Post on 15-Mar-2020
REMITTANCE ADVICE FY 2017
RMT 1 07/31/17 551PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 25,981.00 25,981.00 25,981.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 16,861.00 16,861.00 16,861.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 33,667.00 33,667.00 33,667.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 3,168.00 3,168.00 3,168.00T-III E NFCSP FY'16 42516 10/16 - 09/17 16,118.00 16,118.00 16,118.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 912.00 912.00 912.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 1,285.00 1,285.00 1,285.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 259,701.00 171,947.00 21,938.00 193,885.00 65,816.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 145,516.00 95,520.00 12,498.00 108,018.00 37,498.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 188,340.00 119,491.00 17,211.00 136,702.00 51,638.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 12,663.00 7,808.00 1,214.00 9,022.00 3,641.00T-III E NFCSP FY'17 42517 10/16 - 09/17 87,273.00 55,239.00 8,007.00 63,246.00 24,027.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 2,314.00 1,313.00 251.00 1,564.00 750.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 5,824.00 3,649.00 545.00 4,194.00 1,630.00
NSIP FY'16 42716 10/16 - 09/17 15,515.00 15,515.00 15,515.00NSIP FY'17 42717 10/16 - 09/17 76,831.00 48,576.00 7,064.00 55,640.00 21,191.00
46200 FY17 1,991.00 1,154.00 144.00 1,298.00 693.00
43516 7/1/15 - 6/30/16 116,141.00 116,141.00 116,141.00 116,141.0043517 7/1/16 - 6/30/17 127,660.00 20,353.00 106,870.00 20,790.00 127,660.00
44114 04/13 - 03/14 24,206.00 17,741.00 17,741.00 17,741.00 6,465.0044115 04/14 - 03/15 22,274.00 22,274.00 22,274.00 22,274.0044116 04/15 - 03/16 25,870.00 25,870.00 25,870.00 25,870.0044117 04/16 - 03/17 26,344.00 9,255.00 26,344.00 26,344.0044118 04/17 - 03/18 7,395.00 2,156.00 1,078.00 3,234.00 4,161.00
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17 32,366.00 20,091.00 26,229.00 2,046.00 28,275.00 4,091.0044417 12/22/14 - 12/21/17DUALS
VICAP FFY '17
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
MOUNTAIN EMPIRE OLDER CITIZENS INC.1501 3rd. Ave East - P. O Box 888
Big Stone Gap, VA 24219
VICAP FFY '15
VICAP FFY '16
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
VICAP FFY '14
DOL (FY2016)
Page 1 PSA1
REMITTANCE ADVICE FY 2017
RMT 1 07/31/17 551PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
MOUNTAIN EMPIRE OLDER CITIZENS INC.1501 3rd. Ave East - P. O Box 888
Big Stone Gap, VA 24219
75000 SFY'17 - 07/01/16 2,857.00 2,857.00 2,857.0075082 SFY'17 - 07/01/16 6,963.00 6,963.00 6,963.0075081 SFY'17 - 07/01/16 7,140.00 7,140.00 7,140.0075084 SFY'17 - 07/01/16 9,859.00 9,859.00 9,859.0075080 SFY'17 - 07/01/16 1,603.00 1,603.00 1,603.0075875 SFY'17 - 07/01/16 5,223.00 5,223.00 5,223.0075200 SFY'17 - 07/01/16 4,549.00 4,549.00 4,549.0075083 SFY'17 - 07/01/16 885.00 885.00 885.0075086 SFY'17 - 07/01/16 7,996.00 7,996.00 7,996.00
75000 SFY'17 - 10/01/16 25,503.00 25,503.00 25,503.0075082 SFY'17 - 10/01/16 81,470.00 81,470.00 81,470.0075081 SFY'17 - 10/01/16 29,417.00 29,417.00 29,417.0075084 SFY'17 - 10/01/16 103,940.00 103,940.00 103,940.0075080 SFY'17 - 10/01/16 15,836.00 15,836.00 15,836.0075875 SFY'17 - 10/01/16 5,401.00 5,401.00 5,401.0075200 SFY'17 - 10/01/16 41,250.00 41,250.00 41,250.0075083 SFY'17 - 10/01/16 8,822.00 8,822.00 8,822.0075086 SFY'17 - 10/01/16 22,715.00 22,715.00 22,715.00
75000 SFY'18 - 07/01/17 9,225.00 2,894.00 2,894.00 6,331.0075082 SFY'18 - 07/01/17 27,183.00 9,054.00 9,054.00 18,129.0075081 SFY'18 - 07/01/17 9,805.00 3,426.00 3,426.00 6,379.0075084 SFY'18 - 07/01/17 34,533.00 11,539.00 11,539.00 22,994.0075080 SFY'18 - 07/01/17 5,279.00 1,760.00 1,760.00 3,519.0075875 SFY'18 - 07/01/17 20,823.00 996.00 996.00 19,827.0075200 SFY'18 - 07/01/17 13,750.00 4,583.00 4,583.00 9,167.0075083 SFY'18 - 07/01/17 2,941.00 980.00 980.00 1,961.0075086 SFY'18 - 07/01/17 7,572.00 2,964.00 2,964.00 4,608.00
75097 SFY'17 (4/1/17-6/30/17) 2,469.00 2,469.00 2,469.0075097 SFY'17 (7/1/16-6/30/17) 102,726.00 25,366.00 102,726.00 102,726.0075090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17) 250,000.00 41,666.00 250,000.00 250,000.0075150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18) 102,726.00 8,561.00 8,561.00 94,165.0075090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
Page 2 PSA1
REMITTANCE ADVICE FY 2017
RMT 1 07/31/17 551PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
MOUNTAIN EMPIRE OLDER CITIZENS INC.1501 3rd. Ave East - P. O Box 888
Big Stone Gap, VA 24219
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 3,262.50 15,125.00 1,225.00 16,350.00 (16,350.00)44417 12/22/14 - 12/21/17 3,950.00 8,725.00 8,725.00 (8,725.00)44415 9/14-3/16 1,475.00 1,475.00 1,475.00 (1,475.00)44413 10/12 - 9/13
44414 23,275.00 23,275.00 23,275.00 (23,275.00)
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18 26,950.00 12,925.00 12,925.00 14,025.00
71001 2016 4,952.00 4,952.00 4,952.0071001 2017 7,600.00 7,600.00
44016 2016 540.00 540.00 540.0044017 2017 505.00 505.00
46316 10/15 - 9/16 5,592.84 1,909.00 2,099.00 2,099.00 3,493.8446317 10/16 - 9/17 5,516.50 864.00 864.00 4,652.50
TOTAL 2,298,333.34 332,628.50 1,755,508.00 153,693.00 1,909,201.00 389,132.34
76.38% 83.07%
Pharmacy Connect - Funding restored
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SUPPLEMENTAL NUTRITION ASSIST PROG. SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Pharmacy Connect - Deobligated funds
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
NO WRONG DOOR
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
Virginia Elder Justice YR1
Virginia Elder Justice YR2
GRANDDRIVER CAMPAIGN
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
GRANDDRIVER CAMPAIGN
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
Dementia Capable Va-Expanding Families
FAN CARE PROGRAM
Page 3 PSA1
REMITTANCE ADVICE FY 2017
RMT 2 07/31/17 552PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 31,549.00 31,549.00 31,549.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 6,738.00 6,738.00 6,738.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 26,841.00 26,841.00 26,841.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 3,492.00 3,492.00 3,492.00T-III E NFCSP FY'16 42516 10/16 - 09/17 13,837.00 13,837.00 13,837.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 1,112.00 1,112.00 1,112.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 1,279.00 1,279.00 1,279.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 307,246.00 200,319.00 27,876.00 228,195.00 79,051.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 172,255.00 125,762.00 18,574.00 144,336.00 27,919.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 223,584.00 143,183.00 2,194.00 145,377.00 78,207.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 15,336.00 10,873.00 2,234.00 13,107.00 2,229.00T-III E NFCSP FY'17 42517 10/16 - 09/17 103,521.00 68,880.00 8,060.00 76,940.00 26,581.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 2,732.00 1,382.00 290.00 1,672.00 1,060.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 5,864.00 4,241.00 4,241.00 1,623.00
NSIP FY'16 42716 10/16 - 09/17 11,188.00 11,188.00 11,188.00NSIP FY'17 42717 10/16 - 09/17 79,893.00 50,381.00 5,236.00 55,617.00 24,276.00
46200 FY17 4,846.00 1,390.00 32.00 1,422.00 3,424.00
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14 23,890.00 23,890.00 23,890.00 23,890.0044115 04/14 - 03/15 23,558.00 23,558.00 23,558.00 23,558.0044116 04/15 - 03/16 29,839.00 26,807.00 29,839.00 29,839.0044117 04/16 - 03/17 23,432.00 20,645.00 23,432.00 23,432.0044118 04/17 - 07/17 7,799.00 3,900.00 3,900.00 3,899.00
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17 41,885.00 26,054.00 31,622.00 31,622.00 10,263.0044417 12/22/14 - 12/21/17
APPALACHIAN AGENCY FOR SENIOR CITIZENSBox 765
DOL (FY2015)
DMAS OMBUDSMAN
DOL (FY2016)
Cedar Bluff, VA 24609
VICAP FFY '17
VICAP FFY '13
VICAP FFY '14
VICAP FFY '15
VICAP FFY '16
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
DUALS
Page 4 PSA2
REMITTANCE ADVICE FY 2017
RMT 2 07/31/17 552PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
APPALACHIAN AGENCY FOR SENIOR CITIZENSBox 765
Cedar Bluff, VA 24609
75000 SFY'17 - 07/01/16 3,246.00 3,246.00 3,246.0075082 SFY'17 - 07/01/16 4,687.00 4,687.00 4,687.0075081 SFY'17 - 07/01/16 1,439.00 1,439.00 1,439.0075084 SFY'17 - 07/01/16 4,192.00 4,192.00 4,192.0075080 SFY'17 - 07/01/16 642.00 642.00 642.0075875 SFY'17 - 07/01/16 3,000.00 3,000.00 3,000.0075200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16 203.00 203.00 203.0075086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16 31,743.00 31,743.00 31,743.0075082 SFY'17 - 10/01/16 96,602.00 96,602.00 96,602.0075081 SFY'17 - 10/01/16 34,932.00 34,932.00 34,932.0075084 SFY'17 - 10/01/16 123,506.00 123,506.00 123,506.0075080 SFY'17 - 10/01/16 18,805.00 18,805.00 18,805.0075875 SFY'17 - 10/01/16 8,097.00 8,097.00 8,097.0075200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16 8,882.00 8,882.00 8,882.0075086 SFY'17 - 10/01/16 28,272.00 28,272.00 28,272.00
75000 SFY'18 - 07/01/17 11,482.00 3,602.00 3,602.00 7,880.0075082 SFY'18 - 07/01/17 32,234.00 10,903.00 10,903.00 21,331.0075081 SFY'18 - 07/01/17 11,644.00 3,833.00 3,833.00 7,811.0075084 SFY'18 - 07/01/17 41,027.00 13,644.00 13,644.00 27,383.0075080 SFY'18 - 07/01/17 6,269.00 2,058.00 2,058.00 4,211.0075875 SFY'18 - 07/01/17 31,219.00 1,494.00 1,494.00 29,725.0075200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17 2,961.00 967.00 967.00 1,994.0075086 SFY'18 - 07/01/17 9,424.00 3,141.00 3,141.00 6,283.00
75097 SFY'17 (4/1/17-6/30/17) 2,469.00 2,469.00 2,469.0075097 SFY'17 (7/1/16-6/30/17) 115,624.00 28,675.00 115,624.00 115,624.0075090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18) 115,624.00 9,635.00 9,635.00 105,989.0075090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
GUARDIANSHIP-DBDHS MENTAL ILLNESS
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
GF T-III MATCH
CENSUS ADJUSTMENT
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
Page 5 PSA2
REMITTANCE ADVICE FY 2017
RMT 2 07/31/17 552PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
APPALACHIAN AGENCY FOR SENIOR CITIZENSBox 765
Cedar Bluff, VA 24609
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
44417 12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18 26,950.00 7,425.00 7,425.00 19,525.00
71001 2016 3,953.00 3,948.00 3,948.00 3,948.00 5.0071001 2017
44016 2016 450.00 450.00 450.00 450.0044017 2017
46316 10/15 - 9/16 23,443.00 303.00 303.00 303.00 23,140.0046317 10/16 - 9/17 22,725.50 22,725.50
TOTAL 1,987,462.50 154,330.00 1,337,155.00 113,773.00 1,450,928.00 536,534.5067.28% 73.00%
GRANDDRIVER CAMPAIGN
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
ADRC REIMBURSEMENT
DEMENTIA ADI SSS
DEMENTIA ADI SSS
GRANDDRIVER CAMPAIGN
SR. FARMER'S MARKET
NO WRONG DOOR
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
SUPPLEMENTAL NUTRITION ASSIST PROG.
