational Plans. Funding supports staff

collaboration with Vocational Rehabilitation to facilitate transition services for students 14- 21 years of age. Funding

also supports outreach efforts that provide students, local education agencies, public school educators, parents, and

community members access to a variety of services related to the intellectual, social, and emotional development of

deaf and hard of hearing students.

14424- 1301 Central NC School for the Deaf B- 105

The North Carolina Central School for the Deaf closed in May 2001. Only essential maintenance staff remained

through June 2002. The General Assembly eliminated the maintenance and operating budget during the 2002- 03

session.

Volume 3 A- 9 Health and Human Services

14424- 1405 Governor Morehead School B- 107

This fund is used to provide quality educational programming for visually impaired children and youth ages birth

through 21 from all 100 NC counties. All children have individualized programs ( IFSPs, IEPs), which recommend

visually impaired support services. Early Intervention and Pre- school Services are home and center- based. GMS

preschool staff work with families and community professionals to provide intervention services, accommodations and

adaptive equipment. Funds for the K- 12 day and residential program are provided for delivery of the standard course of

study leading to a high school diploma, as well as related services specified by their IEPs. Funding supports staff

collaboration with Vocational Rehabilitation to facilitate transition services for students 14- 21 years of age. Funding

provides high quality, research- based training opportunities through the North Carolina Central University Visually

Impaired program. Funding also supports outreach efforts that provide students, local education agencies, public

school educators, parents, and community members' access to a variety of services related to the intellectual, social,

and emotional development of visually impaired students. Outreach also includes short term programming on campus

for disability specific training, such as Braille and/ or Orientation and Mobility.

14424- 1505 Early Intervention Services - Preschool B- 110

The fund is used to manage a statewide system of home and center- based early intervention services to children who

are birth to three years old with hearing impairments; to provide interventionists who work with children, families, and

community professionals on the range of issues related to hearing loss; to provide itinerant services in the home or

daycare setting for children with hearing loss, focusing on language development and communication skills; to

evaluate these children regularly to monitor progress in all areas of development, including communication skills; to

function in accordance with state and federal mandates in serving children with hearing loss as their primary disability;

to lease space and pay for services related to customer service, including but not limited to itinerant travel expenses,

office equipment and supplies, learning resources, and contractual services; and to work collaboratively with other

agencies that provide services to children who are ages birth to three in order to maximize resources.

14424- 1701 Family Resource Centers B- 112

The Family Resource Centers have been privatized and are now operated under contract with Beginnings for Parents

of Hearing Impaired Children, a private not- for- profit agency. Beginnings provides emotional support, counseling,

unbiased education, assessment, advocacy, and referral to families with deaf or hard of hearing children. They also

provide outreach to professionals who work with deaf and hard of hearing children. The Auditory Learning Center

provides training and technical assistance to early intervention and public school providers serving children who are

deaf or hard of hearing. The Center conducts workshops in the areas of speech, language, and auditory development

and provides direct services ( Aural Habilitation) to children and adults.

14424- 1801 Central Administration B- 113

This fund is for the Central Office staff which provides management and support services to assure quality operation of

residential and preschool programs.

Volume 3 A- 10 Health and Human Services

14424- 191A Statewide Reserve B- 115

A fund used by the General Assembly to set aside a specific amount of money for distribution to certain or all agencies

for salaries, health benefits, computer equipment, and other designated uses.

14424- 1991 Indirect Reserves B- 116

The purpose of this fund is to account for funds earned for indirect costs from federal funding sources. The rate or

amount of indirect cost that may be earned is negotiated each year with the federal DHHS Division of Cost Allocation

based upon prior year statewide and departmental overhead costs.

14424- 1992 Prior Year Revenue B- 117

This fund is used to record revenue received in the current fiscal year, primarily from federal funding sources, that was

earned in a prior fiscal year.

14424- 1993 Prior Period Refunds B- 118

This fund is used to record adjustments to expenditures or receipts for activities or transactions that occurred in a prior

fiscal year. Adjustments tracked in this fund include paybacks from subgrantees as a result of audits of prior year

operations.

Division of Public Health

Mission Protect, promote, and preserve the health of North Carolinians through ethical, compassionate, and evidence- based

public health practice.

Page

Budget Code - 14430 DHHS - Division of Public Health B- 119

Fund Code

14430- 1000 Division of Health Services B- 132

This is the fund code used by the Office of the State Controller to record pass- through non- expense/ revenue balance

items.

14430- 1110 Division Offices B- 133

This fund is used to develop and analyze policy, conduct program planning and coordination, secure and allocate

resources, and provide fiscal oversight and control.

Volume 3 A- 11 Health and Human Services

14430- 1130 Regional Offices Support B- 136

This fund is used to budget Management Support positions based in Division of Public Health regional offices.

14430- 1160 State Center for Health Statistics B- 137

The purpose of this fund is to provide technical assistance to counties implementing a community health assessment;

collect and disseminate health information statewide; maintain a statewide cancer registry and provide cancer- related

information; adopt policies and implement a statewide plan regarding the collection and dissemination of health

information; publish routine and special reports; and respond to special requests.

14430- 1410 Local Health Services B- 140

This fund is used to provide information, training, consultation, and technical assistance on minority health issues to

national, state, and local health and human service agencies, community- based organizations, and other public and

private health agencies. In addition, the fund provides tools, consultation, and technical assistance to local health

departments on management, efficiency, and productivity issues. It is also used to negotiate appropriate Medicaid

reimbursement rates based on annual cost study results and to assure that Health Services Information Systems

provides appropriate interface for local agencies to seek reimbursement for services for all payment sources.

14430- 1420 Medical Examiner B- 143

This fund is used to conduct medical/ legal death investigations, autopsies, and toxicology tests; investigate childhood

deaths, particularly those due to suspected abuse and neglect; monitor the incidence and distribution of deaths;

maintain a database of results of postmortem investigations, autopsies, and tests; record causes of death; provide

copies of completed medical examiner investigations, autopsies, and toxicology reports to the public; maintain the

incidence and distribution of deaths due to homicides, suicides, natural diseases, and drugs; respond to requests for

information; provide expert witness testimony in criminal proceedings; and provide instructional hours in medical/ legal

education.

14430- 1430 Office of Chief Nurse B- 146

The purpose of this fund is to provide training via the Public Health Training and Information Network as well as via on-line

and traditional mechanisms and to provide tools, technical assistance and consultation on nursing issues in local

health departments.

14430- 1435 Dental Health Services B- 148

This fund is used to implement a statewide plan for providing education and preventive services to promote oral health;

provide consultation to local dental public health service providers; provide instruction on dental care, sealants, nutrition,

fluorides, plaque control, and injury prevention; provide preventive services to targeted children; monitor community

water supplies for optimal fluoride levels; maintain a dental health database and provide public information;

Volume 3 A- 12 Health and Human Services

and provide screening, diagnostic, and preventive treatment plus referral to dental and oral health services. This fund

also supports a division- wide school health initiative which aims to improve the health and academic performance of

school children by positively impacting school health policy, services and environments.

14430- 1440 Highway Safety Scientific Service B- 151

This fund is used to provide direct services to prevent injuries and deaths due to drinking and driving.

14430- 1451 Communicable Disease/ Bioterrorism B- 154

The purpose of this fund is to work with local partners on control of communicable diseases. The primary focus is to

locate and examine close contacts of tuberculosis ( TB) infectious patients; provide preventive therapy to infected

patients to prevent active tuberculosis; provide treatment to active tuberculosis cases; and place patients on directly

observed therapy. This fund is also being used to support Public Health Bioterrorism initiatives.

14430- 1461 HIV/ STD Prevention and Care B- 157

This fund is used to provide training, consultation, and technical assistance to public and community health agency

staff; work with public and community health agencies to investigate HIV and other STD reports; locate and counsel

partners; diagnose, treat, and educate individuals; work with public and community agencies to provide a continuum of

outpatient care and support services to people infected with and affected by HIV; ensure enforcement of applicable

public health law and administrative rules; and maintain current policies and databases required to produce reports and

support training.

14430- 1465 Vital Records B- 160

This fund is used to register vital events: births, deaths, marriages, and divorces; provide copies of vital certificates;

provide raw demographic data to health researchers and statistical analysts; and provide training, consultations, and

technical assistance in vital records.

14430- 1471 Occupational Health and Environmental Epidemiology B- 162

The purpose of this fund is to investigate, review, and evaluate reports of occupational injury or illness and

environmental or zoonotic conditions, including possible contamination of private and public water supplies, suspected

of posing a risk to human health. The fund provides rabies tags to veterinarians and county health departments for

identification of vaccinated domestic animals. Additionally, the fund is used for asbestos/ lead abatement by training and

certifying abatement contractors, inspecting and issuing permits for abatement sites, investigating complaints, and

enforcing regulation compliance.

14430- 1505 Women's and Children's Health B- 165

This fund has three purposes: 1) budgets funds supporting the section's administrative requirements; 2) budgets the

Healthy Mothers/ Healthy Children allocation to local health departments, which is a component of the Maternal and

Child Health Block Grant state plan; 3) budgets the State Systems Development Initiative grant, which is administered

at the section level due to its involvement across all branches within the section.

Volume 3 A- 13 Health and Human Services

14430- 1511 Women's Health B- 167

This fund is used to contract with local service providers for perinatal services to low- income pregnant women, including

prenatal care, case management, counseling, and postpartum services. In addition, it is used to coordinate resources to

improve access to nutritional support and medical supervision, to conduct/ contract for perinatal education training and

seminars, monitor and evaluate services to determine impact on perinatal outcomes, and provide consultation and

technical assistance to service providers. Resources budgeted in this fund also support the provision of contraceptive

services for low- income women and men. Support is also provided for the primary and secondary prevention of

adolescent pregnancies.

14430- 1515 Developmental Evaluation Centers B- 170

This fund is used for the network of state managed Developmental Evaluation Centers ( DEC) and reflects all of their

operational activities. It also includes costs associated with the state level administration of this program.

14430- 1516 Early Intervention B- 173

This fund is used for the non DEC specific early intervention activities of the Early Intervention Branch. Examples

include the annual federal early intervention grant and state funded administration and special projects.

