State of North Carolina

Recommended

Continuation

Budget

2005- 2007

Health and Human Services

Volume 3

Office of State Budget and Management

Michael F. Easley Office of the Governor

Governor Raleigh, North Carolina

February 2005

xxx copies of this volume were printed at a cost of $ xx. xx 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- 57

Central Management and Support, Division of B- 1

Child Development, Division of B- 78

Education Services, Office of B- 94

Facility Services, Division of B- 452

Medical Assistance, Division of B- 264

Mental Health/ Developmental Disabilities/ Substance Abuse Services, B- 327

Division of

Public Health, Division of B- 120

Services for the Blind and Deaf/ Hard of Hearing, Division of B- 302

Social Services, Division of B- 214

Vocational Rehabilitation, Division of B- 475

Volume 3 v Health and Human Services

Introduction

The Recommended Continuation Budget, 2005- 2007 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 2003- 04 actual

amounts spent or received, 2004- 05 certified and authorized amounts, and 2005- 06

and 2006- 07 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, 2005- 2007 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, 2005- 07.

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 ( 2003- 04) of

the current biennium ( 2003- 05)

3) Amount certified by the General Assembly for the second year ( 2004- 05) of the

current biennium ( 2003- 05). Not shown for the university system.

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

year ( 2004- 05) of the current biennium ( 2003- 05)

5) Amount of the recommended increase or decrease for the first year ( 2005- 06)

of the next biennium ( 2005- 07), as compared to the current year ( 2004- 05) in

column 4

6) Total amount requested for the first year ( 2005- 06) of the next biennium ( 2005-

07)

7) Amount of the recommended increase or decrease for the second year ( 2006-

07) of the next biennium ( 2005- 07), as compared to the current year ( 2004- 05)

in column 4

8) Total amount requested for the second year ( 2006- 07) of the next biennium

( 2005- 07)

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 including 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, and purchase and contract 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, Division of Purchasing and Contract, 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.

14410- 1013 Office MMIS plus Services B- 23

The purpose of this fund is to implement a new system that will continue to support the N. C. Medicaid Management

Information System ( MMIS+) for the Medicaid Health Insurance Program administered by the Division of Medical

Assistance for all State Medicaid claims, multiple benefit programs designated by the State and administered by the

Volume 3 A- 2 Health and Human Services

Division of Mental Health, Developmental Disabilities, and Substance Abuse Services, Certification of provider

services overseen by the Division of Facility Services and the Purchase of Medical Care System ( POMCS) for the

Division of Public Health.

14410- 1030 Citizen Services B- 24

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 Services 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 Services 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. The Office also

serves as the communications liaison in the Emergency Operations Center on behalf of the Secretary and DHHS.

14410- 1110 NC Council on Developmental Disabilities B- 26

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) health care; 6) recreation; 7)

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

14410- 1210 Human Resources B- 28

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

Volume 3 A- 3 Health and Human Services

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 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- 30

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 Efficiency Services helps reduce energy costs for low income families through energy

education, the installation of weatherization measures and the repair and replacement of inefficient heating and cooling

systems while addressing health and safety hazards.

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 - Planning and Development B- 38

This fund was established to create a method of capturing and reporting the planning and development expense for

automation initiatives. This separation from the Division of Information Resource Management ( DIRM) routine

applications will assist with federal reporting as well as information prepared for Information Technology Services

( ITS). Projects include applications development efforts as well as infrastructure projects for the Department of Health

and Human Services.

14410- 1510 Office of Research Demonstration/ Rural Health Dev. 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 residents in North Carolina's rural communities, particularly the

uninsured and medically- indigent, by assisting local leadership to identify appropriate resources, by recruiting

physicians and dentists, and by developing primary care systems and centers. The Office designs and tests innovative

Volume 3 A- 4 Health and Human Services

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 farm workers 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 to

prepare at- risk four- year- olds to succeed in school. These funds must be combined with other funding and resources

to establish these classrooms in all counties. Eligibility is based on family income and other at- risk factors. The first

priority is to serve children who have never 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- 47

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

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

14410- 1995 Reserve for Automation B- 56

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

Information Technology Services ( ITS) 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.

Division of Aging and Adult Services

Mission To promote independence and enhance the dignity of North Carolina's older and disabled persons and their families

through a community based system of opportunities, services, benefits and protections; to ready younger generations

to enjoy their later years; and to help society and government plan and prepare for the changing demographics.

Page

Budget Code - 14411 DHHS - Division of Aging B- 57

Fund Code

14411- 1110 State Administration B- 65

These funds are used to provide administration for the Division of Aging and Adult Services. 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 also provides services and benefits to older and disabled adults through the 100 county

Departments of Social Services. The division monitors 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- 1170 Adult Services B- 68

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

developed, implemented, and administered accurately and consistently across the state. 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. Administrative support includes 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.

Volume 3 A- 6 Health and Human Services

14411- 1210 Community Based Services B- 70

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- 73

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, 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- 75

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- 1992 Prior Year Earned Revenue B- 76

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- 77

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- 7 Health and Human Services

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- 78

Fund Code

14420- 1111 General Administration B- 85

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

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- 88

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- 89

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- 90

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- 1992 Prior Year Earned Revenue B- 92

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- 8 Health and Human Services

14420- 1993 Prior Year Unearned Revenue B- 93

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.

Office of Education Services

Mission The mission of the Office of Education Services ( OES) is to provide quality, comprehensive, developmental, and

educational opportunities for eligible students ages birth to 21 and their families so that students can develop the skills

necessary to lead productive lives-- vocationally, socially, and personally-- resulting ultimately in the achievement of

their highest potential for independent and successful lives.