SUPPLEMENTAL NUTRITION ASSIST PROG.
DEMENTIA ADI SSS
VHQC - DIABETES SELF MGMT PROGRAM
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Virginia Elder Justice YR3
Partnership People w/Disabilities
Partnership People w/Disabilities
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
ADRC-State LTSS Access NWD
SR. FARMER'S MARKET
Partnership People w/Disabilities
Dementia Capable Va-Expanding Families
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
Page 6 PSA2
REMITTANCE ADVICE FY 2017553
RMT 3 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 6,365.00 6,365.00 6,365.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 18,330.00 18,330.00 18,330.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 55,951.00 55,951.00 55,951.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 6,428.00 6,428.00 6,428.00T-III E NFCSP FY'16 42516 10/16 - 09/17 6,277.00 6,277.00 6,277.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 1,240.00 1,240.00 1,240.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 980.00 980.00 980.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 464,671.00 310,797.00 73,483.00 384,280.00 80,391.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 260,529.00 183,359.00 34,615.00 217,974.00 42,555.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 338,255.00 233,650.00 23,145.00 256,795.00 81,460.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 22,401.00 17,760.00 2,488.00 20,248.00 2,153.00T-III E NFCSP FY'17 42517 10/16 - 09/17 156,603.00 71,219.00 15,080.00 86,299.00 70,304.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 4,129.00 2,212.00 659.00 2,871.00 1,258.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 8,025.00 3,789.00 3,293.00 7,082.00 943.00
NSIP FY'16 42716 10/16 - 09/17 13,242.00 13,242.00 13,242.00NSIP FY'17 42717 10/16 - 09/17 128,203.00 30,617.00 36,283.00 66,900.00 61,303.00
46200 FY17 9,509.00 9,509.00 9,509.00
43516 7/1/15 - 6/30/16 195,760.00 193,433.00 195,760.00 195,760.0043517 7/1/16 - 6/30/17 236,251.00 52,808.00 236,251.00 236,251.00
44114 04/13 - 03/14 35,758.00 35,758.00 35,758.00 35,758.0044115 04/14 - 03/15 26,863.00 26,863.00 26,863.00 26,863.0044116 04/15 - 03/16 38,257.00 31,736.00 38,257.00 38,257.0044117 04/16 - 03/17 33,821.00 2,394.00 33,821.00 33,821.0044118 04/17 - 07/17 8,910.00 8,910.00 8,910.00
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17 67,613.00 37,978.00 57,105.00 57,105.00 10,508.0044417 12/22/14 - 12/21/17 3,924.00 2,581.00 3,235.00 3,235.00 689.00
VICAP FFY '15
DISTRICT III GOVERNMENTAL COOPERATIVE4453 Lee Highway
Marion VA 24354-4270
DOL (FY2015)
DOL (FY2016)
VICAP FFY '17
DMAS OMBUDSMAN
VICAP FFY '13
VICAP FFY '14
DUALS
VICAP FFY '16
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
Page 7 PSA 3
REMITTANCE ADVICE FY 2017553
RMT 3 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
DISTRICT III GOVERNMENTAL COOPERATIVE4453 Lee Highway
Marion VA 24354-4270
75000 SFY'17 - 07/01/16 17,971.00 17,971.00 17,971.0075082 SFY'17 - 07/01/16 49,427.00 49,427.00 49,427.0075081 SFY'17 - 07/01/16 17,866.00 17,866.00 17,866.0075084 SFY'17 - 07/01/16 62,297.00 62,297.00 62,297.0075080 SFY'17 - 07/01/16 9,618.00 9,618.00 9,618.0075875 SFY'17 - 07/01/16 954.00 954.00 954.0075200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16 4,055.00 4,055.00 4,055.0075086 SFY'17 - 07/01/16 14,750.00 14,750.00 14,750.00
75000 SFY'17 - 10/01/16 48,236.00 48,236.00 48,236.0075082 SFY'17 - 10/01/16 128,317.00 128,317.00 128,317.0075081 SFY'17 - 10/01/16 70,662.00 70,662.00 70,662.0075084 SFY'17 - 10/01/16 186,867.00 186,867.00 186,867.0075080 SFY'17 - 10/01/16 28,452.00 28,452.00 28,452.0075875 SFY'17 - 10/01/16 6,749.00 6,749.00 6,749.0075200 SFY'17 - 10/01/16 33,750.00 33,750.00 33,750.0075083 SFY'17 - 10/01/16 12,156.00 12,156.00 12,156.0075086 SFY'17 - 10/01/16 42,963.00 42,963.00 42,963.00
75000 SFY'18 - 07/01/17 17,448.00 17,448.0075082 SFY'18 - 07/01/17 48,761.00 48,761.0075081 SFY'18 - 07/01/17 17,616.00 17,616.0075084 SFY'18 - 07/01/17 62,073.00 62,073.0075080 SFY'18 - 07/01/17 9,483.00 9,483.0075875 SFY'18 - 07/01/17 26,023.00 26,023.0075200 SFY'18 - 07/01/17 11,250.00 11,250.0075083 SFY'18 - 07/01/17 4,052.00 4,052.0075086 SFY'18 - 07/01/17 14,321.00 14,321.00
75097 SFY'17 (4/1/17-6/30/17) 6,208.00 6,208.00 6,208.0075097 SFY'17 (7/1/16-6/30/17) 227,086.00 58,291.00 227,086.00 227,086.0075090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17) 28,000.00 21,226.00 28,000.00 28,000.0075094 SFY'17 (7/1/16-6/30/17) 65,000.00 5,417.00 65,000.00 65,000.0075800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18) 227,086.00 18,924.00 18,924.00 208,162.0075090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18) 28,000.00 28,000.0075094 SFY'18 (7/1/17-6/30/18) 65,000.00 65,000.0075800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
CENSUS ADJUSTMENT
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP-DBDHS MENTAL ILLNESS
EASTERN VA CARE TRANSITIONS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 8 PSA 3
REMITTANCE ADVICE FY 2017553
RMT 3 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
DISTRICT III GOVERNMENTAL COOPERATIVE4453 Lee Highway
Marion VA 24354-4270
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 950.00 950.00 (950.00)44417 12/22/14 - 12/21/17 450.00 450.00 (450.00)44415 9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45015 103,700.00 83,043.00 87,482.00 87,482.00 16,218.00
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19 840.00 840.00 840.00 (840.00)
45818 08/01/16 - 07/31/18 26,950.00 12,925.00 12,925.00 14,025.00
71001 2016 8,052.00 8,052.00 8,052.00 8,052.0071001 2017 12,000.00 12,000.00 12,000.00
44016 2016 4,780.00 4,780.00 4,780.00 4,780.0044017 2017 4,496.00 2,294.00 632.00 2,926.00 1,570.00
46316 10/15 - 9/16 29,964.72 1,933.00 2,355.00 2,355.00 27,609.7246317 10/16 - 9/17 30,285.12 1,777.00 200.00 1,977.00 28,308.12
TOTAL 3,961,019.84 567,133.00 2,790,974.00 220,802.00 3,011,776.00 949,243.8470.46% 76.04%
NO WRONG DOOR
Dementia Capable Va-Expanding Families
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
Virginia Elder Justice YR2
Virginia Elder Justice YR3
Va Elder Justice PSA 3
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
ADRC REIMBURSEMENT
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
SR. FARMER'S MARKET
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
Model Approaches to Legal Assistance Sys
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
VHQC - DIABETES SELF MGMT PROGRAM
SUPPLEMENTAL NUTRITION ASSIST PROG.
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
Page 9 PSA 3
REMITTANCE ADVICE FY 2017554
RMT 4 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 2,926.00 2,926.00 2,926.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 3,368.00 3,368.00 3,368.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 4,046.00 4,046.00 4,046.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 1,703.00 1,703.00 1,703.00T-III E NFCSP FY'16 42516 10/16 - 09/17 2,887.00 2,887.00 2,887.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 570.00 570.00 570.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 773.00 773.00 773.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 213,607.00 151,274.00 1,845.00 153,119.00 60,488.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 119,776.00 93,468.00 10,971.00 104,439.00 15,337.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 155,597.00 75,118.00 16,935.00 92,053.00 63,544.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 11,328.00 4,246.00 4,246.00 7,082.00T-III E NFCSP FY'17 42517 10/16 - 09/17 72,026.00 51,181.00 6,856.00 58,037.00 13,989.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 1,897.00 1,014.00 200.00 1,214.00 683.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 6,329.00 4,432.00 595.00 5,027.00 1,302.00
NSIP FY'16 42716 10/16 - 09/17 2,572.00 2,572.00 2,572.00NSIP FY'17 42717 10/16 - 09/17 24,904.00 18,730.00 1,919.00 20,649.00 4,255.00
46200 FY17 2,566.00 1,712.00 214.00 1,926.00 640.00
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14 26,870.00 26,870.00 26,870.00 26,870.0044115 04/14 - 03/15 23,496.00 23,496.00 23,496.00 23,496.0044116 04/15 - 03/16 35,801.00 29,119.00 35,801.00 35,801.0044117 04/16 - 03/17 23,549.00 1,402.00 23,549.00 23,549.0044118 04/17 - 07/17 7,845.00 7,845.00 7,845.00
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17 42,382.00 26,210.00 35,912.00 2,752.00 38,664.00 3,718.0044417 12/22/14 - 12/21/17 13,320.00 8,760.00 11,496.00 11,496.00 1,824.00
DMAS OMBUDSMAN
VICAP FFY '13
VICAP FFY '14
DOL (FY2015)
DUALS
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
NEW RIVER VALLEY AGENCY ON AGING141 E Main StreetPulaski VA 24301
DOL (FY2016)
VICAP FFY '17
VICAP FFY '15
VICAP FFY '16
Page 10 PSA 4
REMITTANCE ADVICE FY 2017554
RMT 4 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
NEW RIVER VALLEY AGENCY ON AGING141 E Main StreetPulaski VA 24301
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16 5,910.00 5,910.00 5,910.0075083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16 110,697.00 110,697.00 110,697.0075082 SFY'17 - 10/01/16 67,205.00 67,205.00 67,205.0075081 SFY'17 - 10/01/16 24,313.00 24,313.00 24,313.0075084 SFY'17 - 10/01/16 85,975.00 85,975.00 85,975.0075080 SFY'17 - 10/01/16 13,089.00 13,089.00 13,089.0075875 SFY'17 - 10/01/16 4,127.00 4,127.00 4,127.0075200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16 9,587.00 9,587.00 9,587.0075086 SFY'17 - 10/01/16 19,939.00 19,939.00 19,939.00
75000 SFY'18 - 07/01/17 8,098.00 8,098.00 8,098.0075082 SFY'18 - 07/01/17 22,425.00 3,897.00 3,897.00 18,528.0075081 SFY'18 - 07/01/17 8,104.00 2,701.00 2,701.00 5,403.0075084 SFY'18 - 07/01/17 28,558.00 9,544.00 9,544.00 19,014.0075080 SFY'18 - 07/01/17 4,363.00 1,451.00 1,451.00 2,912.0075875 SFY'18 - 07/01/17 15,913.00 15,913.0075200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17 3,196.00 1,065.00 1,065.00 2,131.0075086 SFY'18 - 07/01/17 6,646.00 2,215.00 2,215.00 4,431.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
GF OMBUDSMAN
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 11 PSA 4
REMITTANCE ADVICE FY 2017554
RMT 4 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
NEW RIVER VALLEY AGENCY ON AGING141 E Main StreetPulaski VA 24301
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 950.00 950.00 (950.00)12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18 26,950.00 7,425.00 7,425.00 19,525.00
71001 2016 2,453.00 2,453.00 2,453.00 2,453.0071001 2017 3,400.00 3,400.00
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 1,271,086.00 118,310.00 936,659.00 71,258.00 1,007,917.00 263,169.0073.69% 79.30%
GRANDDRIVER CAMPAIGN
FAN CARE PROGRAM
SR. FARMER'S MARKET
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SUPPLEMENTAL NUTRITION ASSIST PROG.