14430- 1520 Sickle Cell and Genetic Counseling B- 176

This fund is used to provide preventive and primary care services to children from birth to 18 years of age via local

service providers; inform parents and caregivers about good health practices; identify and treat infants and children with

chronic medical conditions and developmental delays by providing screening, diagnoses, case management, referral,

and follow- up services; and promote family well- being and self- sufficiency.

14430- 1531 Special Needs Children B- 179

This fund is used to provide services to children with special health care needs. Programs and services are designed to:

( 1) assure earliest possible identification and proper referral of children who have, or are at risk for, developmental

delays, chronic illnesses or disabling conditions; ( 2) assist with costs of health care and related services for children

( and some adults) with special health care needs; and ( 3) provide training, consultation and technical assistance to

family members, health care providers and other care givers in order to promote optimal growth and development for

these children.

14430- 1535 Child Health B- 182

This fund is used to provide preventive and primary care services to children from birth to 18 years of age via local

service providers, including contracts for direct clinic services. In addition, it is used to coordinate resources to improve

access to child health and school health services, and to conduct/ contract for training and educational activities on

childhood initiatives including parenting, vision screening, healthy weight, asthma, health and safety in child care, and

prevention of child fatalities.

Volume 3 A- 14 Health and Human Services

14430- 1540 Nutrition and Dietary Services B- 185

Through the Women, Infants, and Children ( WIC) Program, this fund provides money to contract with local agencies for

nutrition education and supplemental foods for income- eligible participants at nutritional risk. The fund is also used to

contract for nutritious meals for eligible children and adults who attend qualifying care facilities.

14430- 1551 Chronic Diseases B- 188

This fund is used to maintain the Advisory Committee on Cancer Coordination and Control ( ACCCC), the Heart Disease

and Stroke Prevention Task Force ( HDSPTF), the Governor's Council on Physical Fitness and Health ( GCPFH), the 5-

A- Day nutrition initiative, the Vision 2010 Statewide Coalition, the Diabetes Advisory Council ( DAC), the Senior

Vaccination Season Coalition ( SVSC), and the Osteoporosis Task Force. The fund is also used to increase state and

local capacity to address physical activity, nutrition, tobacco use, diabetes, hypertension, and osteoporosis and to

prevent injuries. The fund provides money for cancer, home health, kidney services, and migrant health services. In

addition, it provides tools, consultation, and technical assistance to local health departments on management,

efficiency, and productivity issues. Furthermore, it helps counties establish a Healthy Carolinians Task Force and

identify resources for community- based health promotion.

14430- 1560 Public Health Laboratory Services B- 192

This fund is used for laboratory examinations of samples submitted by appropriate health care providers; for maintaining

databases of results; and for providing training, testing and certification to other laboratories.

14430- 1570 Immunization B- 195

This fund is used to develop and disseminate immunization information to health professionals and the public, distribute

vaccine to public and private providers, provide technical assistance, monitor and evaluate services, develop and

maintain a North Carolina Immunization Registry, and contract with local providers for immunization services.

14430- 1575 Child Nutrition Programs B- 198

The purpose of this fund is to provide technical assistance to public health personnel to promote the delivery of nutrition

services to adults and children and to contract for nutritious meals for eligible children and adults who attend qualifying

adult and child care facilities, and participate with Summer Food Service Program.

14430- 1810 Division of Public Health- Revenue Clearing Fund B- 200

The Revenue Clearing Fund records accounting transactions that detail by funding source the revenue due from federal

and other funding agencies as a result of expenditures that earned those dollars in the operating Funds of the agency.

Actual receipts received from funding agencies are also recorded in this Fund. The Revenue Clearing Fund balance

indicates the current status of the agency's accounts receivable for the funding sources reflected in the Clearing

Account at any point in the fiscal year.

Volume 3 A- 15 Health and Human Services

14430- 191A Statewide Reserve B- 202

A fund used by the General Assembly to set aside a specific amount of money for distribution to certain or all agencies

for salaries, health benefits, computer equipment, and other designated uses.

14430- 1931 Refund of Prior Year Expenses B- 203

This fund is an accounting fund used to record the collection of reimbursements for expenditures covered with state

appropriations in a prior period.

14430- 1991 Federal Indirect Reserve B- 204

This purpose of this fund is to account for funds earned for indirect costs from federal funding sources. The rate or

amount of indirect cost that may be earned is negotiated each year with the federal DHHS Division of Cost Allocation

based upon prior year statewide and departmental overhead costs.

14430- 1992 Prior Year Earned Revenue B- 207

This fund is used to record revenue received in the current fiscal year, primarily from federal funding sources, that was

earned in a prior fiscal year.

14430- 1993 Prior Year Audits and Adjustments B- 209

This fund is used to record adjustments to expenditures or receipts for activities or transactions that occurred in a prior

fiscal year. Adjustments tracked in this fund include paybacks from subgrantees as a result of audits of prior year

operations.

Division of Social Services

Mission The Division of Social Services is dedicated to assisting and providing opportunities for individuals and families in need

of basic economic support and services to become self- supporting and self- reliant. The Division of Social Services

advocates for and encourages individuals' rights to select actions appropriate to their needs. Furthermore, we recognize

our responsibility through teamwork and professional effort to assist in this process. Toward this end, in cooperation with

local departments of social services and other public and private entities, we seek to identify needs, devise and focus

resources, and deliver services responsively, timely and compassionately.

Volume 3 A- 16 Health and Human Services

Page

Budget Code - 14440 DHHS - Division of Social Services B- 211

Fund Code

14440- 1110 State Administration B- 223

The purpose of the State Administration program is to develop policies and procedures to carry out federal and state

program requirements; to allocate funds to counties; to supervise program implementation and field operations; to

develop and periodically update the state training plan; to provide accounting and statistical information regarding how

funds are spent; and to support development and operation of electronic data processing and telecommunication

systems. This program includes the Office of the Director, personnel services, accounting and budget functions,

planning services, and general data processing support.

14440- 1120 Regional Administration B- 226

Local Support provides technical assistance and consultation to county departments of social services, county boards

of social services, boards of county commissioners and other county officials; monitors administration and operation of

county social services departments; and supervises county departments in accordance with statutory requirements.

14440- 1130 Public Assistance Administration B- 228

Public Assistance Administration ensures that Social Services entitlement programs are administered in accordance

with current rules and procedures so that all eligible persons in the state receive accurate benefits in a timely and

equitable manner. Programs and benefits include Work First Family Assistance ( WFFA), AFDC- Emergency Assistance,

Food Stamp Program, Low Income Home Energy Assistance, and State/ County Special Assistance for Adults ( SA).

Financing allotments to Food Assistance recipients does not involve state funds or disbursement and is therefore not

represented in the division's budget. Matching rates for administration of these programs vary according to funding

sources.

14440- 1140 Child Welfare Services B- 231

Child Welfare Services Administration ensures that social services for children and families are developed,

implemented, and administered fairly and consistently across the state. These programs are supported by numerous

federal grants including the Social Services Block Grant, Temporary Aid to Needy Families Block Grant and Child

Welfare Services Funds, and by state appropriations such as the Special Children Adoption Incentive Funds. Federal

participation in the programs varies according to source of funds. Programs for children and their families are designed

to protect and promote the welfare of children in their homes and, when necessary, to provide care for them outside

their homes until they can be reunited with their parents or relatives, placed for adoption, or otherwise placed in a

permanent home.

Volume 3 A- 17 Health and Human Services

14440- 1160 Job Corps B- 234

The 100% federal funded Job Corps program has been discontinued.

14440- 1170 Adult and Family Service B- 235

Adult and Family Services Administration ensures that social services for elderly and disabled adults and families are

developed, implemented, and administered accurately and consistently across the state. These programs are supported

by several federal grants including the Social Services Block Grant, Family Violence Prevention Act funds, and Refugee

Assistance Program funds, and by state appropriations such as the State Adult Protective Services Fund and the State

Adult Home Specialist Fund. Federal participation in the programs varies according to source of funds. Programs for

adults are designed to prevent or delay institutional care, provide a continuum of community- based services for elderly,

disabled, and needy adults, and strengthen and support family- based care. Refer to Fund 1230, State/ County Special

Assistance for Adults, for information about this program which enables low income elderly and disabled adults to live in

adult care homes when that level of care is needed. Services are delivered primarily through county departments of

social services ( see Fund 1480) but also through contracts with other public or private providers or directly by the

Division. Administrative support activities in this fund include the provision of training and technical assistance to service

delivery agencies as well as supervision and monitoring to ensure policy compliance and to strengthen quality of service.

14440- 1180 Aid to Counties B- 237

County Administration provides financial assistance to county governments in meeting costs of administering public

assistance and service programs. These include county department costs associated with determining if welfare

applicants meet financial and income requirements as well as other county administrative and personnel functions.

Funds from various federal programs such as TANF, Food Stamps and the Social Services Block Grant are transferred

from this program to the county to meet these operating costs.

14440- 1210 Refugee Assistance Payments B- 240

The Refugee Cash and Medical Assistance Program is utilized for newly arrived refugees into the United States who

demonstrate financial need. The program is short- term ( maximum of eight months) in nature and is used to provide

support to assist refugees in becoming self- supporting.

14440- 1220 Work First Family Assistance B- 241

Work First Family Assistance ( WFFA) is administered at the county level under state supervision. It is intended to

encourage the care of dependent children by furnishing financial assistance to their parents or relatives with whom they

are living to help them maintain and strengthen family life and become more independent and self- supporting. The

Temporary Assistance for Needy Families Emergency Assistance ( TANF- EA) Program provides assistance to TANF

eligible families with children who are in crisis situations. Assistance may include cash or social work services provided

by county departments of social services, area mental health agencies, and youth services facilities. Assistance available

covers a wide range of areas including, but not limited to, assistance with housing and utilities, economic,

Volume 3 A- 18 Health and Human Services

employment and social service counseling and related in- home and out- of- home services. Funding for the cash

component of TANF- EA through the WFFA is a combination of federal, state, and county funds; for the service

component, funding is 50% federal and 50% county or other local funds.