Page

Budget Code - 14424 DHHS - Office of Education Services B- 94

Fund Code

14424- 1101 Western NC School for the Deaf B- 101

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

from the 47 western NC counties and whose Individualized Educational Programs ( IEP) recommend their

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

services which culminates in students receiving a North Carolina diploma or certificate 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- 104

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

from the 53 eastern NC counties and whose Individualized Educational Programs recommend their attendance

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

culminates in students receiving a North Carolina diploma or certificate 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- 107

The North Carolina Central School for the Deaf closed in May 2001.

Volume 3 A- 9 Health and Human Services

14424- 1405 Governor Morehead School B- 108

This fund is used to provide quality educational programming for visually impaired children and youth ages 5 through

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

visually impaired support services. Funds for the K- 12 day and residential program are provided for delivery of the

standard course of study which culminates in students receiving a North Carolina diploma or certificate as well as

related services specified by their IEPs. Funding supports staff collaboration with Division of Services for the Blind 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- 1406 Governor Morehead Preschool B- 111

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

ages birth to five years old with diagnosed visual impairments. GMS preschool staff work with families and community

professionals from a network of 15 satellite sites to provide a variety of intervention services such as pre- Braille, pre-

Orientation and Mobility, low vision use, compensatory skill use, and adaptive equipment. In addition to these direct

services, GMP provides on- site consultation, staff development and training, and assistance with assessments that

aid the development of intervention plans.

14424- 1505 Early Intervention Services - Preschool B- 113

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- 115

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.

Volume 3 A- 10 Health and Human Services

14424- 1801 Central Administration B- 116

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

of residential and preschool programs.

14424- 1991 Indirect Reserves B- 118

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- 119

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.

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- 120

Fund Code

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.

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 collect, maintain, analyze, and disseminate health data, including a statewide cancer

registry that provides cancer related information to health managers and which also quantifies the incidence of cancer

in this state and supports investigations and research; a birth defects surveillance system that informs clinical practice

and research in the field; and a vital statistics system that complies with federal requirements for submission and

accuracy of data depository for vital events. This fund also supports routine and special publications in the field of

public health, promotes the use of spatial analysis techniques for examining epidemiological studies regarding specific

diseases or threats to public health; helps examine relationships of cost and access to care within all types of health

insurance systems, including the uninsured; supports systematic and extensive surveys of citizens regarding health

risks and behaviors; and provides information for community health assessment including benchmarks for 2010

Volume 3 A- 11 Health and Human Services

healthy people initiative. The fund also supports cooperation with sister agencies to inform, monitor, and evaluate

public health programs, and to respond to inquiries from administrators, researchers, practitioners, policy makers, and

the public at large regarding health data in North Carolina.

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 from 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 reduce dental

decay and promote oral health. Services include activities to provide dental preventive services such as sealants to

targeted high- risk children; monitor community water supplies for optimal flouride levels and provide technical

assistance regarding fluoridation; provide dental screening, diagnosis and referral for dental services; provide

instruction on dental care, sealants, nutrition, fluorides, plaque control, and injury prevention; provide consultation to

local public health service providers; and maintain and provide public information on a dental health database on

disease levels, sealants, treatment and dental needs. 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.

Volume 3 A- 12 Health and Human Services

14430- 1451 Communicable Disease/ Bioterrorism B- 153

The purpose of this fund is to work with local and regional health departments to ensure prompt reporting and control

of non- sexually transmitted communicable diseases and to assist with disease outbreak investigations. A secondary

focus is to test and treat persons with active tuberculosis infections and their close contacts. The fund ensures

enforcement of applicable public health law and issues new administrative rules pertaining to communicable disease

control. It maintains current policies and databases required to produce reports and support training activities for

communicable diseases and tuberculosis.

14430- 1461 HIV/ STD Prevention and Care B- 156

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- 159

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- 161

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- 164

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.

14430- 1511 Women's Health B- 166

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

Volume 3 A- 13 Health and Human Services

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 Children's Developmental Service Agencies B- 169

This fund is used for the network of state managed Children's Developmental Services Agencies ( CSDA) 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- 172

This fund is used for the activities of the Early Intervention Branch. Examples include the federal early intervention

grant and state funded administration and special projects.

14430- 1520 Sickle Cell and Genetic Counseling B- 175

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- 178

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- 181

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.

14430- 1540 Nutrition and Dietary Services B- 184

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.

Volume 3 A- 14 Health and Human Services

14430- 1551 Chronic Diseases B- 187

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- 191

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- 1561 Bioterrorism Grant Regular B- 194

This fund supports activities at the state, regional and local levels to plan, prepare, respond, recover and mitigate

against the full range of public health threats, including acts of terrorism, emerging natural diseases and natural

disasters. Major activities include preparation of plans, conducting responses during actual events and exercises, and

coordination with other agencies at the federal, state regional and local levels.

14430- 1562 Bioterrorism Grant SNS B- 196

This fund supports activities related to the acquisition and distribution of the Strategic National Stockpile ( SNS) and

related medical supply matters within the context of public health preparedness and response.

14430- 1563 Bioterrorism Grant Smallpox B- 198

This fund supports activities related to planning, exercising and conducting responses to a smallpox attack, including

vaccination, quarantine and isolation and related matters within the context of public health preparedness and

response.

14430- 1570 Immunization B- 200

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.

Volume 3 A- 15 Health and Human Services

14430- 1575 Child Nutrition Programs B- 202

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- 204

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.