Model Approaches to Legal Assistance Sys
Partnership People w/Disabilities
Partnership People w/Disabilities
NO WRONG DOOR
ADRC "E"
GRANDDRIVER CAMPAIGN
ADRC Options Counseling for DUALS
DEMENTIA SERVICES - ADSSP
FAN CARE PROGRAM
Dementia Capable Va-Expanding Families
ADRC - EXPANSION -"C"-VCU
ADRC REIMBURSEMENT
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
ADRC-State LTSS Access NWD
Partnership People w/Disabilities
Page 12 PSA 4
REMITTANCE ADVICE FY 2017555
RMT 5 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 7,706.00 7,706.00 7,706.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 6,353.00 6,353.00 6,353.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 7,647.00 7,647.00 7,647.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 3,069.00 3,069.00 3,069.00T-III E NFCSP FY'16 42516 10/16 - 09/17 31,014.00 31,014.00 31,014.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 1,072.00 1,072.00 1,072.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 1,235.00 1,235.00 1,235.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 422,767.00 334,786.00 38,887.00 373,673.00 49,094.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 205,932.00 181,921.00 17,836.00 199,757.00 6,175.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 294,055.00 221,300.00 61,214.00 282,514.00 11,541.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 20,409.00 14,129.00 2,400.00 16,529.00 3,880.00T-III E NFCSP FY'17 42517 10/16 - 09/17 136,045.00 126,653.00 8,980.00 135,633.00 412.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 3,572.00 777.00 926.00 1,703.00 1,869.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 10,107.00 10,107.00 10,107.00
NSIP FY'16 42716 10/16 - 09/17 10,541.00 10,541.00 10,541.00NSIP FY'17 42717 10/16 - 09/17 102,050.00 102,050.00 102,050.00
46200 FY17 9,069.00 2,956.00 265.00 3,221.00 5,848.00
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14 32,964.00 32,964.00 32,964.00 32,964.0044115 04/14 - 03/15 33,830.00 33,830.00 33,830.00 33,830.0044116 04/15 - 03/16 40,663.00 34,215.00 40,663.00 40,663.0044117 04/16 - 03/17 36,000.00 11,686.00 36,000.00 36,000.0044118 04/17 - 07/17 9,691.00 4,226.00 1,527.00 5,753.00 3,938.00
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17 83,818.00 50,292.00 77,888.00 1,722.00 79,610.00 4,208.0044417 12/22/14 - 12/21/17 28,299.00 18,526.00 28,299.00 28,299.00
DMAS OMBUDSMAN
VICAP FFY '17
P. O. Box 14205Roanoke VA 24038
LOCAL OFFICE ON AGING, INC.
DOL (FY2015)
VICAP FFY '13
VICAP FFY '14
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
VICAP FFY '15
VICAP FFY '16
DOL (FY2016)
DUALS
Page 13 PSA 5
REMITTANCE ADVICE FY 2017555
RMT 5 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
P. O. Box 14205Roanoke VA 24038
LOCAL OFFICE ON AGING, INC.
75000 SFY'17 - 07/01/16 15,232.00 15,232.00 15,232.0075082 SFY'17 - 07/01/16 41,666.00 41,666.00 41,666.0075081 SFY'17 - 07/01/16 15,064.00 15,064.00 15,064.0075084 SFY'17 - 07/01/16 52,525.00 52,525.00 52,525.0075080 SFY'17 - 07/01/16 8,109.00 8,109.00 8,109.0075875 SFY'17 - 07/01/16 15,358.00 15,358.00 15,358.0075200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16 5,158.00 5,158.00 5,158.0075086 SFY'17 - 07/01/16 12,501.00 12,501.00 12,501.00
75000 SFY'17 - 10/01/16 43,586.00 43,586.00 43,586.0075082 SFY'17 - 10/01/16 126,908.00 126,908.00 126,908.0075081 SFY'17 - 10/01/16 45,956.00 45,956.00 45,956.0075084 SFY'17 - 10/01/16 162,579.00 162,579.00 162,579.0075080 SFY'17 - 10/01/16 24,740.00 24,740.00 24,740.0075875 SFY'17 - 10/01/16 3,983.00 3,983.00 3,983.0075200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16 15,310.00 15,310.00 15,310.0075086 SFY'17 - 10/01/16 38,821.00 38,821.00 38,821.00
75000 SFY'18 - 07/01/17 15,766.00 15,766.0075082 SFY'18 - 07/01/17 42,348.00 42,348.0075081 SFY'18 - 07/01/17 15,319.00 15,319.0075084 SFY'18 - 07/01/17 53,998.00 53,998.0075080 SFY'18 - 07/01/17 8,246.00 8,246.0075875 SFY'18 - 07/01/17 15,358.00 15,358.0075200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17 5,103.00 5,103.0075086 SFY'18 - 07/01/17 12,940.00 12,940.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
GF OMBUDSMAN
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 14 PSA 5
REMITTANCE ADVICE FY 2017555
RMT 5 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
P. O. Box 14205Roanoke VA 24038
LOCAL OFFICE ON AGING, INC.
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 1,838.00 400.00 2,238.00 (2,238.00)44417 12/22/14 - 12/21/17 200.00 200.00 400.00 (400.00)44415 9/14-3/16
44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19 480.00 120.00 600.00 (600.00)
45818 08/01/16 - 07/31/18 26,950.00 12,925.00 12,925.00 14,025.00
71001 2016 1,453.00 1,453.00 1,453.00 1,453.0071001 2017 1,700.00 1,700.00 1,700.00
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 2,364,585.00 182,966.00 1,961,578.00 136,177.00 2,097,755.00 266,830.0082.96% 88.72%
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Dementia Capable Va-Expanding Families
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
GRANDDRIVER CAMPAIGN
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
FAN CARE PROGRAM
Page 15 PSA 5
REMITTANCE ADVICE FY 2017556
RMT 6 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 5,724.00 5,724.00 5,724.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 6,584.00 6,584.00 6,584.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 33,534.00 33,534.00 33,534.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 2,898.00 2,898.00 2,898.00T-III E NFCSP FY'16 42516 10/16 - 09/17 36,896.00 36,896.00 36,896.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 1,118.00 1,118.00 1,118.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 1,014.00 1,014.00 1,014.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 417,900.00 298,023.00 51,228.00 349,251.00 68,649.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 234,152.00 179,747.00 18,398.00 198,145.00 36,007.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 303,015.00 233,462.00 25,125.00 258,587.00 44,428.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 19,271.00 13,628.00 2,496.00 16,124.00 3,147.00T-III E NFCSP FY'17 42517 10/16 - 09/17 140,418.00 56,057.00 589.00 56,646.00 83,772.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 3,723.00 2,722.00 380.00 3,102.00 621.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 8,303.00 6,378.00 730.00 7,108.00 1,195.00
NSIP FY'16 42716 10/16 - 09/17 8,220.00 8,220.00 8,220.00NSIP FY'17 42717 10/16 - 09/17 79,579.00 61,434.00 6,877.00 68,311.00 11,268.00
46200 FY17 5,824.00 3,883.00 485.00 4,368.00 1,456.00
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14 34,866.00 34,866.00 34,866.00 34,866.0044115 04/14 - 03/15 28,112.00 28,112.00 28,112.00 28,112.0044116 04/15 - 03/16 41,961.00 34,424.00 41,961.00 41,961.0044117 04/16 - 03/17 28,278.00 28,278.00 28,278.0044118 04/17 - 07/17 9,445.00 9,445.00
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17 4,616.00 4,616.0044917 9/30/14 - 9/29/17 73,788.00 40,444.00 73,110.00 678.00 73,788.0044417 12/22/14 - 12/21/17 5,922.00 4,078.00 284.00 4,362.00 1,560.00
VALLEY PROGRAM FOR AGING SERVICES, INCP. O. Box 817
DMAS OMBUDSMAN
VICAP FFY '13
VICAP FFY '14
VICAP FFY '15
VICAP FFY '16
DOL (FY2015)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
DUALS
DOL (FY2016)
VICAP FFY '17
Waynesboro VA 22980-0603
Page 16 PSA 6
REMITTANCE ADVICE FY 2017556
RMT 6 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
VALLEY PROGRAM FOR AGING SERVICES, INCP. O. Box 817
Waynesboro VA 22980-0603
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16 31,418.00 31,418.00 31,418.0075081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16 4,376.00 4,376.00 4,376.0075200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16 40,929.00 40,929.00 40,929.0075082 SFY'17 - 10/01/16 114,466.00 114,466.00 114,466.0075081 SFY'17 - 10/01/16 47,326.00 47,326.00 47,326.0075084 SFY'17 - 10/01/16 183,836.00 183,836.00 183,836.0075080 SFY'17 - 10/01/16 25,478.00 25,478.00 25,478.0075875 SFY'17 - 10/01/16 4,277.00 4,277.00 4,277.0075200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16 12,578.00 12,578.00 12,578.0075086 SFY'17 - 10/01/16 36,454.00 36,454.00 36,454.00
75000 SFY'18 - 07/01/17 14,805.00 4,645.00 4,645.00 10,160.0075082 SFY'18 - 07/01/17 38,192.00 38,192.0075081 SFY'18 - 07/01/17 15,775.00 5,258.00 5,258.00 10,517.0075084 SFY'18 - 07/01/17 61,102.00 20,412.00 20,412.00 40,690.0075080 SFY'18 - 07/01/17 8,492.00 2,831.00 2,831.00 5,661.0075875 SFY'18 - 07/01/17 16,493.00 1,462.00 1,462.00 15,031.0075200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17 4,193.00 1,398.00 1,398.00 2,795.0075086 SFY'18 - 07/01/17 12,151.00 4,050.00 4,050.00 8,101.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
BIRMINGHAM GREEN-RESIDENTIAL SERV
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 17 PSA 6
REMITTANCE ADVICE FY 2017556
RMT 6 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
VALLEY PROGRAM FOR AGING SERVICES, INCP. O. Box 817
Waynesboro VA 22980-0603
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19 1,645.00 3,440.00 120.00 3,560.00 (3,560.00)
45818 08/01/16 - 07/31/18 26,950.00 12,925.00 12,925.00 14,025.00
71001 2016 1,553.00 967.00 1,252.00 1,252.00 301.0071001 2017 1,800.00 1,800.00
44016 2016 285.00 285.00 285.00 285.0044017 2017 269.00 269.00 269.00
46316 10/15 - 9/16 50,496.50 22,184.00 22,184.00 22,184.00 28,312.5046317 10/16 - 9/17
TOTAL 2,288,855.50 162,927.00 1,702,951.00 147,715.00 1,850,666.00 438,189.5074.40% 80.86%
Dementia Capable Va-Expanding Families
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
ADRC-State LTSS Access NWD
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
VHQC - DIABETES SELF MGMT PROGRAM
SUPPLEMENTAL NUTRITION ASSIST PROG.