14440- 1230 Special Assistance for Adults B- 242

In order to provide assistance to the aged and disabled with special needs, Special Assistance for Adults provides a

cash supplement to eligible persons in licensed adult care homes or, at county option, to certain disabled persons in

private living arrangements. This is a state/ county supported program ( 50% state funded and 50% county funded) with

no federal funds involved in the payment.

14440- 1240 Energy Assistance B- 243

Low Income Energy Assistance ( LIEAP) is an entitlement program which provides funds to help low income families

cope with increases in heating costs. A one- time payment is made to all eligible households. LIEAP funding is federal.

14440- 1250 Adoption Assistance B- 244

Adoption Assistance provides payments and services to meet the needs of adoptive children who are physically or

mentally handicapped, and otherwise hard to place for adoption because of their special needs. Assistance is in the form

of monthly cash payments to families and reimbursements to county departments of social services for the purchase of

legal, medical, and therapeutic services. Adoption assistance payments are funded by Title IV- E, Title IV- B ( Child

Welfare Services), and state and county funds.

14440- 1260 Foster Care Assistance B- 245

Foster Care Assistance provides financial assistance to needy children who are removed from their homes for placement

in a foster care facility, where the child's placement and care are the responsibility of a county department of social

services. Children may qualify for assistance under Title IV- E, Temporary Assistance for Needy Families grant, or the

State Foster Home Fund. State Foster Home Fund payments are 50% state funded and 50% county funded. The

matching rate for Title IV- E Foster Care is the same as for regular AFDC payments, and the rate of federal financial

participation ( matching rate) is subject to change. TANF for foster care payments is reimbursed at 100% federal.

14440- 1280 County Public Assistance Payments B- 247

County Public Assistance Payments include Crisis Intervention Payment and Carolina Power and Light ( CP& L) Project

Share funds. The Crisis Intervention Payments Program ( CIP) is designed to assist low income persons who are in a

heating or cooling related crisis. Funds are allocated to each county department of social services based on the number

of eligible households receiving Supplemental Security Income ( SSI), Aid to Families with Dependent Children ( AFDC),

Medical Assistance and Food Stamps, and the number of non- categorical households in the county which meet the

income requirements. The CIP program is 100% federally funded. For eligible households in the CP& L service area,

funds are available for similar payments through the CP& L Project Share. No state match is required for CP& L Project

Share. Funding comes from employee and customer donations that are matched by CP& L.

Volume 3 A- 19 Health and Human Services

14440- 1310 Transfers to Other State Agencies B- 248

Funds are transferred from this program to other state agencies and divisions for their use in meeting their goals and

objectives. These are flow through funds and do not represent programs of the Division of Social Services. Matching

rates vary according to program.

14440- 1410 State Purchase of Service B- 249

State Purchase of Services includes the costs of state level services and contracts on behalf of clients in identified target

populations. Services include return of runaways, maternity home payments, abortion payments, and child medical

evaluation payments. Federal support for some of these programs comes from the Social Services Block Grant, the

Child Welfare Grant, and Emergency Assistance funds.

14440- 1480 County Services Program B- 250

This fund includes the costs of services purchased by and provided by county departments of social services.

Administrative costs are not included. Costs reflect county- provided services to children, families, and elderly adults such

as in- home services, case management, counseling, medical transportation, out of home placement, and disabled

adolescent parenting, child and adult protective services, permanency planning, purchase of psychological services,

family planning, and other federal and state funded services.

14440- 1500 Child Support Enforcement B- 253

The Child Support Enforcement ( IV- D) Program locates absent parents, establishes paternity when needed, establishes

and enforces support obligations to ensure that parents who are absent from the home support their children, and

collects and distributes the support payments. All recipients of Work First Family Assistance ( WFFA) ( Fund 1220) must

assign to the state all rights to child support for recipient children. The support collected for these cases is then retained

by the state to offset the amount expended for WFFA. Services are also available to non- WFFA clients who are charged

an application fee. The current federal financial participation rate for the federal Child Support Enforcement grant ( IV- D)

which supports this program is 66%. County funds are used as the match for county- operated programs which are

budgeted in Fund 1180. Fund 1500 includes the cost of state administered local programs and state administrative

costs. The match for these costs comes from state funds and earned incentive receipts.

14440- 1810 Revenue Clearing Fund B- 256

The Revenue Clearing Fund records accounting transactions that detail by funding source the revenue due from federal

and other funding agencies as a result of expenditures that earned those dollars in the operating Funds of the agency.

Actual receipts received from funding agencies are also recorded in this Fund. The Revenue Clearing Fund balance

indicates the current status of the agency's accounts receivable for the funding sources reflected in the Clearing Account

at any point in the fiscal year.

Volume 3 A- 20 Health and Human Services

14440- 1900 Reserves and Transfers B- 258

This program exists for accounting purposes only to reserve closed- ended grants for transfer into program budget codes

including both committed and uncommitted reserves.

14440- 191A Statewide Reserve B- 259

A fund used by the General Assembly to set aside a specific amount of money for distribution to certain or all agencies

for salaries, health benefits, computer equipment, and other designated uses.

14440- 1991 Federal Indirect Reserve B- 260

This program exists for accounting purposes only to account for funds earned for indirect costs, in conjunction with

agreements with the Department of Health and Human Services and Department of Administration, to recoup federal

participation for current year claims against prior year capital expenditures and departmental overhead.

14440- 1992 Prior Year Earned Revenue B- 262

This fund is used to record revenue received in the current fiscal year, primarily from federal funding sources, that was

earned in a prior fiscal year.

14440- 1993 Prior Year Adjustments or Audit Exceptions B- 264

This fund is used to record adjustments to expenditures or receipts for activities or transactions that occurred in a prior

fiscal year. Adjustments tracked in this fund include paybacks from subgrantees as a result of audits of prior year

operations.

14440- 1995 Reserve - Work First State Money B- 266

This fund records expenditures associated with new development and enhancements of approved Information

Technology Services ( ITS) systems which provide the counties the means to communicate with the state information

systems. The information is used for generating the reporting information required by the federal and state government

to obtain federal funding and to make management decisions of programs provided by the counties.

Volume 3 A- 21 Health and Human Services

Division of Medical Assistance

Mission Manage the Medicaid program efficiently and effectively so that cost effective health care services are available through

enrolled providers to all eligible persons across the state.

Page

Budget Code - 14445 DHHS - Division of Medical Assistance B- 267

Fund Code

14445- 1101 DMA Administration B- 278

The purpose of this fund is to design and manage the Medicaid Program in North Carolina so that reimbursement

methodologies contain incentives for providers to be cost conscious; the program meets or exceeds federal program

performance standards for efficient and effective operation; the program maximizes federal funding available while

continuing to apply the test of cost effectiveness and efficiency to all expenditures regardless of source of financing.

Salaries, fringe benefits and related costs for DMA personnel reside in this fund.

14445- 1102 Contracts and Agreements B- 281

The purpose of this fund is to procure the use of the most efficient administrative services through competitive bidding

and the use of services from sister agencies already performing similar services. To carry out this responsibility, this

division: ( 1) procures competitively bid services including claims processing, prior approval, utilization review, physician

consulting, and other services: ( 2) executes interagency agreements for various services with other governmental

agencies.

14445- 1190 Administrative Revenue Clearing B- 283

The Revenue Clearing Fund records accounting transactions that detail by funding source the revenue due from federal

and other funding agencies as a result of expenditures that earned those dollars in the operating Funds of the agency.

Actual receipts received from funding agencies are also recorded in this Fund. The Revenue Clearing Fund balance

indicates the current status of the agency's accounts receivable for the funding sources reflected in the Clearing Account

at any point in the fiscal year.

14445- 1210 Medical Assistance County Administration B- 284

The purpose of this fund is to house county administration and the Carolina Access Grant.

14445- 1310 Medical Assistance Payments B- 285

The purpose of this fund is to insure that cost effective health care services are accessible and used by Medicaid- eligible

elderly, disabled, pregnant women, children and poor citizens of the state so that they may remain or become

Volume 3 A- 22 Health and Human Services

functioning and productive citizens. To carry out this responsibility, this division shall: ( 1) coordinate with counties to

enroll Medicaid recipients in prepaid health and managed care plans to: a) improve access and quality of care, b) make

managed care available to more Medicaid eligible and c) increase the use of managed care; ( 2) promote screening of

Medicaid eligible children through the Health Check Program with the goal of avoiding future medical needs and their

costs; ( 3) increase the availability and visibility of in- home services as an alternative for institutional services; and ( 4)

provide Medicaid service payments.

14445- 1320 Medical Assistance Cost Payments B- 289

The purpose of this fund is to reflect cost settlements made to adjust for the difference between interim payments made

to providers and the amount actually owed.

14445- 1330 Medical Assistance Adjustments and Refunds B- 291

The purpose of this fund is to reflect corrections of erroneous payments to providers and represents payments to the

Division of Medical Assistance for insurance payments, fraud recoveries and other recoveries.

14445- 1336 Disproportionate Share Pay Psychology - Hospital B- 293

This purpose of this fund is to record payments to hospitals that serve a disproportionate number of low- income patients.

14445- 1340 Undispositioned Receipts B- 294

This purpose of this fund is to record program validation refunds, insurance recoveries, cost settlement refunds, other

miscellaneous refunds and Electronic Data Systems ( EDS) recoups/ receipts.

14445- 1350 Periodic Payments B- 295

This purpose of this fund is to record interim payments ( advances) to Medicaid providers.

14445- 1390 Medical Assistance Revenue Clearinghouse B- 296

The Revenue Clearing Fund records accounting transactions that detail by funding source the revenue due from federal

and other funding agencies as a result of expenditures that earned those dollars in the operating Funds of the agency.

Actual receipts received from funding agencies are also recorded in this Fund. The Revenue Clearing Fund balance

indicates the current status of the agency's accounts receivable for the funding sources reflected in the Clearing Account

at any point in the fiscal year.

14445- 1910 Reserves and Transfers B- 298

This Fund is used to record budgetary reserves and non- operating transfers to other State agencies.

14445- 191A Statewide Reserve B- 297

A fund used by the General Assembly to set aside a specific amount of money for distribution to certain or all agencies

for salaries, health benefits, computer equipment, and other designated uses.