14430- 1991 Federal Indirect Reserve B- 206

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- 208

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- 211

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 North Carolina Division of Social Services is dedicated to assisting and providing opportunities for individuals and

families in need of basic support and services to become self- sufficient and self- reliant. The Division of Social

Services advocates for and encourages individuals' rights to select actions appropriate to their needs. Primary to the

Division is our commitment to provide families and children with family centered services that strive to achieve well

being through ensuring safety and permanency. 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 and compassionately.

Volume 3 A- 16 Health and Human Services

Page

Budget Code - 14440 DHHS - Division of Social Services B- 214

Fund Code

14440- 1110 State Administration B- 226

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, administrative, contract services, and general data processing support.

14440- 1130 Performance Mgmt/ Economic Services B- 229

Performance Management and Economic Services 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- 232

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.

14440- 1170 Refugee Assistance Programs B- 235

Title of this Fund Code was changed due to the Adult and Family Services Section merging with the Division of Aging

and Adult Services effective September 1, 2003. The remaining service is the North Carolina Refugee Assistance

Program, administered by the NC Refugee Office, which consists of three distinct programs. Refugee Cash

Assistance ( RCA) and Refugee Medical Assistance ( RMA) are two short- term public benefits programs available to

refugees for the first eight months after their date of entry in the United States. Refugee Social Services are longer-term,

refugee- specific programs for which refugees are eligible. Social Services primarily include employment services

Volume 3 A- 17 Health and Human Services

such as job development, job readiness and placement, job follow- up, vocational skills training, and English Language

Training ( ELT). Supportive services, including case management, transportation, interpretation/ translation, and

various social adjustment services, such as home and health management and community orientation, are also

provided by local refugee service providers under contract with the NC State Refugee Office.

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, 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.

Volume 3 A- 18 Health and Human Services

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- 246

County Public Assistance Payments include Crisis Intervention Payment, Wake Electric Membership Corp. and

Progress Energy 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), Temporary

Assistance to Needy Families ( TANF), 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 Wake Electric Membership Corp. and Progress Energy service area, funds are made

available through customer and company donations. No state match is required for Wake Electric Membership Corp.

or Project Share.

14440- 1310 Transfers to Other State Agencies B- 247

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- 248

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.

Volume 3 A- 19 Health and Human Services

14440- 1480 County Services Program B- 249

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- 252

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- 255

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.

14440- 1991 Federal Indirect Reserve B- 257

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- 259

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- 261

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 sub grantees as a result of audits of prior year

operations.

Volume 3 A- 20 Health and Human Services

14440- 1995 Reserve - Work First State Money B- 263

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.

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- 264

Fund Code

14445- 1101 DMA Administration B- 274

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- 277

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- 1210 Medical Assistance County Administration B- 278

The purpose of this fund is to house county administration.

14445- 1310 Medical Assistance Payments B- 279

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

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

Volume 3 A- 21 Health and Human Services

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- 282

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- 284

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- 286

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- 287

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- 288

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

14445- 1810 Revenue Clearing B- 289

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- 290

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

14445- 1991 Federal Indirect Reserve B- 291

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- 292

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- 22 Health and Human Services

14445- 1993 Prior Year Adjustments or Audit Exceptions B- 293

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- 294

Fund Code

14446- 1101 State Level Administration B- 299

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 reside in this fund.

14446- 1310 Medical Payments B- 301

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.

Divisions 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- 302

Fund Code

14450- 1110 Management and Support Services B- 309

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

include budgeting and accounting, LAN and information systems support, policy development, implementation and

interpretation, and maintenance of the statewide Blind Register.

14450- 1190 Federal Revenue Clearing B- 311

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

Volume 3 A- 23 Health and Human Services

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- 312

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- 1410 Independent Living Services B- 313

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,

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- 315

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- 318

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- 320

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- 322

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

Volume 3 A- 24 Health and Human Services

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- 1991 Federal Indirect Reserve B- 324

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- 325

This fund is used to record revenue, primarily from federal funding sources, that was earned in a prior fiscal year and

received in the current fiscal year.

14450- 1993 Prior Period Refunds B- 326

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- 327

Fund Code

14460- 1110 General Administration B- 341

This fund supports general administrative activities within the division. Resources are utilized to provide administrative

support in the administration and delivery of services in both community programs and state operated facilities.

14460- 1216 Whitaker School B- 345

This fund budgets and tracks expenditures for the state operated Whitaker School in Butner, N. C. This residential

program for children provides education and services to enable children to transition back into community- based living

arrangements.

Volume 3 A- 25 Health and Human Services

14460- 1217 Eastern Adolescent Treatment Program B- 348

Fund code is no longer in use.

14460- 1220 Broughton Hospital B- 350

This fund budgets and tracks expenditures for Broughton Hospital, a state operated inpatient facility in Morganton,

N. C., for adults with mental health needs. Services primarily include psychiatric inpatient care and rehabilitation.

14460- 1230 Cherry Hospital B- 354

This fund budgets and tracks expenditures for Cherry Hospital, a state operated inpatient facility in Goldsboro, N. C.,

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

14460- 1240 Dorothea Dix Hospital B- 358

This fund budgets and tracks expenditures for Dorothea Dix Hospital in Raleigh, N. C., a state operated inpatient

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

rehabilitation for adults, including a special forensic unit and specialized services for individuals with mental illness

who are deaf and hard of hearing.

14460- 1250 NC Special Care Center B- 362

This fund budgets and tracks expenditures for the N. C. Special Care Center ( NCSCC) in Wilson. 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.