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Virginia Elder Justice YR3
GRANDDRIVER CAMPAIGN
Model Approaches to Legal Assistance Sys
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
ADRC REIMBURSEMENT
Page 18 PSA 6
REMITTANCE ADVICE FY 2017557
RMT 7 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 4,037.00 4,037.00 4,037.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 4,651.00 4,651.00 4,651.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 5,607.00 5,607.00 5,607.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 2,376.00 2,376.00 2,376.00T-III E NFCSP FY'16 42516 10/16 - 09/17 3,997.00 3,997.00 3,997.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 784.00 784.00 784.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 899.00 899.00 899.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 294,741.00 184,741.00 50,000.00 234,741.00 60,000.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 165,393.00 115,393.00 115,393.00 50,000.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 215,642.00 115,642.00 50,000.00 165,642.00 50,000.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 15,801.00 8,344.00 8,344.00 7,457.00T-III E NFCSP FY'17 42517 10/16 - 09/17 99,717.00 59,717.00 59,717.00 40,000.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 2,610.00 2,610.00 2,610.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 7,360.00 7,360.00 7,360.00
NSIP FY'16 42716 10/16 - 09/17 4,255.00 4,255.00 4,255.00NSIP FY'17 42717 10/16 - 09/17 41,194.00 32,026.00 9,168.00 41,194.00
46200 FY17 4,268.00 4,268.00 4,268.00
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14 24,405.00 24,405.00 24,405.00 24,405.0044115 04/14 - 03/15 25,597.00 25,597.00 25,597.00 25,597.0044116 04/15 - 03/16 35,847.00 32,048.00 35,847.00 35,847.0044117 04/16 - 03/17 25,839.00 12,381.00 25,839.00 25,839.0044118 04/17 - 07/17 8,618.00 8,618.00
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17 22,845.00 12,550.00 10,295.00 22,845.0044917 9/30/14 - 9/29/17 36,425.00 36,425.00 36,425.00 36,425.0044417 12/22/14 - 12/21/17
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
DOL (FY2016)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
SHENANDOAH AREA AGENCY ON AGING207 Mosby Lane
Front Royal VA 22630-2611
VICAP FFY '14
DUALS
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
Page 19 PSA 7
REMITTANCE ADVICE FY 2017557
RMT 7 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
SHENANDOAH AREA AGENCY ON AGING207 Mosby Lane
Front Royal VA 22630-2611
75000 SFY'17 - 07/01/16 11,610.00 11,610.00 11,610.0075082 SFY'17 - 07/01/16 30,695.00 30,695.00 30,695.0075081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16 5,981.00 5,981.00 5,981.0075875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16 32,830.00 32,830.00 32,830.0075082 SFY'17 - 10/01/16 93,000.00 93,000.00 93,000.0075081 SFY'17 - 10/01/16 33,708.00 33,708.00 33,708.0075084 SFY'17 - 10/01/16 119,297.00 119,297.00 119,297.0075080 SFY'17 - 10/01/16 18,146.00 18,146.00 18,146.0075875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16 11,150.00 11,150.00 11,150.0075086 SFY'17 - 10/01/16 29,241.00 29,241.00 29,241.00
75000 SFY'18 - 07/01/17 11,875.00 11,875.0075082 SFY'18 - 07/01/17 31,034.00 31,034.0075081 SFY'18 - 07/01/17 11,236.00 11,236.0075084 SFY'18 - 07/01/17 39,619.00 39,619.0075080 SFY'18 - 07/01/17 6,049.00 6,049.0075875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17 3,717.00 3,717.0075086 SFY'18 - 07/01/17 9,747.00 9,747.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF COM BASE
GF TRANSPORTATION
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF H D MEALS
GF T-III MATCH
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 20 PSA 7
REMITTANCE ADVICE FY 2017557
RMT 7 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
SHENANDOAH AREA AGENCY ON AGING207 Mosby Lane
Front Royal VA 22630-2611
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19 1,465.00 150.00 1,615.00 (1,615.00)
45818 08/01/16 - 07/31/18 26,950.00 12,925.00 12,925.00 14,025.00
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 1,578,793.00 130,856.00 1,101,883.00 135,148.00 1,237,031.00 341,762.0069.79% 78.35%
DEMENTIA SERVICES - ADSSP
Dementia Capable Va-Expanding Families
NO WRONG DOOR
CDSME - Chronic Disease Self-Mgmt Ed
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Page 21 PSA 7
REMITTANCE ADVICE FY 2017562
RMT 8A 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 1,616.00 1,616.00 1,616.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 1,860.00 1,860.00 1,860.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 2,233.00 2,233.00 2,233.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 261.00 261.00 261.00T-III E NFCSP FY'16 42516 10/16 - 09/17 1,594.00 1,594.00 1,594.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 315.00 315.00 315.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17 117,995.00 111,221.00 111,221.00 6,774.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 66,155.00 66,155.00 66,155.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 85,873.00 85,873.00 85,873.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 1,739.00 543.00 543.00 1,196.00T-III E NFCSP FY'17 42517 10/16 - 09/17 39,759.00 39,759.00 39,759.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 1,049.00 1,049.00 1,049.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17 3,079.00 3,079.00 3,079.00NSIP FY'17 42717 10/16 - 09/17 29,810.00 3,276.00 26,534.00 29,810.00
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16 20,833.00 20,833.00 20,833.00 20,833.0044117 04/16 - 03/17 26,568.00 7,011.00 24,726.00 24,726.00 1,842.0044118 04/17 - 07/17 6,964.00 6,964.00
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17 9,607.00 1,314.00 4,244.00 3,447.00 7,691.00 1,916.0044917 9/30/14 - 9/29/17 11,893.00 11,893.00 11,893.00 11,893.0044417 12/22/14 - 12/21/17 6,882.00 4,532.00 4,532.00 4,532.00 2,350.00
DMAS OMBUDSMAN
CITY OF ALEXANDRIA - Office on Aging4401 Ford Ave., Suite 103
Alexandria, VA 22302
VICAP FFY '13
VICAP FFY '14
VICAP FFY '15
DOL (FY2015)
DOL (FY2016)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
DUALS
VICAP FFY '16
VICAP FFY '17
Page 22 PSA 8A
REMITTANCE ADVICE FY 2017562
RMT 8A 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
CITY OF ALEXANDRIA - Office on Aging4401 Ford Ave., Suite 103
Alexandria, VA 22302
75000 SFY'17 - 07/01/16 4,394.00 4,394.00 4,394.0075082 SFY'17 - 07/01/16 12,353.00 12,353.00 12,353.0075081 SFY'17 - 07/01/16 4,463.00 4,463.00 4,463.0075084 SFY'17 - 07/01/16 15,559.00 15,559.00 15,559.0075080 SFY'17 - 07/01/16 2,403.00 2,403.00 2,403.0075875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16 3,606.00 3,606.00 3,606.00
75000 SFY'17 - 10/01/16 12,204.00 12,204.00 12,204.0075082 SFY'17 - 10/01/16 37,101.00 37,101.00 37,101.0075081 SFY'17 - 10/01/16 13,417.00 13,417.00 13,417.0075084 SFY'17 - 10/01/16 47,549.00 47,549.00 47,549.0075080 SFY'17 - 10/01/16 7,223.00 7,223.00 7,223.0075875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16 10,870.00 10,870.00 10,870.00
75000 SFY'18 - 07/01/17 4,415.00 4,415.0075082 SFY'18 - 07/01/17 12,379.00 12,379.0075081 SFY'18 - 07/01/17 4,473.00 4,473.0075084 SFY'18 - 07/01/17 15,795.00 15,795.0075080 SFY'18 - 07/01/17 2,408.00 2,408.0075875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17 3,623.00 3,623.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GF T-III MATCH
CARE COORDINATION
CENSUS ADJUSTMENT
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF T-III MATCH
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
Page 23 PSA 8A
REMITTANCE ADVICE FY 2017562
RMT 8A 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
CITY OF ALEXANDRIA - Office on Aging4401 Ford Ave., Suite 103
Alexandria, VA 22302
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 50.00 25.00 75.00 (75.00)44417 12/22/14 - 12/21/17 50.00 50.00 (50.00)44415 9/14-3/16
44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016 1,453.00 640.00 1,191.00 1,191.00 262.0071001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 651,773.00 46,223.00 557,495.00 30,006.00 587,501.00 64,272.0085.54% 90.14%
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
VHQC - DIABETES SELF MGMT PROGRAM
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Virginia Elder Justice YR3
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
Dementia Capable Va-Expanding Families
DEMENTIA SERVICES - ADSSP
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
ADRC REIMBURSEMENT
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Page 24 PSA 8A
REMITTANCE ADVICE FY 2017558
RMT 8B 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 2,208.00 2,208.00 2,208.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 2,544.00 2,544.00 2,544.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 199,525.00 131,438.00 9,570.00 141,008.00 58,517.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 3,140.00 3,140.00T-III E NFCSP FY'16 42516 10/16 - 09/17 9,228.00 9,228.00 9,228.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 428.00 428.00 428.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17 171,172.00 161,172.00 10,000.00 171,172.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 103,820.00 90,479.00 13,341.00 103,820.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 94,872.00 94,872.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17 54,632.00 29,907.00 29,907.00 24,725.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 1,425.00 1,360.00 1,360.00 65.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17 10,626.00 6,759.00 3,867.00 10,626.00NSIP FY'17 42717 10/16 - 09/17 32,939.00 3,394.00 3,394.00 29,545.00
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14 43,578.00 43,578.00 43,578.00 43,578.0044115 04/14 - 03/15 36,515.00 28,291.00 28,291.00 28,291.00 8,224.0044116 04/15 - 03/16 28,833.00 26,737.00 28,833.00 28,833.0044117 04/16 - 03/17 21,928.00 2,631.00 21,928.00 21,928.0044118 04/17 - 07/17 7,307.00 7,307.00 7,307.00
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17 20,982.00 241.00 2,872.00 2,872.00 18,110.0044917 9/30/14 - 9/29/17 8,714.00 8,714.00 8,714.00 8,714.0044417 12/22/14 - 12/21/17 468.00 152.00 152.00 152.00 316.00
DOL (FY2016)
DMAS OMBUDSMAN
DUALS
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
VICAP FFY '17
ARLINGTON AREA AGENCY ON AGING2100 Washington Blvd. 4th Floor
DOL (FY2015)
VICAP FFY '13
VICAP FFY '14
VICAP FFY '15
VICAP FFY '16