Volume 3 A- 23 Health and Human Services

14445- 1991 Federal Indirect Reserve B- 299

The purpose of this fund is to account for funds earned for indirect costs from federal funding sources. The rate or

amount of indirect cost that may be earned is negotiated each year with the federal DHHS Division of Cost Allocation

based upon prior year statewide and departmental overhead costs.

14445- 1992 Prior Year Earned Revenue B- 300

This fund is used to record revenue received in the current fiscal year, primarily from federal funding sources, that was

earned in a prior fiscal year.

14445- 1993 Prior Year Adjustments or Audit Exceptions B- 301

This fund is used to record adjustments to expenditures or receipts for activities or transactions that occurred in a prior

fiscal year. Adjustments tracked in this fund include paybacks from subgrantees as a result of audits of prior year

operations.

Page

Budget Code - 14446 DHHS - Div. Of Medical Assistance - NC Health Choice B- 302

Fund Code

14446- 1101 State Level Administration B- 307

The purpose of this fund is to manage the Health Choice Program in North Carolina ensuring the program meets or

exceeds federal program performance standards for efficient and effective operation. Salaries, fringe benefits and

related costs for two positions reside in this fund.

14446- 1310 Medical Payments B- 309

The purpose of this fund is to record payments made to the State Employee's Health Plan for monthly premium

payments and special needs payments.

14446- 1992 Prior Year Earned Revenue B- 310

This fund is used to record revenue received in the current fiscal year, primarily from federal funding sources, that was

earned in a prior fiscal year.

Volume 3 A- 24 Health and Human Services

Division of Services for the Blind, Deaf, and Hard of Hearing

Mission The Division of Services for the Blind seeks to empower individuals who are blind or visually impaired to achieve their

maximum potential. The Division of Services for the Deaf and the Hard of Hearing seeks to enable persons who are

deaf, hard of hearing or deaf- blind to achieve equal access, effective communication and a better quality of life.

Page

Budget Code - 14450 DHHS- Div of Services for the Blind & Deaf/ Hard of Hearing B- 311

Fund Code

14450- 1110 Management and Support Services B- 318

To provide management/ administrative support services for the Division of Services for the Blind. Those services include

budgeting/ accounting for services, LAN/ information systems support, policy development, implementation and

interpretation, and maintenance of the statewide Blind Register.

14450- 1190 Federal Revenue Clearing B- 320

The Revenue Clearing Fund records accounting transactions that detail by funding source the revenue due from federal

and other funding agencies as a result of expenditures that earned those dollars in the operating Funds of the agency.

Actual receipts received from funding agencies are also recorded in this Fund. The Revenue Clearing Fund balance

indicates the current status of the agency's accounts receivable for the funding sources reflected in the Clearing Account

at any point in the fiscal year.

14450- 1210 Special Assistance for the Blind B- 321

The purpose of Special Assistance for the Blind is to assist blind persons in meeting their minimum needs, primarily by

providing financial assistance payments to supplement Social Security and supplemental security income payments for

all eligible recipients in rest homes at the current legislatively authorized rates and by providing for non- Medicaid

covered expenses of eligible individuals.

14450- 1315 Personal Care Program B- 322

The program provides personal care services in the homes of eligible visually- impaired and blind persons who have

medical needs and who would require institutionalization if these services were not provided.

14450- 1410 Independent Living Services B- 323

Independent Living enables eligible citizens who are blind or visually- impaired to become as independent and self-sufficient

as possible, improve their family life and their sense of well- being and avoid institutionalization by providing

individual and family adjustment services, housing and home improvement services, chore services, health support,

Volume 3 A- 25 Health and Human Services

employment and training, and information and referral as needed. Case management services are also provided for

blind and visually- impaired persons with medical conditions who are at risk of institutionalization.

14450- 1510 Rehabilitation for the Blind - Counsel/ Placement B- 326

The Rehabilitation Program assists the blind and visually- impaired in maintaining, returning to, or securing competitive

employment or pursuing activities which allow them to become productive members of society. To accomplish this

responsibility, this program: ( 1) provides evaluation, vocational training, physical restoration, maintenance,

transportation, and job placement; ( 2) prepares consumers to take advantage of vocational training, higher education

and/ or employment by providing adjustment to blindness services and training services at the Division's Rehabilitation

Center; and ( 3) seeks consumer involvement through consumer satisfaction surveys for the rehabilitation programs.

14450- 1610 Business Enterprises B- 329

Business Enterprise Administration seeks to provide blind citizens remunerative employment opportunities through

establishment of food service and vending facilities on federal, state, and private properties that are managed by blind

citizens. Management services are provided to create these opportunities, train blind individuals in the management of

these operations and to utilize assistive technology such that blind operators can successfully work as managers of

these facilities.

14450- 1810 DHHS - General Administration B- 331

This fund is used to supervise field and statewide service programs; provide budgeting and accounting services and

program evaluation; develop policies and procedures; provide personnel services, staff development, systems

development, operations, telecommunications and related information technology planning and support; research and

analyze consumer and provider needs; administer the NC Telecommunications Access of North Carolina ( TANC)

program; and collaborate with existing and new partners to serve consumers.

14450- 1820 DHHS - Regional Resource Center B- 333

The purpose of this fund is to provide training and technical assistance on the Americans with Disabilities Act and other

disability laws; provide hard of hearing services, alternative communication orientation, coping skills, and family support

training; provide direct service in the form of communication access provision ( such as providing assistive listening

devices, interpreter services or computer assisted notetaking); provide assistance in the application, distribution and

training of assistive equipment distributed by the TANC; and provide self- advocacy training, disability and ability

awareness, and cross- cultural education for consumers and service providers.

14450- 191A Statewide Reserve B- 335

A fund used by the General Assembly to set aside a specific amount of money for distribution to certain or all agencies

for salaries, health benefits, computer equipment, and other designated uses.

Volume 3 A- 26 Health and Human Services

14450- 1991 Federal Indirect Reserve B- 336

The purpose of this fund is to account for funds earned for indirect costs from federal funding sources. The rate or

amount of indirect cost that may be earned is negotiated each year with the federal DHHS Division of Cost Allocation

based upon prior year statewide and departmental overhead costs.

14450- 1992 Prior Year Earned Revenue B- 337

This fund is used to record revenue received in the current fiscal year, primarily from federal funding sources, that was

earned in a prior fiscal year.

14450- 1993 Prior Period Refunds B- 338

This fund is used to record adjustments to expenditures or receipts for activities or transactions that occurred in a prior

fiscal year. Adjustments tracked in this fund include paybacks from subgrantees as a result of audits of prior year

operations.

Division of Mental Health/ Developmental Disabilities/ Substance Abuse Services

Mission The mission of the Division of Mental Health, Developmental Disabilities and Substance Abuse Services is to provide

people with, or at risk of, mental illness, developmental disabilities and substance abuse problems and their families the

necessary prevention, intervention, treatment, services and supports they need to live successfully in communities of

their choice.

Page

Budget Code - 14460 DHHS - Div Mental Health/ Develop. Disab./ Sub. Abuse B- 339

Fund Code

14460- 1110 General Administration B- 353

This fund supports general administration within the Division including Director's Office, Budget Office, Information

Technology Office, data collection and management, Human Resources Office, client rights, client satisfaction surveys,

and Program Accountability. Resources are utilized to provide administrative support in the administration and delivery of

services in both community programs and State operated facilities.

14460- 1210 Adult Mental Health Administration B- 356

The fund supports general administrative activities within the Division related to adult mental health services, including

the oversight and operation of the four State psychiatric hospitals, N. C. Special Care Center, and community- based

Volume 3 A- 27 Health and Human Services

adult mental health services. Administration includes determination of resource allocation and utilization, supervision of

State operated facilities, technical assistance and training for community- based staff as well as staff within State

facilities.

14460- 1212 Child and Family Administration B- 359

This purpose of this fund is to budget and track expenditures for Child and Family Mental Health administration in

support of community programs and State operated facilities for children with mental health needs ( Eastern Adolescent

Treatment Program, Whitaker School and Wright School). Administration includes determination of resource allocation

and utilization, supervision of State operated facilities, technical assistance and training for community- based staff as

well as staff within State facilities.

14460- 1216 Whitaker School B- 361

This fund budgets and tracks expenditures for the State operated Whitaker School residential program for children.

Services provided include residential treatment, education and services to enable children to transition back into

community- based living arrangements. Program is located in Butner, N. C.

14460- 1217 Eastern Adolescent Treatment Program B- 364

This fund budgets and tracks expenditures for the State operated Eastern Adolescent Treatment Program residential

program for children. Services provided include residential treatment, education and services to enable children to

transition back into community- based living arrangements. Program is located in Wilson, N. C.

14460- 1220 Broughton Hospital B- 366

This fund budgets and tracks expenditures for Broughton Hospital, a State operated inpatient facility for individuals with

mental health needs. Services primarily include psychiatric inpatient care and rehabilitation services for adults with

mental health needs. Program is located in Morganton, N. C.

14460- 1230 Cherry Hospital B- 370

This fund budgets and tracks expenditures for Cherry Hospital, a State operated inpatient facility for individuals with

mental health needs. Services primarily include evaluation, psychiatric inpatient care and rehabilitation services for

adults with mental health needs. Program is located in Goldsboro, N. C.

14460- 1240 Dorothea Dix Hospital B- 374

This fund budgets and tracks expenditures for Dorothea Dix Hospital, a State operated inpatient facility for individuals

with mental health needs. Services primarily include evaluation, psychiatric inpatient care and rehabilitation services for

adults with mental health needs, including a specialty forensic unit and specialized services for individuals with mental

illness who are deaf and hard of hearing. Program is located in Raleigh, N. C.

Volume 3 A- 28 Health and Human Services

14460- 1250 NC Special Care Center B- 379

This fund budgets and tracks expenditures for N. C. Special Care Center ( NCSCC). NCSCC provides high quality skilled

and intermediate nursing care for individuals who cannot be placed in traditional nursing care locations due to having

psychiatric diagnoses and/ or unusual physical conditions. Program is located in Wilson, N. C.