14460- 1260 John Umstead Hospital B- 365

This fund budgets and tracks expenditures for Umstead Hospital in Butner, N. C., a state operated inpatient facility for

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

14460- 1261 John Umstead Hospital - Federal - Other B- 369

This fund budgets and tracks specialized federal and other grant expenditures for Umstead Hospital in Butner, N. C., a

state operated inpatient facility for adults with mental health needs. Services primarily include evaluation, psychiatric

inpatient care, and rehabilitation.

14460- 1280 Wright School - State B- 371

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

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

emotionally disturbed 6- to 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. 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.

Volume 3 A- 26 Health and Human Services

14460- 1290 Program Services Mental Health - State B- 373

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 appropriation.

14460- 1291 Program Services Mental Health - Federal B- 375

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, etc. The principal source of funds in this fund code is federal

funds.

14460- 1320 Black Mountain Center - State B- 376

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

Black Mountain, one of the five state operated mental retardation centers. 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- 379

This fund is established for the purpose of tracking budget and expenditures for Caswell Center in Kinston, N. C., one

of the five state operated mental retardation centers. Caswell is an Intermediate Care Facility for the Mentally

Retarded ( ICF/ MR) and provides outreach, advocacy, and community based training. Source of funds in this fund

code is primarily Medicaid ICF/ MR receipts and state appropriation.

14460- 1340 Murdoch Center - State B- 382

This fund is established for the purpose of tracking budget and expenditures for Murdoch Center in Butner, N. C., one

of the five state operated mental retardation centers. 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- 385

This fund is established for the purpose of tracking budget and expenditures for the O'Berry Center in Goldsboro, N. C.

One of the five state operated mental retardation facilities, the 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- 27 Health and Human Services

14460- 1360 J. Iverson Riddle Center - State B- 388

This fund is established for the purpose of tracking budget and expenditures for the J. Iverson Riddle Center ( formerly

the Western Carolina Center) in Morganton, N. C. One of the five state operated mental retardation centers, the Riddle

Center 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 J. Iverson Riddle Center - Federal B- 391

This fund is established for the purpose of tracking budget and expenditures for the J. Iverson Riddle Center in

Morganton, N. C. One of the five state operated mental retardation centers, it provides ICF/ MR level of services, as

well as programs of outreach, advocacy, and community- based training. The 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- 393

This fund is established for the purpose of tracking budget 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 for the provision of periodic day services and 24- hour

services. The principal source of funds in this fund code is state appropriation.

14460- 1391 Program Services - Develop. Disab. - Federal B- 395

This fund is established for the purpose of tracking budget 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 for the provision of periodic day services and 24- hour

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

14460- 1420 Julian F. Keith ADATC - State Funds B- 396

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) in Black Mountain, N. C. One of the three state operated ADATCs, it provides

medical, psychological, nursing, social work, family, and detoxification services as well as substance abuse education

and rehabilitation therapy. Source of funds in this fund code is primarily state appropriation.

14460- 1421 Julian F. Keith ADATC - Federal/ Other Funds B- 399

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) in Black Mountain, N. C. One of the three state operated ADATCs, it provides

medical, psychological, nursing, social work, family, and detoxification services as well as substance abuse education

and rehabilitation therapy. Source of funds in this fund code is the Substance Abuse Prevention and Treatment Block

Grant.

Volume 3 A- 28 Health and Human Services

14460- 1440 Walter B. Jones ADATC - State B- 401

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) in Greenville, N. C. One of the three state operated ADATCs, it provides

medical, psychological, nursing, social work, family, and detoxification services as well as substance abuse education

and rehabilitation therapy. 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- 404

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) in Greenville, N. C. One of the three state operated ADATCs, it provides

medical, psychological, nursing, social work, family, and detoxification services as well as substance abuse education

and rehabilitation therapy. 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 the Substance Abuse

Prevention and Treatment Block Grant.

14460- 1490 Program Services - Substance Abuse - State B- 406

This fund is established for the purpose of tracking budget 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 appropriation.

14460- 1491 Program Services - Substance Abuse - Federal B- 407

This fund is established for the purpose of tracking budget 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 as HIV/ AIDS and 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- 1510 Western Regional Maintenance B- 409

This fund is established to consolidate the maintenance activities for Broughton Hospital, J. Iverson Riddle Center

( formerly the Western Carolina Center), and Western School for the Deaf, all located in Morganton, N. C.

14460- 1520 Central Regional Maintenance B- 412

This fund was established to continue providing maintenance for DHHS facilities located on the Dorothea Dix Hospital

campus in anticipation of its closure.

14460- 1590 General Program Services B- 414

General Program Services is utilized to track budget and expenditures that 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- 29 Health and Human Services

14460- 1810 Revenue Clearing Account B- 415

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- 417

This fund is used to record budgetary reserves and non- operating transfers to other state agencies.

14460- 1991 Reserve for Indirect Cost B- 418

The purpose of this fund is to account for funds earned for indirect cost 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 department overhead costs.

14460- 1992 Prior Year Earned Revenue B- 419

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- 421

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- 423

Fund Code

24460- 2280 Wright School - Special Fund B- 427

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

Department of Public Instruction.

Page

Budget Code - 54465 DHHS - Town of Butner B- 428

Fund Code

54465- 5100 Town of Butner Bonds B- 434

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

generally relate to bond payments, capital projects, and miscellaneous operating costs.

Volume 3 A- 30 Health and Human Services

54465- 5300 Butner Advisory Committee B- 435

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- 437

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- 439

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- 441

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- 443

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.

Page

Budget Code - 74465 DHHS - John Umstead - Butner Area Central Services B- 445

Fund Code

74465- 7800 Telephone System B- 450

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.