Arlington VA 22201
Page 25 PSA 8B
REMITTANCE ADVICE FY 2017558
RMT 8B 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
ARLINGTON AREA AGENCY ON AGING2100 Washington Blvd. 4th Floor
Arlington VA 22201
75000 SFY'17 - 07/01/16 6,107.00 6,107.00 6,107.0075082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16 20,474.00 20,474.00 20,474.0075080 SFY'17 - 07/01/16 380.00 380.00 380.0075875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16 18,558.00 18,558.00 18,558.0075082 SFY'17 - 10/01/16 50,938.00 50,938.00 50,938.0075081 SFY'17 - 10/01/16 18,482.00 18,482.00 18,482.0075084 SFY'17 - 10/01/16 65,440.00 65,440.00 65,440.0075080 SFY'17 - 10/01/16 9,950.00 9,950.00 9,950.0075875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16 16,529.00 16,529.00 16,529.00
75000 SFY'18 - 07/01/17 6,713.00 6,713.0075082 SFY'18 - 07/01/17 16,999.00 16,999.00 16,999.0075081 SFY'18 - 07/01/17 6,160.00 6,160.00 6,160.0075084 SFY'18 - 07/01/17 21,730.00 21,730.0075080 SFY'18 - 07/01/17 3,317.00 3,317.0075875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17 5,510.00 5,510.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF COM BASE
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF TRANSPORTATION
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF OMBUDSMAN
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
CENSUS ADJUSTMENT
GF TRANSPORTATION
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
GF H D MEALS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 26 PSA 8B
REMITTANCE ADVICE FY 2017558
RMT 8B 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
ARLINGTON AREA AGENCY ON AGING2100 Washington Blvd. 4th Floor
Arlington VA 22201
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016 810.00 810.00 810.00 810.0044017 2017 764.00 764.00
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 1,123,745.00 111,154.00 777,559.00 70,638.00 848,197.00 275,548.0069.19% 75.48%
Dementia Capable Va-Expanding Families
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
VHQC - DIABETES SELF MGMT PROGRAM
GRANDDRIVER CAMPAIGN
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
ADRC REIMBURSEMENT
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
GRANDDRIVER CAMPAIGN
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
Page 27 PSA 8B
REMITTANCE ADVICE FY 2017559
RMT 8C 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 67,338.00 67,338.00 67,338.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 10,459.00 10,459.00 10,459.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 89,840.00 89,840.00 89,840.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 261.00 261.00 261.00T-III E NFCSP FY'16 42516 10/16 - 09/17 70,346.00 70,346.00 70,346.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 1,744.00 1,744.00 1,744.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 2,405.00 2,405.00 2,405.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 661,398.00 413,160.00 55,708.00 468,868.00 192,530.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 371,943.00 244,542.00 31,900.00 276,442.00 95,501.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 490,131.00 322,513.00 41,906.00 364,419.00 125,712.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 1,739.00 1,240.00 167.00 1,407.00 332.00T-III E NFCSP FY'17 42517 10/16 - 09/17 225,971.00 137,467.00 22,126.00 159,593.00 66,378.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 5,809.00 4,550.00 420.00 4,970.00 839.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 19,685.00 14,818.00 1,250.00 16,068.00 3,617.00
NSIP FY'16 42716 10/16 - 09/17 38,293.00 38,293.00 38,293.00NSIP FY'17 42717 10/16 - 09/17 255,991.00 161,975.00 23,600.00 185,575.00 70,416.00
46200 FY17 19,356.00 14,517.00 1,210.00 15,727.00 3,629.00
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14 55,518.00 55,518.00 55,518.00 55,518.0044115 04/14 - 03/15 41,675.00 41,675.00 41,675.00 41,675.0044116 04/15 - 03/16 59,136.00 49,841.00 59,136.00 59,136.0044117 04/16 - 03/17 42,806.00 42,806.00 42,806.0044118 04/17 - 07/17 14,306.00 14,306.00
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17 187,147.00 103,588.00 141,294.00 11,470.00 152,764.00 34,383.0044917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 52,810.00 17,174.00 37,783.00 6,024.00 43,807.00 9,003.00
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
DOL (FY2016)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
FAIRFAX CO DEPT. OF FAMILY SERIVCES - Agency on Aging12011 Government Center Parkway - Suite 708
Fairfax, VA 22035-1104
VICAP FFY '14
DUALS
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
Page 28 PSA 8C
REMITTANCE ADVICE FY 2017559
RMT 8C 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
FAIRFAX CO DEPT. OF FAMILY SERIVCES - Agency on Aging12011 Government Center Parkway - Suite 708
Fairfax, VA 22035-1104
75000 SFY'17 - 07/01/16 10,813.00 10,813.00 10,813.0075082 SFY'17 - 07/01/16 22,583.00 22,583.00 22,583.0075081 SFY'17 - 07/01/16 8,211.00 8,211.00 8,211.0075084 SFY'17 - 07/01/16 28,426.00 28,426.00 28,426.0075080 SFY'17 - 07/01/16 194.00 194.00 194.0075875 SFY'17 - 07/01/16 8,217.00 8,217.00 8,217.0075200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16 8,030.00 8,030.00 8,030.00
75000 SFY'17 - 10/01/16 86,480.00 86,480.00 86,480.0075082 SFY'17 - 10/01/16 210,464.00 210,464.00 210,464.0075081 SFY'17 - 10/01/16 76,703.00 76,703.00 76,703.0075084 SFY'17 - 10/01/16 272,075.00 272,075.00 272,075.0075080 SFY'17 - 10/01/16 41,294.00 41,294.00 41,294.0075875 SFY'17 - 10/01/16 18,037.00 18,037.00 18,037.0075200 SFY'17 - 10/01/16 22,500.00 22,500.00 22,500.0075083 SFY'17 - 10/01/16 29,819.00 29,819.00 29,819.0075086 SFY'17 - 10/01/16 77,026.00 77,026.00 77,026.00
75000 SFY'18 - 07/01/17 31,282.00 7,821.00 7,821.00 23,461.0075082 SFY'18 - 07/01/17 70,245.00 17,562.00 17,562.00 52,683.0075081 SFY'18 - 07/01/17 25,568.00 6,392.00 6,392.00 19,176.0075084 SFY'18 - 07/01/17 90,305.00 22,577.00 22,577.00 67,728.0075080 SFY'18 - 07/01/17 13,764.00 3,441.00 3,441.00 10,323.0075875 SFY'18 - 07/01/17 69,547.00 17,387.00 17,387.00 52,160.0075200 SFY'18 - 07/01/17 7,500.00 1,875.00 1,875.00 5,625.0075083 SFY'18 - 07/01/17 9,940.00 2,485.00 2,485.00 7,455.0075086 SFY'18 - 07/01/17 25,675.00 6,420.00 6,420.00 19,255.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF COM BASE
GF TRANSPORTATION
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF H D MEALS
GF T-III MATCH
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 29 PSA 8C
REMITTANCE ADVICE FY 2017559
RMT 8C 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
FAIRFAX CO DEPT. OF FAMILY SERIVCES - Agency on Aging12011 Government Center Parkway - Suite 708
Fairfax, VA 22035-1104
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18 26,950.00 12,925.00 12,925.00 14,025.00
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 4,077,755.00 267,796.00 2,907,477.00 281,741.00 3,189,218.00 888,537.0071.30% 78.21%
DEMENTIA SERVICES - ADSSP
Dementia Capable Va-Expanding Families
NO WRONG DOOR
CDSME - Chronic Disease Self-Mgmt Ed
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Page 30 PSA 8C
REMITTANCE ADVICE FY 2017560
RMT 8D 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 1,388.00 1,388.00 1,388.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 1,606.00 1,606.00 1,606.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 8,890.00 8,890.00 8,890.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 1,238.00 1,238.00 1,238.00T-III E NFCSP FY'16 42516 10/16 - 09/17 4,166.00 4,166.00 4,166.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 265.00 265.00 265.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17 101,360.00 75,108.00 26,252.00 101,360.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 57,370.00 56,347.00 773.00 57,120.00 250.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 75,791.00 64,175.00 11,616.00 75,791.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 8,233.00 8,233.00 8,233.00T-III E NFCSP FY'17 42517 10/16 - 09/17 34,958.00 28,312.00 6,646.00 34,958.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 883.00 787.00 88.00 875.00 8.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17 7,820.00 7,820.00 7,820.00NSIP FY'17 42717 10/16 - 09/17 75,712.00 71,982.00 3,730.00 75,712.00
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14 21,832.00 21,832.00 21,832.00 21,832.0044115 04/14 - 03/15 22,853.00 22,853.00 22,853.00 22,853.0044116 04/15 - 03/16 28,369.00 28,369.00 28,369.00 28,369.0044117 04/16 - 03/17 37,520.00 37,520.00 37,520.0044118 04/17 - 07/17 7,861.00 4,061.00 4,061.00 3,800.00
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17 40,368.00 24,422.00 24,422.00 24,422.00 15,946.0044917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 7,435.00 2,418.00 4,896.00 4,896.00 2,539.00
VICAP FFY '17
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
DOL (FY2016)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
LOUDOUN COUNTY AREA AGENCY ON AGING
Leesburg, VA 20177P. O. Box 7000
VICAP FFY '14
DUALS
VICAP FFY '15
VICAP FFY '16
Page 31 PSA 8D
REMITTANCE ADVICE FY 2017560
RMT 8D 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
LOUDOUN COUNTY AREA AGENCY ON AGING
Leesburg, VA 20177P. O. Box 7000
75000 SFY'17 - 07/01/16 5,066.00 5,066.00 5,066.0075082 SFY'17 - 07/01/16 10,322.00 10,322.00 10,322.0075081 SFY'17 - 07/01/16 3,771.00 3,771.00 3,771.0075084 SFY'17 - 07/01/16 13,150.00 13,150.00 13,150.0075080 SFY'17 - 07/01/16 2,030.00 2,030.00 2,030.0075875 SFY'17 - 07/01/16 10,687.00 10,687.00 10,687.0075200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16 4,158.00 4,158.00 4,158.00
75000 SFY'17 - 10/01/16 15,161.00 15,161.00 15,161.0075082 SFY'17 - 10/01/16 32,519.00 32,519.00 32,519.0075081 SFY'17 - 10/01/16 11,913.00 11,913.00 11,913.0075084 SFY'17 - 10/01/16 42,349.00 42,349.00 42,349.0075080 SFY'17 - 10/01/16 6,414.00 6,414.00 6,414.0075875 SFY'17 - 10/01/16 2,772.00 2,772.00 2,772.0075200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16 13,504.00 13,504.00 13,504.00
75000 SFY'18 - 07/01/17 5,484.00 5,484.0075082 SFY'18 - 07/01/17 10,856.00 10,856.0075081 SFY'18 - 07/01/17 3,971.00 3,971.0075084 SFY'18 - 07/01/17 14,049.00 14,049.0075080 SFY'18 - 07/01/17 2,138.00 2,138.0075875 SFY'18 - 07/01/17 10,687.00 10,687.0075200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17 4,501.00 4,501.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF T-III MATCH