14460- 1260 John Umstead Hospital B- 382

This fund budgets and tracks expenditures for Umstead Hospital, a State operated inpatient facility for individuals with

mental health needs. Services primarily include evaluation, psychiatric inpatient care and rehabilitation services for

adults with mental health needs. Program is located in Butner, N. C.

14460- 1261 John Umstead Hospital - Federal - Other B- 386

This fund budgets and tracks specialized Federal and other grant expenditures for Umstead Hospital, a State operated

inpatient facility for individuals with mental health needs. Services primarily include evaluation, psychiatric inpatient care

and rehabilitation services for adults with mental health needs. Program is located in Butner, N. C.

14460- 1280 Wright School - State B- 388

This fund budgets and tracks expenditures for the State operated Wright School residential program for children. The

program is designed to provide high quality, cost effective mental health residential treatment to North Carolina's most

seriously emotionally disturbed 6 - 12 year old children and their families. Individualized assessment, planning and

treatment activities are provided for 24 children at the Durham facility five days a week; while intensive outreach efforts

are made to identify and energize family and community resources in the child's local community. These combined

efforts increase the likelihood of successfully meeting each child's special needs and enabling a successful return to

community living.

14460- 1290 Program Services Mental Health - State B- 390

This fund budgets and tracks expenditures for community- based mental health services, including direct service

contracts which the Division holds, for adults and children. A variety of individual budget accounts are established within

this fund to budget and track the provision of periodic, day services and 24- hour services. The principal source of funds

in this fund code is State appropriations.

14460- 1291 Program Services Mental Health - Federal B- 392

This fund budgets and tracks expenditures for community- based mental health services, including direct service

contracts which the Division holds, for adults and children. A variety of individual budget accounts are established within

this fund to budget and track the provision of periodic, day services and 24- hour services, as well as specialized

initiatives such as the Federal PATH Homeless grant, family preservation, etc. The principal source of funds in this fund

code is Federal funds.

Volume 3 A- 29 Health and Human Services

14460- 1310 Developmental Disabilities Administration B- 393

The fund supports general administrative activities within the Division related to developmental disability services,

including the oversight and operation of the five State mental retardation centers and community based child and adult

developmental disabilities services. Administration includes determination of resource allocation and utilization,

supervision of State operated facilities, technical assistance and training for community- based staff as well as staff

within State facilities.

14460- 1320 Black Mountain Center - State B- 396

This fund is established for the purpose of tracking budget and expenditures for Black Mountain Center ( BMC), one of

the five State operated mental retardation centers, and is located in Black Mountain. BMC operates a Medicaid certified

program which provides residential care and active treatment to individuals who have severe to profound mental

retardation. BMC also operates a certified nursing facility for persons throughout N. C. who have probable Alzheimer's

disease and whose combative and assaultive behaviors make other living arrangement unrealistic.

14460- 1330 Caswell Center - State B- 399

This fund is established for the purpose of tracking budget and expenditures for Caswell Center. Caswell Center is one

of the five State operated mental retardation centers, and is located in Kinston, N. C. Caswell provides an Intermediate

Care Facility for the Mentally Retarded ( ICF/ MR) level of care, as well as programs of outreach, advocacy and

community based training. Source of funds in this fund code is primarily Medicaid ICF/ MR receipts and State

appropriation.

14460- 1331 Caswell Center - Federal/ Other B- 402

This fund is established for the purpose of tracking budget and expenditures for Caswell Center. Caswell Center is one

of the five State operated mental retardation centers, and is located in Kinston, N. C. Caswell provides an ICF/ MR level

of care, as well as programs of outreach, advocacy and community based training. Source of funds in this fund code is

primarily Federal Infant and Toddler Grant funds for the provision of early intervention training activities.

14460- 1340 Murdoch Center - State B- 403

This fund is established for the purpose of tracking budget and expenditures for Murdoch Center. Murdoch Center is

one of the five State operated mental retardation centers, and is located in Butner, N. C. Murdoch Center provides an

ICF/ MR level of care, as well as programs of outreach, advocacy and community based training. Source of funds in this

fund code is primarily Medicaid ICF/ MR and State appropriation.

14460- 1350 O'Berry Center - State B- 406

This fund is established for the purpose of tracking budget and expenditures for O'Berry Center. O'Berry Center is one

of the five State operated mental retardation centers, and is located in Goldsboro, N. C. O'Berry Center provides an

ICF/ MR level of care, as well as programs of outreach, advocacy and community based training. Source of funds in this

fund code is primarily Medicaid ICF/ MR and State appropriation.

Volume 3 A- 30 Health and Human Services

14460- 1360 Western Carolina Center - State B- 409

This fund is established for the purpose of tracking budget and expenditures for Western Carolina Center ( WCC). WCC

is one of the five State operated mental retardation centers, and is located in Morganton, N. C. WCC provides an

ICF/ MR level of care, as well as programs of outreach, early intervention, advocacy and community based training.

Source of funds in this fund code is primarily Medicaid ICF/ MR and State appropriation.

14460- 1361 Western Carolina Center - Federal B- 412

This fund is established for the purpose of tracking budget and expenditures for Western Carolina Center. Western

Carolina Center is one of the five State operated mental retardation centers, and is located in Morganton, N. C. Western

Center provides an ICF/ MR level of care, as well as programs of outreach, advocacy and community based training.

Source of funds in this fund code is primarily Federal Infant and Toddler Grant funds for the provision of early

intervention training activities.

14460- 1390 Program Services - Develop. Disab. - State B- 414

This fund is established for the purpose of budgeting and tracking expenditures for community based developmental

disabilities services, including direct service contracts which the Division holds, for adults and children. A variety of

individual budget accounts are established within this fund to budget and track the provision of periodic, day services

and 24- hour services. The principal source of funds in this fund code is State appropriations.

14460- 1391 Program Services - Develop. Disab. - Federal B- 416

This fund is established for the purpose of budgeting and tracking expenditures for community based developmental

disabilities services, including direct service contracts which the Division holds, for adults and children. A variety of

individual budget accounts are established within this fund to budget and track the provision of periodic, day services

and 24- hour services, as well as specialized initiatives such as early intervention and First in Families. The principal

source of funds in this fund code is Federal funds.

14460- 1410 Substance Abuse Administration B- 417

The fund supports general administrative activities within the Division related to substance abuse services, including

the oversight and operation of the State alcohol and substance abuse treatment centers and community based child

and adult substance abuse services. Administration includes determination of resource allocation and utilization,

supervision of State operated facilities, technical assistance and training for community- based staff as well as staff

within State facilities.

14460- 1420 Julian F. Keith ADATC - State Funds B- 419

This fund is established for the purpose of tracking budget and expenditures for the Julian F. Keith Alcohol and Drug

Abuse Treatment Center ( JFK- ADATC). JFK- ADATC is one of the three State operated ADATCs and is located in

Black Mountain, N. C. JFK- ADATC provides medical, psychological, nursing, social work, family, substance abuse

education, rehabilitation therapy and detoxification services. Source of funds in this fund code is primarily State

appropriation.

Volume 3 A- 31 Health and Human Services

14460- 1421 Julian F. Keith ADATC - Federal/ Other Funds B- 422

This fund is established for the purpose of tracking budget and expenditures for the Julian F. Keith Alcohol and Drug

Abuse Treatment Center ( JFK- ADATC). JFK- ADATC is one of the three State operated ADATCs and is located in

Black Mountain, N. C. JFK- ADATC provides medical, psychological, nursing, social work, family, substance abuse

education, rehabilitation therapy and detoxification services. Source of funds in this fund code is primarily State Federal

in the form of Substance Abuse Prevention and Treatment Block Grant.

14460- 1440 Walter B. Jones ADATC - State B- 424

This fund is established for the purpose of tracking budget and expenditures for the Walter B. Jones Alcohol and Drug

Abuse Treatment Center ( WBJ- ADATC). WBJ- ADATC is one of the three State operated ADATCs and is located in

Greenville, N. C. WBJ- ADATC provides medical, psychological, nursing, social work, family, substance abuse

education, rehabilitation therapy and detoxification services. WBJ- ADATC also provides a program for pregnant and

postpartum women and their infants and has an on- site maternal unit. Source of funds in this fund code is primarily

State appropriation.

14460- 1441 Walter B. Jones ADATC - Federal B- 427

This fund is established for the purpose of tracking budget and expenditures for the Walter B. Jones Alcohol and Drug

Abuse Treatment Center ( WBJ- ADATC). WBJ- ADATC is one of the three State operated ADATCs and is located in

Greenville, N. C. WBJ- ADATC provides medical, psychological, nursing, social work, family, substance abuse

education, rehabilitation therapy and detoxification services. WBJ- ADATC also provides a program for pregnant and

postpartum women and their infants and has an on- site maternal unit. Source of funds in this fund code is primarily

Federal funds in the form of Substance Abuse Prevention and Treatment Block Grant.

14460- 1490 Program Services - Substance Abuse - State B- 429

This fund is established for the purpose of budgeting and tracking expenditures for community based substance abuse

services, including direct service contracts which the Division holds, for adults and children. A variety of individual

budget accounts are established within this fund to budget and track the provision of periodic, day services and 24- hour

services. The principal source of funds in this fund code is State appropriations.

14460- 1491 Program Services - Substance Abuse - Federal B- 431

This fund is established for the purpose of budgeting and tracking expenditures for community based substance abuse

services, including direct service contracts which the Division holds, for adults and children. A variety of individual

budget accounts are established within this fund to budget and track the provision of periodic, day services and 24- hour

services, as well as specialized initiatives such HIV/ AIDS, special services to women - including those who are

pregnant or have minor children, etc. The principal source of funds in this fund code is Federal funds.

14460- 1590 General Program Services B- 433

General Program Services is utilized to budget and track funds which do not readily lend themselves to classification by

disability. Funds budgeted in this fund code are primarily utilized at the community level.

Volume 3 A- 32 Health and Human Services

14460- 1810 Revenue Clearing Account B- 434

The Revenue Clearing Fund records accounting transactions that detail by funding source the revenue due from

federal and other funding agencies as a result of expenditures that earned those dollars in the operating Funds of the

agency. Actual receipts received from funding agencies are also recorded in this Fund. The Revenue Clearing Fund

balance indicates the current status of the agency's accounts receivable for the funding sources reflected in the

Clearing Account at any point in the fiscal year.