Volume 3 A- 31 Health and Human Services

Page

Budget Code - 14470 DHHS - Division of Facility Services B- 452

Fund Code

14470- 1111 Management and Support B- 459

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.

14470- 1311 Facility and Health Services B- 462

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- 465

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- 468

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

Volume 3 A- 32 Health and Human Services

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- 470

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.

14470- 1818 Charitable Fund- Raising B- 471

This function was transferred to the Secretary of State ( via legislation) in January 1999.

Protect consumers from fraud and injurious practices and illegal activities in the solicitation of funds or the conduct of

bingo games on behalf of charitable organizations. Staff register charitable solicitation activities in the state;

investigate complaints; issue new and renewal licenses to organizations that qualify to operate bingo games; and

conduct annual audits of their operations.

14470- 1991 Indirect Reserve B- 472

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.

14470- 1992 Prior Year Earned Revenue B- 473

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- 474

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- 33 Health and Human Services

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- 475

Fund Code

14480- 1101 Management and Support Services B- 483

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 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.

14480- 1102 Counseling and Placement - State B- 485

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 support 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- 488

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 these 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- 490

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

Volume 3 A- 34 Health and Human Services

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- 492

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 individual needs,

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, and interpreter and reader services. Post-employment

services may be provided when required for job retention.

14480- 1201 Establishment of Facilities B- 493

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.

14480- 1301 Client Assistance Project B- 494

The purpose of this fund is the administration of the Client Assistance Project ( CAP), which helps rehabilitation clients

and potential clients understand 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 and 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- 496

The purpose of this fund is the administration of the Supported Employment Program ( SE). This 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.

Volume 3 A- 35 Health and Human Services

14480- 1303 Assistive Technology Project B- 497

The purpose of this fund is the administration of the North Carolina Assistive Technology Project ( NCATP). The

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, and 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- 499

The purpose of this fund is the administration of the Independent Living Services program ( ILS). This program

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

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- 1810 Revenue Clearing B- 502

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

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

agency. Actual receipts received from federal and other funding sources 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 state fiscal year.

14480- 1991 Indirect Reserve B- 503

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.

14480- 1992 Prior Year Earned Revenue B- 504

This Fund is used to record revenue received in the current state fiscal year, primarily from federal funding sources,

that was earned in a prior fiscal year.

Volume 3 A- 36 Health and Human Services

14480- 1993 Prior Year Audit and Adjustments B- 505

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

state fiscal year. Adjustments tracked in this fund include paybacks from subgrantees and purchase of service

vendors, as a result of audits of prior year operations.

Section B

Budgets

Volume 3 B- 1 Health and Human Services

Summary by Purpose

14410 DHHS - Division of Central Management and Support

2003- 2004 2004- 2005 2004- 2005 2005- 2006 2005- 2006 2006- 2007 2006- 2007

DESCRIPTION ACTUAL CERTIFIED AUTHORIZED INCR/ DECR TOTAL INCR/ DECR TOTAL

( 1) ( 2) ( 3) ( 4) ( 5) ( 6) ( 7) ( 8)

REQUIREMENTS

------------------

1010 CENTRAL MANAGEMENT & ADM 4,629,406 4,131,205 4,318,038 - 2,530 4,315,508 - 1,796 4,316,242

1011 ADMIN. AND SUPPORT 5,369,084 5,934,151 6,159,490 - 2,394,045 3,765,445 - 2,391,687 3,767,803

1012 DHHS CONTROLLER'S OFFICE 16,696,700 15,995,029 16,093,803 16,503 16,110,306 32,421 16,126,224

1013 OFFICE OF MMIS+ SERVICE 0 5,000,000 5,000,000 - 5,000,000 0 - 5,000,000 0

1030 CITIZEN SERVICES 1,160,773 754,871 782,300 5,070 787,370 6,195 788,495

1110 NC COUNCIL ON DEV. DIS. 2,609,272 2,839,957 2,839,957 5,922 2,845,879 7,453 2,847,410

1210 DIV. OF HUMAN RESOURCES 2,349,481 2,486,415 2,458,922 - 270 2,458,652 1,046 2,459,968

1310 OFFICE OF ECON. OPPORTUN 19,350,381 19,509,001 19,509,001 0 19,509,001 0 19,509,001

1311 RESIDENTIAL ENRGY EFF SV 13,467,225 11,949,694 11,949,694 0 11,949,694 0 11,949,694

1410 INFORMATION SYSTEMS SERV 52,445,087 43,278,864 43,963,900 1,824,051 45,787,951 8,472,129 52,436,029

1411 DIRM- PLANNING AND DEV. 3,320,577 0 0 0 0 0 0

1510 OFFICE RESEARCH DEMO& RHD 18,522,529 49,515,479 50,251,624 - 7,000,000 43,251,624 - 7,000,000 43,251,624

1710 MORE AT FOUR PRE- K PROG 38,956,159 51,022,287 51,022,287 - 1,016,165 50,006,122 - 1,016,165 50,006,122

1910 RESERVES AND TRANSFERS 0 - 10,434,875 - 10,434,875 10,787,400 352,525 10,787,400 352,525

1991 INDIRECT COST- RESERVE 366,897 0 0 0 0 0 0

1992 PRIOR YEAR EARNED REVENU 1,520,526 605,120 605,120 0 605,120 0 605,120

1993 PRIOR YEARS AUDITS & ADJ 10,835,339 0 0 0 0 0 0

1995 RESERVE FOR AUTOMATION 0 4,634,966 4,634,966 5,400,000 10,034,966 5,400,000 10,034,966

------------------------------------------------------------------------------------------------------------------------------- ---