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF H D MEALS
GF T-III MATCH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 32 PSA 8D
REMITTANCE ADVICE FY 2017560
RMT 8D 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
LOUDOUN COUNTY AREA AGENCY ON AGING
Leesburg, VA 20177P. O. Box 7000
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 400.00 400.00 400.00 (400.00)44417 12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19 90.00 90.00 90.00 (90.00)
45818 08/01/16 - 07/31/18 22,000.00 22,000.00
71001 2016 1,453.00 1,453.00 1,453.00 1,453.0071001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 794,873.00 101,837.00 645,968.00 53,166.00 699,134.00 95,739.0081.27% 87.96%
ADRC-State LTSS Access NWD
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Dementia Capable Va-Expanding Families
FAN CARE PROGRAM
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
GRANDDRIVER CAMPAIGN
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
Page 33 PSA 8D
REMITTANCE ADVICE FY 2017 5 County Complex Ct.# 240 1 County Complex Ct. #220 561
RMT 8E 07/31/17 Woodbridge, VA 22192 Prince William, VA 22192PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 2,200.00 2,200.00 2,200.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 2,543.00 2,543.00 2,543.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 3,115.00 3,115.00 3,115.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 381.00 381.00 381.00T-III E NFCSP FY'16 42516 10/16 - 09/17 2,210.00 2,210.00 2,210.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 422.00 422.00 422.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 789.00 789.00 789.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 190,614.00 160,930.00 160,930.00 29,684.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 90,420.00 58,534.00 8,645.00 67,179.00 23,241.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 89,783.00 54,794.00 11,765.00 66,559.00 23,224.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 1,739.00 1,739.00 1,739.00T-III E NFCSP FY'17 42517 10/16 - 09/17 55,144.00 44,422.00 44,422.00 10,722.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 1,404.00 1,404.00 1,404.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 6,457.00 4,039.00 607.00 4,646.00 1,811.00
NSIP FY'16 42716 10/16 - 09/17 3,537.00 3,537.00 3,537.00NSIP FY'17 42717 10/16 - 09/17 34,241.00 21,500.00 3,297.00 24,797.00 9,444.00
46200 FY17 2,780.00 1,390.00 695.00 2,085.00 695.00
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14 27,330.00 27,330.00 27,330.00 27,330.0044115 04/14 - 03/15 25,620.00 25,620.00 25,620.00 25,620.0044116 04/15 - 03/16 37,187.00 32,145.00 37,187.00 37,187.0044117 04/16 - 03/17 26,243.00 10,934.00 26,243.00 26,243.0044118 04/17 - 07/17 8,807.00 1,468.00 1,468.00 7,339.00
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17 61,578.00 37,554.00 61,578.00 61,578.0044917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 14,194.00 9,347.00 14,194.00 14,194.00
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
DOL (FY2016)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
PRINCE WILLIAM CO AREA AGENCY ON AGING
VICAP FFY '14
DUALS
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
Page 34 PSA 8E
REMITTANCE ADVICE FY 2017 5 County Complex Ct.# 240 1 County Complex Ct. #220 561
RMT 8E 07/31/17 Woodbridge, VA 22192 Prince William, VA 22192PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
PRINCE WILLIAM CO AREA AGENCY ON AGING
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16 2,798.00 2,798.00 2,798.0075084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16 4,442.00 4,442.00 4,442.0075083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16 6,776.00 6,776.00 6,776.00
75000 SFY'17 - 10/01/16 22,561.00 22,561.00 22,561.0075082 SFY'17 - 10/01/16 51,325.00 51,325.00 51,325.0075081 SFY'17 - 10/01/16 18,756.00 18,756.00 18,756.0075084 SFY'17 - 10/01/16 66,604.00 66,604.00 66,604.0075080 SFY'17 - 10/01/16 10,098.00 10,098.00 10,098.0075875 SFY'17 - 10/01/16 3,212.00 3,212.00 3,212.0075200 SFY'17 - 10/01/16 33,750.00 33,750.00 33,750.0075083 SFY'17 - 10/01/16 9,783.00 9,783.00 9,783.0075086 SFY'17 - 10/01/16 20,095.00 20,095.00 20,095.00
75000 SFY'18 - 07/01/17 8,161.00 481.00 481.00 7,680.0075082 SFY'18 - 07/01/17 17,132.00 18.00 18.00 17,114.0075081 SFY'18 - 07/01/17 6,252.00 6,252.0075084 SFY'18 - 07/01/17 22,100.00 22,100.0075080 SFY'18 - 07/01/17 3,366.00 3,366.0075875 SFY'18 - 07/01/17 12,384.00 12,384.0075200 SFY'18 - 07/01/17 11,250.00 11,250.0075083 SFY'18 - 07/01/17 3,261.00 3,261.0075086 SFY'18 - 07/01/17 6,698.00 6,698.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF TRANSPORTATION
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF H D MEALS
GF T-III MATCH
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
GF COM BASE
GF COM BASE
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 35 PSA 8E
REMITTANCE ADVICE FY 2017 5 County Complex Ct.# 240 1 County Complex Ct. #220 561
RMT 8E 07/31/17 Woodbridge, VA 22192 Prince William, VA 22192PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
PRINCE WILLIAM CO AREA AGENCY ON AGING
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 8,812.50 16,827.50 1,950.00 18,777.50 (18,777.50)44417 12/22/14 - 12/21/17 1,275.00 2,700.00 50.00 2,750.00 (2,750.00)44415 9/14-3/16 2,600.00 2,600.00 2,600.00 (2,600.00)44413 10/12 - 9/13
44414 27,517.50 27,517.50 27,517.50 (27,517.50)
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18 26,950.00 12,925.00 12,925.00 14,025.00
71001 2016 1,253.00 800.00 800.00 453.0071001 2017 1,300.00 1,300.00
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 1,059,045.00 183,135.00 869,671.00 28,976.00 898,647.00 160,398.0082.12% 84.85%
DEMENTIA SERVICES - ADSSP
GRANDDRIVER CAMPAIGN
Dementia Capable Va-Expanding Families
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Page 36 PSA 8E
REMITTANCE ADVICE FY 2017563
RMT 9 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 3,021.00 3,021.00 3,021.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 3,479.00 3,479.00 3,479.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 4,188.00 4,188.00 4,188.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 1,804.00 1,804.00 1,804.00T-III E NFCSP FY'16 42516 10/16 - 09/17 2,987.00 2,987.00 2,987.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 587.00 587.00 587.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 776.00 776.00 776.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 220,549.00 183,052.00 37,262.00 220,314.00 235.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 188,721.00 167,980.00 20,741.00 188,721.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 96,061.00 69,679.00 16,708.00 86,387.00 9,674.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 11,999.00 10,554.00 1,445.00 11,999.00T-III E NFCSP FY'17 42517 10/16 - 09/17 74,511.00 61,594.00 12,917.00 74,511.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 1,956.00 1,384.00 424.00 1,808.00 148.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 6,355.00 5,080.00 1,189.00 6,269.00 86.00
NSIP FY'16 42716 10/16 - 09/17 3,348.00 3,348.00 3,348.00NSIP FY'17 42717 10/16 - 09/17 32,417.00 28,577.00 3,840.00 32,417.00
46200 FY17 2,609.00 1,710.00 205.00 1,915.00 694.00
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14 22,421.00 22,421.00 22,421.00 22,421.0044115 04/14 - 03/15 23,497.00 23,497.00 23,497.00 23,497.0044116 04/15 - 03/16 29,949.00 27,463.00 29,949.00 29,949.0044117 04/16 - 03/17 23,685.00 7,192.00 23,685.00 23,685.0044118 04/17 - 07/17 7,901.00 4,436.00 1,317.00 5,753.00 2,148.00
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17 43,002.00 26,433.00 37,662.00 5,340.00 43,002.0044917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 9,752.00 6,419.00 8,881.00 871.00 9,752.00DUALS
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
MIPPA Priority # 1 (ACL)
RAPPAHANNOCK-RAPIDAN AREA AGENCY ON AGING15361 Bradford Rd - P. O. Box 1568
Culpeper VA 22701
DOL (FY2016)
VICAP FFY '13
VICAP FFY '14
DMAS OMBUDSMAN
DOL (FY2015)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
Page 37 PSA 9
REMITTANCE ADVICE FY 2017563
RMT 9 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
RAPPAHANNOCK-RAPIDAN AREA AGENCY ON AGING15361 Bradford Rd - P. O. Box 1568
Culpeper VA 22701
75000 SFY'17 - 07/01/16 9,493.00 9,493.00 9,493.0075082 SFY'17 - 07/01/16 24,250.00 24,250.00 24,250.0075081 SFY'17 - 07/01/16 8,786.00 8,786.00 8,786.0075084 SFY'17 - 07/01/16 30,636.00 30,636.00 30,636.0075080 SFY'17 - 07/01/16 4,730.00 4,730.00 4,730.0075875 SFY'17 - 07/01/16 16,353.00 16,353.00 16,353.0075200 SFY'17 - 07/01/16 8,444.00 8,444.00 8,444.0075083 SFY'17 - 07/01/16 3,185.00 3,185.00 3,185.0075086 SFY'17 - 07/01/16 7,792.00 7,792.00 7,792.00
75000 SFY'17 - 10/01/16 23,952.00 23,952.00 23,952.0075082 SFY'17 - 10/01/16 40,608.00 40,608.00 40,608.0075081 SFY'17 - 10/01/16 44,569.00 44,569.00 44,569.0075084 SFY'17 - 10/01/16 98,555.00 98,555.00 98,555.0075080 SFY'17 - 10/01/16 13,552.00 13,552.00 13,552.0075875 SFY'17 - 10/01/16 4,241.00 4,241.00 4,241.0075200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16 9,627.00 9,627.00 9,627.0075086 SFY'17 - 10/01/16 21,334.00 21,334.00 21,334.00
75000 SFY'18 - 07/01/17 8,664.00 8,664.0075082 SFY'18 - 07/01/17 23,193.00 23,193.0075081 SFY'18 - 07/01/17 8,391.00 8,391.0075084 SFY'18 - 07/01/17 29,578.00 29,578.0075080 SFY'18 - 07/01/17 4,517.00 4,517.0075875 SFY'18 - 07/01/17 16,353.00 16,353.0075200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17 3,209.00 3,209.0075086 SFY'18 - 07/01/17 7,111.00 7,111.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
Page 38 PSA 9
REMITTANCE ADVICE FY 2017563
RMT 9 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
RAPPAHANNOCK-RAPIDAN AREA AGENCY ON AGING15361 Bradford Rd - P. O. Box 1568
Culpeper VA 22701
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 1,350.00 3,950.00 150.00 4,100.00 (4,100.00)44417 12/22/14 - 12/21/17 3,050.00 4,750.00 4,750.00 (4,750.00)44415 9/14-3/16
44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19 95.00 95.00 95.00 (95.00)
45818 08/01/16 - 07/31/18 19,250.00 5,500.00 5,500.00 13,750.00
71001 2016 3,453.00 3,453.00 3,453.00 3,453.0071001 2017 5,100.00 5,100.00
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 1,314,501.00 121,373.00 1,088,186.00 102,409.00 1,190,595.00 123,906.0082.78% 90.57%
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SUPPLEMENTAL NUTRITION ASSIST PROG.