14460- 1910 Reserves and Transfers B- 437

This Fund is used to record budgetary reserves and non- operating transfers to other State agencies.

14460- 191A Statewide Reserve B- 436

A fund used by the General Assembly to set aside a specific amount of money for distribution to certain or all agencies

for salaries, health benefits, computer equipment, and other designated uses.

14460- 1992 Prior Year Earned Revenue B- 438

This fund is used to record revenue received in the current fiscal year, primarily from federal funding sources, that was

earned in a prior fiscal year.

14460- 1993 Prior Year Refunds and Carry Forward B- 440

This fund is used to record adjustments to expenditures or receipts for activities or transactions that occurred in a prior

fiscal year. Adjustments tracked in this fund include paybacks from subgrantees as a result of audits of prior year

operations.

Page

Budget Code - 24460 DHHS - DMH/ DD/ SAS - Special B- 442

Fund Code

24460- 2280 Wright School - Special Fund B- 446

This fund was established for the purpose of budgeting and tracking expenditures for educational grants from the N. C.

Department of Public Instruction.

Volume 3 A- 33 Health and Human Services

Page

Budget Code - 54465 DHHS - Town of Butner B- 447

Fund Code

54465- 5100 Town of Butner Bonds B- 453

The purpose of this fund code is to budget and track expenditures for the Town of Butner bonds. Expenditures

generally relate to bond payment, transfer of funds for various capital activities, miscellaneous operating costs.

54465- 5300 Butner Advisory Committee B- 454

The purpose of this fund code is to budget and track expenditures for the Town of Butner Advisory Committee ( BAC).

BAC activities focus on issues related to the Town of Butner.

54465- 5400 Water Plant Operations B- 456

The purpose of this fund code is to budget and track expenditures related to the provision of water to all private

residences, commercial facilities, and Federal and State facilities in the Butner area.

54465- 5500 Waste Water Operations B- 458

The purpose of this fund code is to budget and track expenditures related to the provision of waste water ( sewer)

services to all private residences, commercial facilities, and Federal and State facilities in the Butner area.

54465- 5600 Town of Butner Operation B- 460

The purpose of this fund code is to budget and track expenditures related to the administrative operation of the Town

of Butner. Revenues to support these activities are transferred from receipts received for the Water Plant and Waste

Water operations.

54465- 5700 Road and Ground Operations B- 462

The purpose of this fund code is to budget and track expenditures related to the maintenance of roads and grounds for

the Town of Butner. Revenues to support these activities are transferred from receipts received for the Water Plant and

Waste Water operations.

Volume 3 A- 34 Health and Human Services

Page

Budget Code - 74465 DHHS - John Umstead - Butner Area Central Services B- 464

Fund Code

74465- 7200 Automotive Services B- 469

The purpose of this fund code is to budget and track expenditures for operation of a central vehicle maintenance facility

for all facilities in the Butner, N. C. area

74465- 7800 Telephone System B- 471

The purpose of this fund code is to budget and track expenditures for the provision of telephone service for State

operated facilities in Butner, N. C., including the Town of Butner Offices.

Division of Facility Services

Mission Provide for the health, safety, and well- being of individuals through effective regulatory and remedial activities,

including appropriate consultation and training opportunities, and by improving access to health care delivery systems

through the rational allocation of needed facilities and services.

Page

Budget Code - 14470 DHHS - Division of Facility Services B- 473

Fund Code

14470- 1111 Management and Support B- 480

To achieve the division's outcomes and program objectives and deploy available resources to satisfactorily serve both

internal and external customers. Accomplishing this purpose will involve the following: provide administrative, clerical,

and liaison support to the commissions, task forces and advisory groups that develop policy and perform rule- making

for the division; administer the Health Care Facilities Finance Act and issue tax exempt bonds for projects approved by

the Medical Care Commission; provide general administrative support in areas such as budgeting, personnel,

contracting, purchasing, data processing, and mail receipt and delivery; and ensure that all staff are familiar with the

division and its mission and objectives by providing orientation to all new employees on a quarterly basis.

Volume 3 A- 35 Health and Human Services

14470- 1311 Facility and Health Services B- 483

Ensure safe and high quality care, quality of life, and safety of residents and citizens who utilize health, social, and local

confinement facilities and related services through regulatory compliance. In carrying out their responsibilities staff will:

( 1) provide technical assistance to health care facilities to ensure compliance with licensure and certification rules

governing health and adult care facilities; ( 2) conduct reviews/ inspections of health and adult care facilities and issue

new and renewal licenses when conditions are in compliance with standards; ( 3) inspect the health and safety conditions

at local confinement facilities at least twice a year; ( 4) maintain a registry of health care professionals working in health

care facilities in the state; ( 5) survey each certified Medicare/ Medicaid facility at least once annually to assure

compliance with Medicare/ Medicaid regulations; and ( 6) review each Medicaid recipient in Intermediate Care

Facility/ Mental Retardation and psychiatric facilities at least once annually to assure that he/ she is appropriately placed

and is receiving care which is sufficient to meet optimal physical/ mental/ psycho- social needs.

14470- 1511 Emergency Medical Services B- 486

To assure that safe, prompt, and high quality pre- hospital emergency care is available to the citizens of the state. To

achieve its purpose the section will: ( 1) ensure that minimum staffing and equipment requirements are met by performing

inspections on ambulances and advanced life- support vehicles; ( 2) ensure competent patient care is maintained through

certification and recertification of local Emergency Medical Services staff; ( 3) provide technical/ financial assistance to

hospitals, regional emergency medical service ( EMS) councils, EMS communications systems and local ambulance

providers: ( 4) assist in the preparation and response to acts of biological and chemical terrorism; and ( 5) provide

technical assistance to local volunteer and government ambulance providers in purchasing ambulance vehicles by

writing specifications, through the bid process, and by inspecting new vehicles.

14470- 1711 Plan and Develop Health Care B- 489

To ensure both economic and geographic access to high quality and cost effective health care services, to enhance the

physical quality of health care facilities, and to assure their efficient utilization. To accomplish this, the respective

sections will propose, for public review and State Health Coordinating Council approval, ( 1) the locations and scope of

needed health service/ facility additions, to be published in annual revisions of the State Medical Facilities Plan; ( 2)

review certificate- of- need applications for new institutional health services and issue decisions in a timely manner; ( 3)

defend certificate- of- need decisions that are appealed to Office of Administrative Hearings; and ( 4) monitor the

development of projects to ensure compliance with conditions of approval.

14470- 1810 Revenue Clearing Fund B- 491

The Revenue Clearing Fund records accounting transactions that detail by funding source the revenue due from federal

and other funding agencies as a result of expenditures that earned those dollars in the operating Funds of the agency.

Actual receipts received from funding agencies are also recorded in this Fund. The Revenue Clearing Fund balance

indicates the current status of the agency's accounts receivable for the funding sources reflected in the Clearing Account

at any point in the fiscal year.

Volume 3 A- 36 Health and Human Services

14470- 191A Statewide Reserve B- 492

A fund used by the General Assembly to set aside a specific amount of money for distribution to certain or all agencies

for salaries, health benefits, computer equipment, and other designated uses.

14470- 1991 Indirect Reserve B- 493

This purpose of this fund is to account for funds earned for indirect costs from federal funding sources. The rate or

amount of indirect cost that may be earned is negotiated each year with the federal DHHS Division of Cost Allocation

based upon prior year statewide and departmental overhead costs.

14470- 1992 Prior Year Earned Revenue B- 494

This fund is used to record revenue received in the current fiscal year, primarily from federal funding sources, that was

earned in a prior fiscal year.

14470- 1993 Prior Year Unearned Revenue B- 495

This fund is used to record adjustments to expenditures or receipts for activities or transactions that occurred in a prior

fiscal year. Adjustments tracked in this fund include paybacks from subgrantees as a result of audits of prior year

operations.

Division of Vocational Rehabilitation

Mission To promote employment and independence for persons with disabilities through customer partnerships and community

leadership.

Page

Budget Code - 14480 DHHS - Division of Vocational Rehabilitation B- 497

Fund Code

14480- 1101 Management and Support Services B- 504

The purpose of this fund is to provide management and administrative support services in accomplishing the mission of

the Division of Vocational Rehabilitation Services. Management and administrative support services include: planning,

developing, coordinating and evaluating the activities, programs and services developed under the authority of the

Rehabilitation Act and through state appropriations for individuals with significant disabilities. Included within these

management and administrative support services are budgeting and accounting, staff training and development,

information technology, human resource management, grants development, statistical analysis and reporting, policy

development, procurement of goods and services, establishment of rates and fees and contracts development and

administration.

Volume 3 A- 37 Health and Human Services

14480- 1102 Counseling and Placement - State B- 506

The purpose of this fund is the administration and coordination of counseling and placement services; including the

development of Individualized Plans for Employment ( IPE). Vocational Rehabilitation provides within this fund a variety

of job related services: job development, outreach and networking with business and industry, job placement, job

retention, and on- the- job supports to individuals who are eligible for services. Services are provided and coordinated as

agreed upon by the eligible individual and the VR Counselor in an Individualized Employment Plan. Counseling

( including information and referral) and Placement may extend throughout the entire life of the Rehabilitation Plan.

14480- 1103 Counseling and Placement - Third Party B- 509

The purpose of this fund is the administration and coordination of counseling and placement services in collaboration

with local entities; including the development of Individualized Plans for Employment ( IPE). Vocational Rehabilitation

provides job related services: job development, outreach and networking with business and industry, job placement, job

retention, and on- the- job supports to individuals who are eligible for services. Services are provided and coordinated as

agreed upon by the eligible individual and the VR Counselor in an Individualized Employment Plan. Counseling

( including information and referral) and Placement may extend throughout the entire life of the Rehabilitation Plan.

14480- 1104 Agency Operated Rehabilitation Facility B- 511

The purpose of this fund is to support the administration and operation of two Community Rehabilitation Facilities. These

facilities provide a variety of services for individuals with significant disabilities in order to help them obtain employment.