TOTAL REQUIREMENTS 191,599,436 207,222,164 209,154,227 2,625,936 211,780,163 9,296,996 218,451,223

------------------------------------------------------------------------------------------------------------------------------- ---

ESTIMATED RECEIPTS

------------------

1010 CENTRAL MANAGEMENT & ADM 1,238,457 1,123,920 1,126,545 0 1,126,545 0 1,126,545

1011 ADMIN. AND SUPPORT 2,012,908 543,760 543,760 - 549 543,211 - 549 543,211

1012 DHHS CONTROLLER'S OFFICE 6,549,647 5,010,567 5,030,123 - 82,537 4,947,586 - 80,191 4,949,932

1013 OFFICE OF MMIS+ SERVICE 0 5,000,000 5,000,000 - 5,000,000 0 - 5,000,000 0

1030 CITIZEN SERVICES 649,810 343,559 346,204 - 104,836 241,368 - 104,535 241,669

1110 NC COUNCIL ON DEV. DIS. 2,508,849 2,726,357 2,726,357 5,364 2,731,721 6,704 2,733,061

1210 DIV. OF HUMAN RESOURCES 47,252 71,174 71,174 - 24,922 46,252 - 24,922 46,252

1310 OFFICE OF ECON. OPPORTUN 19,316,830 19,453,116 19,453,116 0 19,453,116 0 19,453,116

1311 RESIDENTIAL ENRGY EFF SV 13,467,224 11,949,694 11,949,694 0 11,949,694 0 11,949,694

1410 INFORMATION SYSTEMS SERV 35,648,946 29,370,460 29,775,638 833,416 30,609,054 3,500,489 33,276,127

1411 DIRM- PLANNING AND DEV. 3,287,472 0 0 0 0 0 0

1510 OFFICE RESEARCH DEMO& RHD 12,317,402 36,983,583 36,983,583 0 36,983,583 0 36,983,583

1810 REVENUE CLEARING ACCOUNT - 2,507,009 0 0 0 0 0 0

Volume 3 B- 2 Health and Human Services

Summary by Purpose

14410 DHHS - Division of Central Management and Support

2003- 2004 2004- 2005 2004- 2005 2005- 2006 2005- 2006 2006- 2007 2006- 2007

DESCRIPTION ACTUAL CERTIFIED AUTHORIZED INCR/ DECR TOTAL INCR/ DECR TOTAL

( 1) ( 2) ( 3) ( 4) ( 5) ( 6) ( 7) ( 8)

1910 RESERVES AND TRANSFERS 0 52,525 52,525 0 52,525 0 52,525

1991 INDIRECT COST- RESERVE 743,980 0 0 0 0 0 0

1992 PRIOR YEAR EARNED REVENU 2,616,231 605,120 605,120 0 605,120 0 605,120

1993 PRIOR YEARS AUDITS & ADJ 10,933,221 0 0 0 0 0 0

------------------------------------------------------------------------------------------------------------------------------- ---

TOTAL RECEIPTS 108,831,220 113,233,835 113,663,839 - 4,374,064 109,289,775 - 1,703,004 111,960,835

------------------------------------------------------------------------------------------------------------------------------- ---

N ET APPROPRIATION 82,768,216 93,988,329 95,490,388 7,000,000 102,490,388 11,000,000 106,490,388

Volume 3 B- 3 Health and Human Services

Summary by Account

14410 DHHS - Division of Central Management and Support

2003- 2004 2004- 2005 2004- 2005 2005- 2006 2005- 2006 2006- 2007 2006- 2007

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 102,119 104,672 104,672 0 104,672 0 104,672