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
FAN CARE PROGRAM
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Virginia Elder Justice YR3
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
Model Approaches to Legal Assistance Sys
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
ADRC REIMBURSEMENT
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Dementia Capable Va-Expanding Families
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
Page 39 PSA 9
REMITTANCE ADVICE FY 2017564
RMT 10 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 16,792.00 16,792.00 16,792.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 4,106.00 4,106.00 4,106.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 12,876.00 12,876.00 12,876.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 3,689.00 3,689.00 3,689.00T-III E NFCSP FY'16 42516 10/16 - 09/17 5,144.00 5,144.00 5,144.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 828.00 828.00 828.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 1,000.00 1,000.00 1,000.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 259,937.00 167,860.00 27,495.00 195,355.00 64,582.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 166,005.00 102,151.00 21,285.00 123,436.00 42,569.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 171,284.00 95,311.00 25,325.00 120,636.00 50,648.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 15,115.00 7,010.00 1,997.00 9,007.00 6,108.00T-III E NFCSP FY'17 42517 10/16 - 09/17 88,334.00 61,146.00 10,000.00 71,146.00 17,188.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 2,293.00 1,409.00 497.00 1,906.00 387.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 8,184.00 5,886.00 1,531.00 7,417.00 767.00
NSIP FY'16 42716 10/16 - 09/17 5,634.00 5,634.00 5,634.00NSIP FY'17 42717 10/16 - 09/17 54,544.00 39,489.00 5,000.00 44,489.00 10,055.00
46200 FY17 5,627.00 5,627.00
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14 25,718.00 25,718.00 25,718.00 25,718.0044115 04/14 - 03/15 25,379.00 25,379.00 25,379.00 25,379.0044116 04/15 - 03/16 37,976.00 31,196.00 37,976.00 37,976.0044117 04/16 - 03/17 25,707.00 12,854.00 25,707.00 25,707.0044118 04/17 - 07/17 8,610.00 8,610.00 8,610.00
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17 58,233.00 35,774.00 58,233.00 58,233.0044917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 14,230.00 9,358.00 14,230.00 14,230.00
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
DOL (FY2016)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
JEFFERSON AREA BOARD FOR AGING
Charlottesville VA 22901674 Hillsdale Drive, Suite 9
VICAP FFY '14
DUALS
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
Page 40 PSA 10
REMITTANCE ADVICE FY 2017564
RMT 10 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
JEFFERSON AREA BOARD FOR AGING
Charlottesville VA 22901674 Hillsdale Drive, Suite 9
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16 31,228.00 31,228.00 31,228.0075082 SFY'17 - 10/01/16 82,333.00 82,333.00 82,333.0075081 SFY'17 - 10/01/16 29,917.00 29,917.00 29,917.0075084 SFY'17 - 10/01/16 105,985.00 105,985.00 105,985.0075080 SFY'17 - 10/01/16 16,105.00 16,105.00 16,105.0075875 SFY'17 - 10/01/16 4,034.00 4,034.00 4,034.0075200 SFY'17 - 10/01/16 37,500.00 37,500.00 37,500.0075083 SFY'17 - 10/01/16 12,397.00 12,397.00 12,397.0075086 SFY'17 - 10/01/16 27,814.00 27,814.00 27,814.00
75000 SFY'18 - 07/01/17 11,296.00 3,544.00 3,544.00 7,752.0075082 SFY'18 - 07/01/17 27,477.00 9,159.00 9,159.00 18,318.0075081 SFY'18 - 07/01/17 9,973.00 3,324.00 3,324.00 6,649.0075084 SFY'18 - 07/01/17 35,189.00 11,765.00 11,765.00 23,424.0075080 SFY'18 - 07/01/17 5,368.00 1,789.00 1,789.00 3,579.0075875 SFY'18 - 07/01/17 15,554.00 15,554.00 15,554.0075200 SFY'18 - 07/01/17 12,500.00 3,160.00 3,160.00 9,340.0075083 SFY'18 - 07/01/17 4,132.00 1,377.00 1,377.00 2,755.0075086 SFY'18 - 07/01/17 9,271.00 3,090.00 3,090.00 6,181.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF COM BASE
GF TRANSPORTATION
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF H D MEALS
GF T-III MATCH
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 41 PSA 10
REMITTANCE ADVICE FY 2017564
RMT 10 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
JEFFERSON AREA BOARD FOR AGING
Charlottesville VA 22901674 Hillsdale Drive, Suite 9
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16 54,288.58 48,446.50 54,565.41 54,565.41 (276.83)45918 09/16 - 08/17 137,219.42 58,979.85 58,979.85 78,239.5745918 09/17 - 08/18 98,456.00 98,456.00
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 10,662.50 20,775.00 3,375.00 24,150.00 (24,150.00)44417 12/22/14 - 12/21/17 29,222.50 34,910.00 2,037.50 36,947.50 (36,947.50)44415 9/14-3/16 7,012.50 7,012.50 7,012.50 (7,012.50)44413 10/12 - 9/13
44414 16,912.50 16,912.50 16,912.50 (16,912.50)
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18 26,950.00 12,650.00 12,650.00 14,300.00
71001 2016 1,953.00 1,320.00 1,500.00 1,500.00 453.0071001 2017 2,500.00 2,500.00
44016 2016
44017 2017
46316 10/15 - 9/16 13,899.32 4,087.00 4,365.00 4,365.00 9,534.3246317 10/16 - 9/17 19,699.00 477.00 23.00 500.00 19,199.00
TOTAL 1,850,283.32 257,942.50 1,285,644.26 151,327.50 1,436,971.76 413,311.5669.48% 77.66%
DEMENTIA SERVICES - ADSSP
Dementia Capable Va-Expanding Families
NO WRONG DOOR
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS 16-122
DEMENTIA ADI SSS 16-122
DEMENTIA ADI SSS 16-122
Page 42 PSA 10
REMITTANCE ADVICE FY 2017565
RMT 11 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 18,179.00 18,179.00 18,179.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 6,011.00 6,011.00 6,011.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 35,092.00 35,092.00 35,092.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 3,869.00 3,869.00 3,869.00T-III E NFCSP FY'16 42516 10/16 - 09/17 20,016.00 20,016.00 20,016.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 1,017.00 1,017.00 1,017.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 1,158.00 1,158.00 1,158.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 381,266.00 182,108.00 51,833.00 233,941.00 147,325.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 213,757.00 152,431.00 39,632.00 192,063.00 21,694.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 277,471.00 118,760.00 44,352.00 163,112.00 114,359.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 18,631.00 12,776.00 1,792.00 14,568.00 4,063.00T-III E NFCSP FY'17 42517 10/16 - 09/17 128,469.00 84,522.00 20,874.00 105,396.00 23,073.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 3,389.00 3,389.00 3,389.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 9,454.00 9,224.00 213.00 9,437.00 17.00
NSIP FY'16 42716 10/16 - 09/17 24,294.00 24,294.00 24,294.00NSIP FY'17 42717 10/16 - 09/17 63,477.00 32,000.00 1,657.00 33,657.00 29,820.00
46200 FY17 7,724.00 7,072.00 652.00 7,724.00
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14 46,974.00 46,974.00 46,974.00 46,974.0044115 04/14 - 03/15 27,562.00 27,562.00 27,562.00 27,562.0044116 04/15 - 03/16 33,599.00 33,599.00 33,599.00 33,599.0044117 04/16 - 03/17 39,386.00 15,995.00 39,386.00 39,386.0044118 04/17 - 07/17 9,260.00 5,984.00 3,276.00 9,260.00
44817 9/30/14 - 9/29/17 12,088.00 2,015.00 2,015.00 10,073.0044977 9/30/14 - 9/29/17 61,975.00 25,558.00 54,022.00 1,899.00 55,921.00 6,054.0044917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 4,573.00 2,530.00 4,573.00 4,573.00
VICAP FFY '13
VICAP FFY '14
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
DUALS
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING501 12th Street - P O Box 1390
Lynchburg, VA 24505
DOL (FY2016)
DMAS OMBUDSMAN
MIPPA Priority # 1 (ACL)
DOL (FY2015)
Page 43 PSA 11
REMITTANCE ADVICE FY 2017565
RMT 11 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING501 12th Street - P O Box 1390
Lynchburg, VA 24505
75000 SFY'17 - 07/01/16 14,880.00 14,880.00 14,880.0075082 SFY'17 - 07/01/16 22,003.00 22,003.00 22,003.0075081 SFY'17 - 07/01/16 14,744.00 14,744.00 14,744.0075084 SFY'17 - 07/01/16 51,411.00 51,411.00 51,411.0075080 SFY'17 - 07/01/16 7,938.00 7,938.00 7,938.0075875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16 4,881.00 4,881.00 4,881.0075086 SFY'17 - 07/01/16 4,142.00 4,142.00 4,142.00
75000 SFY'17 - 10/01/16 39,436.00 39,436.00 39,436.0075082 SFY'17 - 10/01/16 55,639.00 55,639.00 55,639.0075081 SFY'17 - 10/01/16 107,594.00 107,594.00 107,594.0075084 SFY'17 - 10/01/16 153,277.00 153,277.00 153,277.0075080 SFY'17 - 10/01/16 23,338.00 23,338.00 23,338.0075875 SFY'17 - 10/01/16 2,772.00 2,772.00 2,772.0075200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16 14,321.00 14,321.00 14,321.0075086 SFY'17 - 10/01/16 35,125.00 35,125.00 35,125.00
75000 SFY'18 - 07/01/17 14,265.00 14,265.0075082 SFY'18 - 07/01/17 40,002.00 9,645.00 9,645.00 30,357.0075081 SFY'18 - 07/01/17 14,450.00 14,450.0075084 SFY'18 - 07/01/17 50,915.00 50,915.0075080 SFY'18 - 07/01/17 7,780.00 7,780.0075875 SFY'18 - 07/01/17 10,687.00 1,122.00 1,122.00 9,565.0075200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17 4,774.00 4,774.0075086 SFY'18 - 07/01/17 11,708.00 4,111.00 4,111.00 7,597.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
BIRMINGHAM GREEN-RESIDENTIAL SERV
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
EASTERN VA CARE TRANSITIONS
GF H D MEALS
GF T-III MATCH
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP-DBDHS MENTAL ILLNESS
CARE COORDINATION
GF COM BASE
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GF H D MEALS
GF T-III MATCH
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 44 PSA 11
REMITTANCE ADVICE FY 2017565
RMT 11 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING501 12th Street - P O Box 1390
Lynchburg, VA 24505
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17 25,000.00 25,000.00 25,000.0044418 09/30/15 - 09/29/18 17,437.50 43,412.50 2,400.00 45,812.50 (45,812.50)44417 12/22/14 - 12/21/17 7,937.50 17,137.50 800.00 17,937.50 (17,937.50)44415 9/14-3/16 1,225.00 1,225.00 1,225.00 (1,225.00)44413 10/12 - 9/13
44414 33,400.00 33,400.00 33,400.00 (33,400.00)
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19 210.00 210.00 (210.00)
45818 08/01/16 - 07/31/18 26,950.00 5,775.00 4,125.00 9,900.00 17,050.00
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 2,206,723.00 212,218.00 1,578,694.00 213,383.00 1,792,077.00 414,646.0072.36% 81.21%
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
GRANDDRIVER CAMPAIGN
NO WRONG DOOR (Expansion Efforts)
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
Dementia Capable Va-Expanding Families
Partnership People w/Disabilities
FAN CARE PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
Page 45 PSA 11
REMITTANCE ADVICE FY 2017566
RMT 12 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 8,401.00 8,401.00 8,401.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 9,677.00 9,677.00 9,677.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 11,665.00 11,665.00 11,665.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 4,647.00 4,647.00 4,647.00T-III E NFCSP FY'16 42516 10/16 - 09/17 8,316.00 8,316.00 8,316.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 1,631.00 1,631.00 1,631.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 975.00 975.00 975.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 678,304.00 499,938.00 115,147.00 615,085.00 63,219.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 274,139.00 193,229.00 47,303.00 240,532.00 33,607.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 453,600.00 310,414.00 81,971.00 392,385.00 61,215.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 30,902.00 27,138.00 3,764.00 30,902.00T-III E NFCSP FY'17 42517 10/16 - 09/17 207,455.00 136,378.00 35,962.00 172,340.00 35,115.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 5,433.00 5,433.00 5,433.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 7,981.00 7,981.00 7,981.00
NSIP FY'16 42716 10/16 - 09/17 11,171.00 11,171.00 11,171.00NSIP FY'17 42717 10/16 - 09/17 108,154.00 48,077.00 19,888.00 67,965.00 40,189.00
46200 FY17 5,293.00 5,293.00 5,293.00
43516 7/1/15 - 6/30/16 303,870.00 297,272.00 297,272.00 297,272.00 6,598.0043517 7/1/16 - 6/30/17 298,501.00 59,849.00 275,218.00 13,510.00 288,728.00 9,773.00
44114 04/13 - 03/14 33,603.00 33,603.00 33,603.00 33,603.0044115 04/14 - 03/15 29,147.00 29,147.00 29,147.00 29,147.0044116 04/15 - 03/16 43,683.00 36,389.00 43,683.00 43,683.0044117 04/16 - 03/17 36,151.00 23,515.00 36,151.00 36,151.0044118 04/17 - 07/17 9,695.00 5,706.00 1,616.00 7,322.00 2,373.00