Once consumers are determined eligible, Vocational Rehabilitation provides the following job related services: vocational

evaluation, vocational training, job development, outreach and networking with business and industry, job placement, job

retention, and on- the- job supports to individuals who are eligible for services. These facilities contract with local

industries to provide a variety of products, utilizing the income generated to purchase equipment and materials, thus

creating opportunities for additional consumers.

14480- 1105 Case Services B- 513

The purpose of this fund is the coordination and procurement of goods and services provided by Vocational

Rehabilitation to assist eligible individuals to obtain, maintain or retain employment. Depending on the rehabilitation

needs of the eligible individual, services may include Assessment, Diagnosis and Treatment, Training, Rehabilitation

Technology, Job Related Services, tools, equipment, and initial stock for small businesses. Additional services provided

to support achievement of the employment outcome include transportation, personal assistance, interpreter and reader

services. Post- employment services may be provided when required for job retention.

14480- 1201 Establishment of Facilities B- 514

The purpose of this program is to broaden and expand opportunities for training and employment of individuals with

disabilities by assisting in the development of Community Rehabilitation Programs and construction of barrier- free

rehabilitation facilities. To accomplish this purpose, the division reviews applications for establishment of new programs,

expansion needs, and improvement of existing programs while supporting the programs efforts to meet state and

national design standards.

Volume 3 A- 38 Health and Human Services

14480- 1301 Client Assistance Project B- 515

The purpose of this fund is the administration of the Client Assistance Project ( CAP). ' The Client Assistance Project

assists rehabilitation clients and potential clients in understanding what services are available through state rehabilitation

programs and related state and federal assistance programs. Further, it informs consumers of their rights and

responsibilities in connection with the benefits of these programs. This program also works to improve the efficiency of

agency service delivery. CAP accomplishes its purposes by responding to requests for information about statewide

rehabilitation programs, answering specific questions about rehabilitation services, and referring clients to other

agencies/ services when appropriate. Also, CAP establishes cases with individual clients in order to resolve their issues

and concerns when involvement beyond information and referral is necessary. Finally, CAP has direct responsibility in

formal appeals, hearings, and litigation when alternative dispute resolution actions are not successful.

14480- 1302 Supported Employment Project B- 517

The purpose of this fund is the administration of the Supported Employment Program ( SE). The Supported Employment

Program establishes a system of services for persons with the most significant disabilities who need extensive on- job

site training with long- term support services to learn, obtain, and maintain employment in the competitive labor market.

To accomplish this purpose, the division places persons with the most significant disabilities and those for whom job

placement has not traditionally been expected into competitive employment. This is accomplished through a multi-agency

collaborative effort.

14480- 1303 Assistive Technology Project B- 518

The purpose of this fund is the administration of the North Carolina Assistive Technology Project ( NCATP). The North

Carolina Assistive Technology Project objective is to provide assistive technology services for persons with disabilities,

their families, and the professionals who serve them across the state. Five regional centers offer technical consultation in

selection of the most appropriate equipment, demonstration and try- out of technology, short- term equipment loan,

computer access evaluation, training seminars and awareness activities regarding assistive technology. Other program

services include technical assistance to local grassroots organizations and schools, funding resource information and

advocacy as well as systems change initiatives to improve assistive technology access. NCATP serves all ages from

birth through old age and persons with all types of disabilities. The goal is to increase independence and opportunities

for persons with disabilities in school, home, work and community activities through the use of assistive technology.

14480- 1305 Independent Living Programs B- 520

The purpose of this fund is the administration of the Independent Living Services program ( ILS). Independent Living

Services prevents institutionalization of persons with significant disabilities, helps to deinstitutionalize individuals

whenever possible, and maximizes community living for them and their families as well as other significantly disabled

individuals already living in the community. Where feasible, clients may transition to the vocational rehabilitation program

for services. For those who achieve their work goal, ILS may become a resource for maintaining employment in the

community. In addition to providing persons with the most significant disabilities with community integrated alternative

living, ILS also effectively contains the cost of long- term care. To accomplish this purpose, ILS provides services to

Volume 3 A- 39 Health and Human Services

maximize independence of persons with significant disabilities within their homes, families, and communities. Services

provided include guidance, counseling, evaluation, housing, vehicle and/ or home modifications, engineering services,

maintenance, and consumer managed attendant care.

14480- 191A Statewide Reserve B- 522

A fund used by the General Assembly to set aside a specific amount of money for distribution to certain or all agencies

for salaries, health benefits, computer equipment, and other designated uses.

14480- 1991 Indirect Reserve B- 523

This Purpose accounts for funds earned for indirect costs from federal funding sources. The rate or amount of indirect

cost that may be earned is negotiated each year with the federal DHHS Division of Cost Allocation based upon prior year

statewide and departmental overhead costs.

Section B

Budgets

Volume 3 B- 1 Health and Human Services

SUMMARY BY FUND

4410 -

14410 DHHS - Division of Central Management and Support

2001- 2002 2002- 2003 2003- 2004 2004- 2005

DESCRIPTION ACTUAL CERTIFIED AUTHORIZED INCR/ DECR TOTAL INCR/ DECR TOTAL

( 1) ( 2) ( 3) ( 4) ( 5) ( 6) ( 7) ( 8)

REQUIREMENTS

------------------

1010 CENTRAL MANAGEMENT & ADM 3,280,803 3,360,706 3,541,912 0 3,541,912 0 3,541,912

1011 ADMIN. AND SUPPORT 4,450,220 2,780,614 3,132,343 0 3,132,343 0 3,132,343

1012 DHHS CONTROLLER'S OFFICE 17,147,263 14,745,658 14,752,086 127,644 14,879,730 128,942 14,881,028

1030 CITIZEN SERVICES 601,876 638,133 638,133 0 638,133 0 638,133

1110 NC COUNCIL ON DEV. DIS. 2,685,624 2,875,988 2,875,988 0 2,875,988 0 2,875,988

1210 DIV. OF HUMAN RESOURCES 2,657,233 2,395,233 2,230,100 0 2,230,100 0 2,230,100

1310 OFFICE OF ECON. OPPORTUN 16,728,571 19,457,974 19,457,974 0 19,457,974 0 19,457,974

1311 RES ENERGY ASSIST PROG 9,211,485 9,714,678 9,714,678 0 9,714,678 0 9,714,678

1410 INFORMATION SYSTEMS SERV 64,178,547 26,670,864 26,670,864 38,531,682 65,202,546 40,055,879 66,726,743

1411 DIRM- WELFARE AUTOMATION 18,254,488 0 0 0 0 0 0

1510 RURAL HEALTH/ RESOURCE DV 9,786,121 10,318,970 10,256,920 0 10,256,920 0 10,256,920

1710 MORE AT FOUR PRE- K PROG 8,386,139 6,450,811 6,450,811 0 6,450,811 0 6,450,811

1910 RESERVES AND TRANSFERS 798,774 28,013,304 28,013,304 51,996 28,065,300 51,996 28,065,300

1991 INDIRECT COST- RESERVE 495,976 0 0 0 0 0 0

1992 PRIOR YEAR EARNED REVENU 1,520,549 1,756 1,756 0 1,756 0 1,756

1993 PRIOR YEARS AUDITS & ADJ - 883,809 0 0 0 0 0 0

------------------------------------------------------------------------------------------------------------------------------- ---

TOTAL REQUIREMENTS 159,299,860 127,424,689 127,736,869 38,711,322 166,448,191 40,236,817 167,973,686

------------------------------------------------------------------------------------------------------------------------------- ---

ESTIMATED RECEIPTS

------------------

1010 CENTRAL MANAGEMENT & ADM 447,154 775,712 775,712 0 775,712 0 775,712

1011 ADMIN. AND SUPPORT 1,848,405 232,969 321,878 0 321,878 0 321,878

1012 DHHS CONTROLLER'S OFFICE 7,159,755 4,587,458 4,590,670 203 4,590,873 418 4,591,088

1030 CITIZEN SERVICES 176,608 277,465 277,465 0 277,465 0 277,465

1110 NC COUNCIL ON DEV. DIS. 2,598,738 2,788,600 2,788,600 0 2,788,600 0 2,788,600

1210 DIV. OF HUMAN RESOURCES 217,464 129,056 24,922 0 24,922 0 24,922

1310 OFFICE OF ECON. OPPORTUN 16,727,192 19,404,995 19,404,995 0 19,404,995 0 19,404,995

1311 RES ENERGY ASSIST PROG 9,211,826 9,714,678 9,714,678 0 9,714,678 0 9,714,678

1410 INFORMATION SYSTEMS SERV 42,397,595 8,827,548 8,827,548 15,517,334 24,344,882 16,219,761 25,047,309

1411 DIRM- WELFARE AUTOMATION 18,281,261 0 0 0 0 0 0

1510 RURAL HEALTH/ RESOURCE DV 4,545,853 4,767,609 4,752,717 0 4,752,717 0 4,752,717

1710 MORE AT FOUR PRE- K PROG 2,187,915 0 0 0 0 0 0

1810 REVENUE CLEARING ACCOUNT - 4,410,191 0 0 0 0 0 0

191A STATEWIDE RESERVE 61,028 0 0 0 0 0 0

1991 INDIRECT COST- RESERVE 927,891 0 0 0 0 0 0

Volume 3 B- 2 Health and Human Services

SUMMARY BY FUND

4410 -

14410 DHHS - Division of Central Management and Support

2001- 2002 2002- 2003 2003- 2004 2004- 2005

DESCRIPTION ACTUAL CERTIFIED AUTHORIZED INCR/ DECR TOTAL INCR/ DECR TOTAL

( 1) ( 2) ( 3) ( 4) ( 5) ( 6) ( 7) ( 8)

1992 PRIOR YEAR EARNED REVENU 2,685,424 1,756 1,756 0 1,756 0 1,756

1993 PRIOR YEARS AUDITS & ADJ - 716,107 0 0 0 0 0 0

------------------------------------------------------------------------------------------------------------------------------- ---

TOTAL RECEIPTS 104,347,811 51,507,846 51,480,941 15,517,537 66,998,478 16,220,179 67,701,120

------------------------------------------------------------------------------------------------------------------------------- ---