53 1211 SPA- REG SALARIES- APPRO 6,423,796 6,883,040 7,236,288 0 7,236,288 0 7,236,288

53 1212 SPA- REG SALARIES- RECPT 1,415,761 1,686,311 1,688,625 0 1,688,625 0 1,688,625

53 1213 SPA SALARIES UNDESIGNATE 19,656,889 21,352,076 22,039,291 0 22,039,291 0 22,039,291

53 1221 TIME LIMITED SAL APPROP 0 1,250 1,250 0 1,250 0 1,250

53 1222 SPA TIME LIMITED- RECPT 246,544 351,154 351,154 0 351,154 0 351,154

53 1223 TIME LIMIT SALARIES- UNDE 40,339 40,789 40,789 0 40,789 0 40,789

53 1311 REG( N S) TEMP WAGES- APPR 0 31,395 31,395 0 31,395 0 31,395

53 1312 REG( N S) TEMP WAGES- RECP 0 1,746 1,746 0 1,746 0 1,746

53 1413 OT PAY UNDESIGNATED 109,632 0 0 0 0 0 0

53 1423 HOLIDAY PAY UNDESIGNATED 1,475 0 0 0 0 0 0

53 1433 SHIFT 10% PREM PAY UND 11,260 0 0 0 0 0 0

53 1443 CALLBK/ STBY PREM PAY 52,545 0 0 0 0 0 0

53 1452 DUAL EMPLOY. WAGES- RECEIP 10,758 0 0 0 0 0 0

53 1461 EPA& SPA- LONGVTY PAY- APPR 154,042 158,449 158,449 2,519 160,968 6,927 165,376

53 1462 EPA& SPA- LONGVTY PAY- REC 24,726 16,224 16,224 1,185 17,409 1,185 17,409

53 1463 LONGEVITY PAY- UNDESIGNAT 340,700 275,351 285,388 4,521 289,909 5,646 291,034

53 1511 SOCIAL SEC CONTRIB- APPRO 488,872 552,308 579,364 0 579,364 0 579,364

53 1512 SOCIAL SEC CONTRIB- RECPT 125,433 161,609 157,273 0 157,273 0 157,273

53 1513 SOCIAL SECURITY- UNDESIGD 1,500,275 1,636,409 1,694,030 2,883 1,696,913 2,883 1,696,913

53 1521 REG RETIRE CONTRIB- APPRO 221,653 432,137 445,628 0 445,628 0 445,628

53 1522 REG RETIRE CONTRIB- RECPT 57,696 122,076 118,828 0 118,828 0 118,828

53 1523 REG RETIRE CONTRIB- UNDES 690,333 1,297,766 1,324,542 - 27,067 1,297,475 - 27,067 1,297,475

53 1561 MED INS CONTRIB- APPRO 350,402 449,127 458,891 0 458,891 0 458,891

53 1562 MED INS CONTRIB- RECPTS 110,981 143,166 139,762 0 139,762 0 139,762

53 1563 MED INS CONTRIB- UNDESIGD 1,432,368 1,675,893 1,721,138 0 1,721,138 0 1,721,138

53 1572 UNEMP COMP PAYMNTS TO ES 64,083 4,000 4,000 0 4,000 0 4,000

53 1625 ST DISABILITY PMT 66,918 12,000 12,000 0 12,000 0 12,000

53 1627 SHORT TERM DISAB PMT APP 5,778 0 0 0 0 0 0

53 1628 ST DISABILITY PMT- RECPT 11,793 0 0 0 0 0 0

53 1631 WRKER COMP- MED PAYMENTS 23,822 7,780 7,780 0 7,780 0 7,780

53 1651 COMPENSATION TO BOARD ME 2,940 5,715 4,135 0 4,135 0 4,135

53 1652 COMP. TO OTHER ELECTED OF 238 0 0 0 0 0 0

------------------------------------------------------------------------------------------------------------------------------- ---

TOTAL PERSONAL SERVICES 33,744,171 37,402,443 38,622,642 - 15,959 38,606,683 - 10,426 38,612,216

------------------------------------------------------------------------------------------------------------------------------- ---

5 3 2110 LEGAL SERVICES 338,852 166,641 166,641 0 166,641 0 166,641

Volume 3 B- 4 Health and Human Services

Summary by Account

14410 DHHS - Division of Central Management and Support

2003- 2004 2004- 2005 2004- 2005 2005- 2006 2005- 2006 2006- 2007 2006- 2007

DESCRIPTION ACTUAL CERTIFIED AUTHORIZED INCR/ DECR TOTAL INCR/ DECR TOTAL

( 1) ( 2) ( 3) ( 4) ( 5) ( 6) ( 7) ( 8)

53 2120 FIN/ AUD CONSUL. FEES 2,620,709 311,377 311,377 0 311,377 0 311,377

53 2140 INFORMATN TECHNOLOGY SVC 15,745,684 15,130,134 15,130,134 0 15,130,134 0 15,130,134

53 2143 LAN SUPPORT SERVICES 1,999,457 0 0 0 0 1,900,000 1,900,000

53 2145 SERVER SUPPORT SVCS 4,000 0 0 0 0 0 0

53 2147 IT SEAT MANAGEMENT SVCS. 321,768 1,510,864 1,510,864 0 1,510,864 0 1,510,864

53 2170 ADMIN SERVICES 2,094,719 1,837,443 1,837,443 0 1,837,443 0 1,837,443

53 2181 WORKSHOP/ CONF. EXP. F/ SVC. 12,268 11,541 11,541 0 11,541 0 11,541

53 2184 JANITORIAL SER AGREEMENT 17,736 17,925 17,925 0 17,925 0 17,925

53 2199 MISC CONTRACTUAL SERVICE 776,240 1,140,517 1,140,517 0 1,140,517 0 1,140,517

53 2200 UTILITY/ ENERGY SERVICES 58,333 49,335 49,335 12,456 61,791 13,947 63,282

53 2300 REPAIR SERVICES 70,769 31,035 27,957 0 27,957 0 27,957

53 2400 MAINTENANCE AGREEMENTS 984,735 360,298 367,026 0 367,026 609,000 976,026

53 2500 RENTALS/ LEASES 1,306,224 1,202,056 1,181,843 179,185 1,361,028 195,143 1,376,986

53 2700 TRAVEL& OTHER EMPLOYEEEX 369,360 744,200 692,467 0 692,467 0 692,467

53 2800 COMM. & DATA PROCESSING 22,340,075 17,877,406 17,955,952 1,471,995 19,427,947 5,461,073 23,417,025

53 2900 OTHER SERVICES 74,301 201,274 199,231 0 199,231 0 199,231

------------------------------------------------------------------------------------------------------------------------------- ---

TOTAL PURCHASED SERVICES 49,135,230 40,592,046 40,600,253 1,663,636 42,263,889 8,179,163 48,779,416

------------------------------------------------------------------------------------------------------------------------------- ---

53 3100 GENERAL ADMIN SUPPLIES 1,032,681 579,278 578,598 143,159 721,757 293,159 871,757

53 3200 FACILITY/ HARDWARE SUPP 3,490 1,632 1,632 0 1,632 0 1,632

53 3300 VEHICLE/ EQUIP OPER SUPPL 1,820 1,281 1,337 0 1,337 0 1,337

53 3400 FOOD SUPPLIES 0 227 227 0 227 0 227

53 3600 PHARMACEUTICAL SUPPLIES 0 54 54 0 54 0 54

53 3700 EDUCATIONAL SUPPLIES 14,038 1,950 1,950 0 1,950 0 1,950

53 3900 OTHER MATERIALS & SUPP 4,756 8,122 8,172 0 8,172 0 8,172

------------------------------------------------------------------------------------------------------------------------------- ---

