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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
Object Description
Description
Title | Recommended continuation budget |
Other Title | Recommended operating budget with results-based information; North Carolina state budget |
Date | 2005-02 |
Description | 2005/2007 (Volume 3 - Health and Human Services) |
Digital Characteristics-A | 2.1 MB; 554 p. |
Digital Format | application/pdf |
Pres Local File Path-M | \Preservation_content\StatePubs\pubs_borndigital\images_master\ |
Full Text | 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 |
OCLC number | 60337853 |