NET APPROPRIATION 54,952,049 75,916,843 76,255,928 23,193,785 99,449,713 24,016,638 100,272,566

Volume 3 B- 3 Health and Human Services

SUMMARY BY ACCOUNT

4410 -

14410 DHHS - Division of Central Management and Support

2001- 2002 2002- 2003 2003- 2004 2004- 2005

DESCRIPTION ACTUAL CERTIFIED AUTHORIZED INCR/ DECR TOTAL INCR/ DECR TOTAL

( 1) ( 2) ( 3) ( 4) ( 5) ( 6) ( 7) ( 8)

REQUIREMENTS

------------------

53 1141 SEC./ COUNCIL ST. SAL. APPR 102,119 102,119 102,119 0 102,119 0 102,119

53 1211 SPA- REG SALARIES- APPRO 5,714,112 5,359,671 5,641,958 0 5,641,958 0 5,641,958

53 1212 SPA- REG SALARIES- RECPT 1,309,566 1,499,034 1,499,034 0 1,499,034 0 1,499,034

53 1213 SPA SALARIES UNDESIGNATE 19,363,182 20,422,738 20,375,860 0 20,375,860 0 20,375,860

53 1221 TIME LIMITED SAL APPROP 100,156 35,250 35,250 0 35,250 0 35,250

53 1222 SPA TIME LIMITED- RECPT 17,484 282,928 282,928 0 282,928 0 282,928

53 1311 REG( N S) TEMP WAGES- APPR 47,824 214,031 214,031 0 214,031 0 214,031

53 1312 REG( N S) TEMP WAGES- RECP 0 1,746 1,746 0 1,746 0 1,746

53 1313 REG.( N. S) TEMP WAGES- UNDE 37,460 0 0 0 0 0 0

53 1413 OT PAY UNDESIGNATED 98,159 0 0 0 0 0 0

53 1423 HOLIDAY PAY UNDESIGNATED 745 0 0 0 0 0 0

53 1433 SHIFT 10% PREM PAY UND 12,112 0 0 0 0 0 0

53 1443 CALLBK/ STBY PREM PAY 49,675 0 0 0 0 0 0

53 1452 DUAL EMPLOY. WAGES- RECEIP 9,361 0 0 0 0 0 0

53 1461 EPA& SPA- LONGVTY PAY- APPR 132,420 152,862 152,862 0 152,862 0 152,862

53 1462 EPA& SPA- LONGVTY PAY- REC 17,523 15,589 15,589 0 15,589 0 15,589

53 1463 LONGEVITY PAY- UNDESIGNAT 348,059 275,351 275,351 0 275,351 0 275,351

53 1511 SOCIAL SEC CONTRIB- APPRO 465,981 453,064 474,659 0 474,659 0 474,659

53 1512 SOCIAL SEC CONTRIB- RECPT 101,388 137,426 137,426 0 137,426 0 137,426

53 1513 SOCIAL SECURITY- UNDESIGD 1,474,987 1,571,491 1,567,904 0 1,567,904 0 1,567,904

53 1521 REG RETIRE CONTRIB- APPRO 297,730 161,468 180,089 0 180,089 0 180,089

53 1522 REG RETIRE CONTRIB- RECPT 67,141 54,330 54,330 0 54,330 0 54,330

53 1523 REG RETIRE CONTRIB- UNDES 992,800 628,188 625,964 0 625,964 0 625,964

53 1561 MED INS CONTRIB- APPRO 324,766 309,606 317,051 0 317,051 0 317,051

53 1562 MED INS CONTRIB- RECPTS 74,123 111,941 111,941 0 111,941 0 111,941

53 1563 MED INS CONTRIB- UNDESIGD 1,203,524 1,424,919 1,421,986 0 1,421,986 0 1,421,986

53 1572 UNEMP COMP PAYMNTS TO ES 0 4,000 4,000 0 4,000 0 4,000

53 1621 SEVERANCE SAL. CONT. APPR 275,871 0 0 0 0 0 0

53 1625 ST DISABILITY PMT 52,241 12,000 12,000 0 12,000 0 12,000

53 1631 WRKER COMP- MED PAYMENTS 137,782 6,945 6,945 0 6,945 0 6,945

53 1651 COMPENSATION TO BOARD ME 5,560 3,700 3,700 0 3,700 0 3,700

53 1652 COMP. TO OTHER ELECTED OF 312 0 0 0 0 0 0

------------------------------------------------------------------------------------------------------------------------------- ---

TOTAL PERSONAL SERVICES 32,834,163 33,240,397 33,514,723 0 33,514,723 0 33,514,723

------------------------------------------------------------------------------------------------------------------------------- ---

53 2110 LEGAL SERVICES 311,989 153,142 153,142 0 153,142 0 153,142

53 2120 FIN/ AUD CONSUL. FEES 2,010,730 737,573 737,573 126,397 863,970 126,397 863,970

Volume 3 B- 4 Health and Human Services

SUMMARY BY ACCOUNT

4410 -

14410 DHHS - Division of Central Management and Support

2001- 2002 2002- 2003 2003- 2004 2004- 2005

DESCRIPTION ACTUAL CERTIFIED AUTHORIZED INCR/ DECR TOTAL INCR/ DECR TOTAL

( 1) ( 2) ( 3) ( 4) ( 5) ( 6) ( 7) ( 8)

53 2140 INFORMATN TECHNOLOGY SVC 0 94,163 94,163 0 94,163 0 94,163

53 2170 ADMIN SERVICES 1,290,497 32,400 32,400 0 32,400 0 32,400

53 2181 WORKSHOP/ CONF. EXP. F/ SVC. 7,017 2,125 7,041 0 7,041 0 7,041

53 2184 JANITORIAL SER AGREEMENT 16,793 0 0 0 0 0 0

53 2191 DUAL EMP PYMT STATE AGEN 3,325 0 0 0 0 0 0

53 2199 MISC CONTRACTUAL SERVICE 35,288,631 4,216,382 4,216,068 15,791,347 20,007,415 15,791,347 20,007,415

53 2200 UTILITY/ ENERGY SERVICES 55,606 49,335 49,335 1,247 50,582 2,545 51,880

53 2300 REPAIR SERVICES 42,916 28,804 30,035 0 30,035 0 30,035

53 2400 MAINTENANCE AGREEMENTS 1,444,306 601,941 581,177 3,275,988 3,857,165 3,275,988 3,857,165

53 2500 RENTALS/ LEASES 2,190,623 1,148,549 1,174,886 0 1,174,886 0 1,174,886

53 2700 TRAVEL& OTHER EMPLOYEEEX 298,819 639,943 578,849 0 578,849 0 578,849

53 2800 COMM. & DATA PROCESSING 31,254,952 12,897,353 12,962,326 18,514,347 31,476,673 20,038,544 33,000,870

53 2900 OTHER SERVICES 63,828 183,539 192,478 0 192,478 0 192,478

------------------------------------------------------------------------------------------------------------------------------- ---

TOTAL PURCHASED SERVICES 74,280,032 20,785,249 20,809,473 37,709,326 58,518,799 39,234,821 60,044,294

------------------------------------------------------------------------------------------------------------------------------- ---

53 3100 GENERAL ADMIN SUPPLIES 917,830 612,358 620,787 500,000 1,120,787 500,000 1,120,787

53 3200 FACILITY/ HARDWARE SUPP 5,515 0 1,632 0 1,632 0 1,632

53 3300 VEHICLE/ EQUIP OPER SUPPL 740 450 576 0 576 0 576

53 3400 FOOD SUPPLIES 0 285 227 0 227 0 227

53 3600 PHARMACEUTICAL SUPPLIES 0 54 54 0 54 0 54

53 3700 EDUCATIONAL SUPPLIES 10,028 450 450 0 450 0 450

53 3800 PURCHASES FOR RESALE 166,923 0 0 0 0 0 0

53 3900 OTHER MATERIALS & SUPP 1,452 28,288 8,122 0 8,122 0 8,122

------------------------------------------------------------------------------------------------------------------------------- ---

TOTAL SUPPLIES 1,102,488 641,885 631,848 500,000 1,131,848 500,000 1,131,848

------------------------------------------------------------------------------------------------------------------------------- ---

53 4500 EQUIPMENT 342,399 269,268 281,342 0 281,342 0 281,342

53 4600 ART, OTHER ARTIFACTS& LIT 3,170 9,770 9,505 0 9,505 0 9,505

53 4700 INTANGIBLE ASSETS 245,811 84,513 89,258 450,000 539,258 450,000 539,258

------------------------------------------------------------------------------------------------------------------------------- ---

TOTAL PROPERTY, PLANT & EQUIPMT 591,380 363,551 380,105 450,000 830,105 450,000 830,105

------------------------------------------------------------------------------------------------------------------------------- ---

53 5100 BUSINESS/ LICENSE FEES 75 0 0 0 0 0 0

53 5600 ASSET & OTHER ADJUSTMENT 4,365,844 1,067 1,067 0 1,067 0 1,067

53 5800 OTHER ADMINSTRATIVE EXP 89,604 99,034 104,950 0 104,950 0 104,950

53 5900 OTHER EXPENSES 3,517 2,433 3,630 0 3,630 0 3,630

Volume 3 B- 5 Health and Human Services

SUMMARY BY ACCOUNT

4410 -

14410 DHHS - Division of Central Management and Support

2001- 2002 2002- 2003 2003- 2004 2004- 2005

DESCRIPTION ACTUAL CERTIFIED AUTHORIZED INCR/ DECR TOTAL INCR/ DECR TOTAL

( 1) ( 2) ( 3) ( 4) ( 5) ( 6) ( 7) ( 8)

------------------------------------------------------------------------------------------------------------------------------- ---

TOTAL OTHER EXPENSES & ADJUSTMEN 4,459,040 102,534 109,647 0 109,647 0 109,647

------------------------------------------------------------------------------------------------------------------------------- ---

53 6304 CSBG FOOD & NUTRITION 88,418 88,553 88,553 0 88,553 0 88,553

53 6306 CSA BLOCK GRANT 13,745,694 16,115,138 16,115,138 0 16,115,138 0 16,115,138

53 6390 GRANTS TO SU