TOTAL SUPPLIES 1,056,785 592,544 591,970 143,159 735,129 293,159 885,129

------------------------------------------------------------------------------------------------------------------------------- ---

53 4500 EQUIPMENT 253,524 241,401 245,155 - 16,165 228,990 - 16,165 228,990

53 4600 ART, OTHER ARTIFACTS& LIT 903 9,629 6,715 0 6,715 0 6,715

53 4700 INTANGIBLE ASSETS 280,217 110,863 112,475 63,865 176,340 63,865 176,340

------------------------------------------------------------------------------------------------------------------------------- ---

TOTAL PROPERTY, PLANT & EQUIPMT 534,644 361,893 364,345 47,700 412,045 47,700 412,045

------------------------------------------------------------------------------------------------------------------------------- ---

53 5100 BUSINESS/ LICENSE FEES 563,067 0 0 0 0 0 0

5 3 5600 ASSET & OTHER ADJUSTMENT 3,041,620 1,067 75 0 75 0 75

Volume 3 B- 5 Health and Human Services

Summary by Account

14410 DHHS - Division of Central Management and Support

2003- 2004 2004- 2005 2004- 2005 2005- 2006 2005- 2006 2006- 2007 2006- 2007

DESCRIPTION ACTUAL CERTIFIED AUTHORIZED INCR/ DECR TOTAL INCR/ DECR TOTAL

( 1) ( 2) ( 3) ( 4) ( 5) ( 6) ( 7) ( 8)

53 5800 OTHER ADMINSTRATIVE EXP 53,286 104,969 74,896 0 74,896 0 74,896

53 5900 OTHER EXPENSES 12,609,026 3,630 4,810 0 4,810 0 4,810

------------------------------------------------------------------------------------------------------------------------------- ---

TOTAL OTHER EXPENSES & ADJUSTMEN 16,266,999 109,666 79,781 0 79,781 0 79,781

------------------------------------------------------------------------------------------------------------------------------- ---

53 6101 PRESCRIPTION DRUG CLAIMS 5,636,837 29,656,036 29,656,036 0 29,656,036 0 29,656,036

53 6150 HOSP- OUTPATIENT 114,724 0 123,385 0 123,385 0 123,385

53 6161 APPLIANCES 89 0 9,979 0 9,979 0 9,979

53 6163 PHYSICIANS 170,084 0 189,781 0 189,781 0 189,781

53 6164 OTHER PROFESSIONALS 8,609 0 25,000 0 25,000 0 25,000

53 6165 PHARMACEUTICALS 319,820 0 211,590 0 211,590 0 211,590

53 6166 PRIMARY HEALTH CARE GRNT 0 5,000,000 5,000,000 - 5,000,000 0 - 5,000,000 0

53 6167 COMMUNITY HEALTH CTR GRT 0 2,000,000 2,000,000 - 2,000,000 0 - 2,000,000 0

53 6168 NC SPECIAL OLYMPICS 0 100,000 100,000 0 100,000 0 100,000

53 6169 ALS ASSN CATFISH HUNTER 0 50,000 50,000 - 50,000 0 - 50,000 0

53 6174 PATIENT SUPPLIES 788 0 3,853 0 3,853 0 3,853

53 6304 CSBG FOOD & NUTRITION 111,534 111,117 111,117 0 111,117 0 111,117

53 6306 CSA BLOCK GRANT 16,264,259 16,115,138 16,115,138 0 16,115,138 0 16,115,138

53 6390 GRANTS TO SUBGRANTEES 227,480 303,101 303,101 0 303,101 0 303,101

53 6391 SINGLE AUDITS 30,624 24,981 24,981 0 24,981 0 24,981

53 6392 SUBGRANTEE ADMIN. 684,348 625,628 625,628 0 625,628 0 625,628

53 6394 SUBGRANTEE MATERIAL 4,633,960 3,781,184 3,781,184 0 3,781,184 0 3,781,184

53 6396 SUBGRANTEE LIAB. INS. 54,428 29,742 29,742 0 29,742 0 29,742

53 6398 PROGRAM OPERATIONS 7,327,475 6,625,092 6,625,092 0 6,625,092 0 6,625,092

53 6399 HEALTH AND SAFETY 39,077 67,042 67,042 0 67,042 0 67,042

53 6410 OPERATIONAL SUBSIDY 2,610,877 2,612,637 2,612,637 0 2,612,637 0 2,612,637

53 6411 EMERGENCY SHELTER- HUD GR 2,207,795 2,223,000 2,223,000 0 2,223,000 0 2,223,000

53 6420 AID FOR CLINIC CONSTRUCT 430,000 350,000 350,000 0 350,000 0 350,000

53 6431 NURSE AIDE PILOTS 311,038 0 0 0 0 0 0

53 6440 MED CHILD DELELOP GRANTS 30,000 119,119 119,119 0 119,119 0 119,119

53 6450 PHYSLOAN REPMT PROJ- STAT 1,377,179 2,538,309 2,538,309 0 2,538,309 0 2,538,309

53 6455 MIGRANT GRANTS 989,265 935,489 935,489 0 935,489 0 935,489

53 6460 HOSPITAL FLEXIBILITY GR 287,523 438,654 438,654 0 438,654 0 438,654

53 6461 COMM ACCESS PROG GRANT 471,169 0 0 0