44817 9/30/14 - 9/29/17 32,496.00 23,217.00 23,217.00 9,279.0044977 9/30/14 - 9/29/17 52,864.00 52,864.00 52,864.00 52,864.0044917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 18,043.00 11,866.00 14,754.00 14,754.00 3,289.00
VICAP FFY '13
VICAP FFY '14
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
DUALS
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
SOUTHERN AREA AGENCY ON AGING204 Cleveland AvenueMartinsville VA 24112
DOL (FY2016)
DMAS OMBUDSMAN
MIPPA Priority # 1 (ACL)
DOL (FY2015)
Page 46 PSA 12
REMITTANCE ADVICE FY 2017566
RMT 12 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
SOUTHERN AREA AGENCY ON AGING204 Cleveland AvenueMartinsville VA 24112
75000 SFY'17 - 07/01/16 21,681.00 21,681.00 21,681.0075082 SFY'17 - 07/01/16 60,810.00 60,810.00 60,810.0075081 SFY'17 - 07/01/16 21,967.00 21,967.00 21,967.0075084 SFY'17 - 07/01/16 76,599.00 76,599.00 76,599.0075080 SFY'17 - 07/01/16 11,826.00 11,826.00 11,826.0075875 SFY'17 - 07/01/16 10,921.00 10,921.00 10,921.0075200 SFY'17 - 07/01/16 3,356.00 3,356.00 3,356.0075083 SFY'17 - 07/01/16 4,038.00 4,038.00 4,038.0075086 SFY'17 - 07/01/16 17,795.00 17,795.00 17,795.00
75000 SFY'17 - 10/01/16 68,084.00 68,084.00 68,084.0075082 SFY'17 - 10/01/16 159,484.00 159,484.00 159,484.0075081 SFY'17 - 10/01/16 104,120.00 104,120.00 104,120.0075084 SFY'17 - 10/01/16 248,150.00 248,150.00 248,150.0075080 SFY'17 - 10/01/16 37,750.00 37,750.00 37,750.0075875 SFY'17 - 10/01/16 2,832.00 2,832.00 2,832.0075200 SFY'17 - 10/01/16 12,996.00 12,996.00 12,996.0075083 SFY'17 - 10/01/16 12,090.00 12,090.00 12,090.0075086 SFY'17 - 10/01/16 60,640.00 60,640.00 60,640.00
75000 SFY'18 - 07/01/17 24,628.00 24,628.0075082 SFY'18 - 07/01/17 64,566.00 64,566.0075081 SFY'18 - 07/01/17 23,373.00 23,373.0075084 SFY'18 - 07/01/17 82,412.00 82,412.0075080 SFY'18 - 07/01/17 12,583.00 12,583.0075875 SFY'18 - 07/01/17 10,921.00 10,921.0075200 SFY'18 - 07/01/17 4,332.00 4,332.0075083 SFY'18 - 07/01/17 4,030.00 4,030.0075086 SFY'18 - 07/01/17 20,213.00 20,213.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
BIRMINGHAM GREEN-RESIDENTIAL SERV
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
EASTERN VA CARE TRANSITIONS
GF H D MEALS
GF T-III MATCH
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP-DBDHS MENTAL ILLNESS
CARE COORDINATION
GF COM BASE
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GF H D MEALS
GF T-III MATCH
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 47 PSA 12
REMITTANCE ADVICE FY 2017566
RMT 12 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
SOUTHERN AREA AGENCY ON AGING204 Cleveland AvenueMartinsville VA 24112
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019
12/1/16-7/31/19
46119 2/1/16 - 7/30/19 515.00 515.00 (515.00)
45818 08/01/16 - 07/31/18 44,000.00 6,875.00 2,475.00 9,350.00 34,650.00
71001 2016 4,753.00 4,753.00 4,753.00 4,753.0071001 2017 7,300.00 7,300.00
44016 2016 2,414.00 2,414.00 2,414.00 2,414.0044017 2017 2,272.00 2,272.00
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 3,928,733.00 551,672.00 3,051,675.00 321,636.00 3,373,311.00 555,422.0077.68% 85.86%
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
GRANDDRIVER CAMPAIGN
NO WRONG DOOR
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
Dementia Capable Va-Expanding Families
Partnership People w/Disabilities
FAN CARE PROGRAM
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
Page 48 PSA 12
REMITTANCE ADVICE FY 2017567
RMT 13 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 4,255.00 4,255.00 4,255.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 4,896.00 4,896.00 4,896.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 5,872.00 5,872.00 5,872.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 21,273.00 21,273.00T-III E NFCSP FY'16 42516 10/16 - 09/17 4,192.00 4,192.00 4,192.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 830.00 830.00 830.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 7,908.00 767.00 767.00 7,141.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 310,624.00 310,624.00 310,624.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 174,117.00 130,015.00 13,545.00 143,560.00 30,557.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 225,799.00 111,976.00 46,896.00 158,872.00 66,927.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 15,271.00 15,271.00T-III E NFCSP FY'17 42517 10/16 - 09/17 104,574.00 76,590.00 7,609.00 84,199.00 20,375.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 2,763.00 2,763.00 2,763.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 6,101.00 6,101.00
NSIP FY'16 42716 10/16 - 09/17 5,445.00 5,445.00 5,445.00NSIP FY'17 42717 10/16 - 09/17 52,716.00 32,182.00 3,659.00 35,841.00 16,875.00
46200 FY17 12,080.00 12,080.00
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14 37,427.00 37,427.00 37,427.00 37,427.0044115 04/14 - 03/15 21,840.00 6,925.00 6,925.00 6,925.00 14,915.0044116 04/15 - 03/16 25,309.00 25,309.00 25,309.00 25,309.0044117 04/16 - 03/17 24,063.00 10,665.00 24,063.00 24,063.0044118 04/17 - 07/17 7,264.00 4,537.00 1,607.00 6,144.00 1,120.00
44817 9/30/14 - 9/29/17 11,233.00 2,165.00 289.00 2,454.00 8,779.0044977 9/30/14 - 9/29/17 18,224.00 17,411.00 18,224.00 18,224.0044917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 8,109.00 3,045.00 8,109.00 8,109.00
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
DOL (FY2016)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
LAKE COUNTRY AREA AGENCY ON AGING1106 W. Danville Street
South Hill VA 23970-3501
VICAP FFY '14
DUALS
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
Page 49 PSA 13
REMITTANCE ADVICE FY 2017567
RMT 13 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
LAKE COUNTRY AREA AGENCY ON AGING1106 W. Danville Street
South Hill VA 23970-3501
75000 SFY'17 - 07/01/16 3,050.00 3,050.00 3,050.0075082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16 7,015.00 7,015.00 7,015.0075084 SFY'17 - 07/01/16 25,002.00 25,002.00 25,002.0075080 SFY'17 - 07/01/16 3,776.00 3,776.00 3,776.0075875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16 1,775.00 1,775.00 1,775.0075086 SFY'17 - 07/01/16 9,929.00 9,929.00 9,929.00
75000 SFY'17 - 10/01/16 31,591.00 31,591.00 31,591.0075082 SFY'17 - 10/01/16 137,594.00 137,594.00 137,594.0075081 SFY'17 - 10/01/16 35,274.00 35,274.00 35,274.0075084 SFY'17 - 10/01/16 84,693.00 84,693.00 84,693.0075080 SFY'17 - 10/01/16 18,990.00 18,990.00 18,990.0075875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16 9,243.00 9,243.00 9,243.0075086 SFY'17 - 10/01/16 28,137.00 28,137.00 28,137.00
75000 SFY'18 - 07/01/17 11,427.00 3,658.00 3,658.00 7,769.0075082 SFY'18 - 07/01/17 32,564.00 12,784.00 12,784.00 19,780.0075081 SFY'18 - 07/01/17 11,758.00 4,926.00 4,926.00 6,832.0075084 SFY'18 - 07/01/17 41,423.00 9,981.00 9,981.00 31,442.0075080 SFY'18 - 07/01/17 6,330.00 2,652.00 2,652.00 3,678.0075875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17 3,081.00 3,081.0075086 SFY'18 - 07/01/17 9,379.00 3,954.00 3,954.00 5,425.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF COM BASE
GF TRANSPORTATION
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF H D MEALS
GF T-III MATCH
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 50 PSA 13
REMITTANCE ADVICE FY 2017567
RMT 13 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
LAKE COUNTRY AREA AGENCY ON AGING1106 W. Danville Street
South Hill VA 23970-3501
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016 2,953.00 2,953.00 2,953.00 2,953.0071001 2017 4,200.00 4,200.00
44016 2016 570.00 570.00 570.00 570.0044017 2017 539.00 539.00
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 1,632,478.00 104,305.00 1,216,758.00 111,560.00 1,328,318.00 304,160.0074.53% 81.37%
DEMENTIA SERVICES - ADSSP
Dementia Capable Va-Expanding Families
NO WRONG DOOR
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Page 51 PSA 13
REMITTANCE ADVICE FY 2017568
RMT 14 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 4,233.00 4,233.00 4,233.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 4,870.00 4,870.00 4,870.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 5,834.00 5,834.00 5,834.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 2,245.00 2,245.00 2,245.00T-III E NFCSP FY'16 42516 10/16 - 09/17 4,166.00 4,166.00 4,166.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 826.00 826.00 826.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 740.00 740.00 740.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 309,044.00 225,508.00 13,971.00 239,479.00 69,565.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 173,192.00 124,588.00 10,447.00 135,035.00 38,157.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 224,336.00 151,390.00 9,276.00 160,666.00 63,670.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 14,925.00 4,634.00 5,661.00 10,295.00 4,630.00T-III E NFCSP FY'17 42517 10/16 - 09/17 103,930.00 60,119.00 1,922.00 62,041.00 41,889.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 2,752.00 1,626.00 1,126.00 2,752.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 6,060.00 4,721.00 296.00 5,017.00 1,043.00
NSIP FY'16 42716 10/16 - 09/17 6,303.00 6,303.00 6,303.00NSIP FY'17 42717 10/16 - 09/17 61,023.00 34,247.00 13,408.00 47,655.00 13,368.00
46200 FY17 2,121.00 1,328.00 2.00 1,330.00 791.00
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15 21,891.00 17,700.00 17,700.00 17,700.00 4,191.0044116 04/15 - 03/16 23,538.00 22,876.00 23,538.00 23,538.0044117 04/16 - 03/17 21,945.00 11,608.00 21,945.00 21,945.0044118 04/17 - 07/17 7,323.00 1,926.00 579.00 2,505.00 4,818.00
44817 9/30/14 - 9/29/17 11,496.00 2,417.00 2,417.00 9,079.0044977 9/30/14 - 9/29/17 18,593.00 9,469.00 18,593.00 18,593.0044917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 11,816.00 3,833.00 11,816.00 11,816.00
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
DOL (FY2016)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
PIEDMONT SENIOR RESOURCESP. O. Box 398
Burkeville VA 23922-0398
VICAP FFY '14
DUALS
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
Page 52 PSA 14
REMITTANCE ADVICE FY 2017568
RMT 14 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
PIEDMONT SENIOR RESOURCESP. O. Box 398
Burkeville VA 23922-0398
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16 30,785.00 30,785.00 30,785.0075082 SFY'17 - 10/01/16 97,009.00 97,009.00 97,009.0075081 SFY'17 - 10/01/16 35,041.00 35,041.00 35,041.0075084 SFY'17 - 10/01/16 123,839.00 123,839.00 123,839.0075080 SFY'17 - 10/01/16 18,865.00 18,865.00 18,865.0075875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16 9,179.00 9,179.00 9,179.0075086 SFY'17 - 10/01/16 27,420.00 27,420.00 27,420.00
75000 SFY'18 - 07/01/17 11,136.00 3,593.00 3,593.00 7,543.0075082 SFY'18 - 07/01/17 32,369.00 10,782.00 10,782.00 21,587.0075081 SFY'18 - 07/01/17 11,680.00 9,753.00 9,753.00 1,927.0075084 SFY'18 - 07/01/17 41,142.00 13,748.00 13,748.00 27,394.0075080 SFY'18 - 07/01/17 6,288.00 2,096.00 2,096.00 4,192.0075875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17 3,060.00 1,020.00 1,020.00 2,040.0075086 SFY'18 - 07/01/17 9,140.00 3,047.00 3,047.00 6,093.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF COM BASE
GF TRANSPORTATION
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF H D MEALS
GF T-III MATCH
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 53 PSA 14
REMITTANCE ADVICE FY 2017568
RMT 14 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
PIEDMONT SENIOR RESOURCESP. O. Box 398
Burkeville VA 23922-0398
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17 13,125.00 13,125.0044418 09/30/15 - 09/29/18 1,000.00 1,000.00 (1,000.00)44417 12/22/14 - 12/21/17 50.00 50.00 (50.00)44415 9/14-3/16 850.00 850.00 850.00 (850.00)44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016 1,453.00 1,453.00 1,453.00 1,453.0071001 2017
44016 2016 325.00 325.00 325.00 325.0044017 2017 308.00 308.00 308.00
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 1,515,366.00 68,114.00 1,081,129.00 101,035.00 1,182,164.00 333,202.0071.97% 78.01%
DEMENTIA SERVICES - ADSSP
Dementia Capable Va-Expanding Families
NO WRONG DOOR (Expansion Efforts)
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Page 54 PSA 14
REMITTANCE ADVICE FY 2017569
RMT 15 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 13,336.00 13,336.00 13,336.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 15,370.00 15,370.00 15,370.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 73,603.00 73,603.00 73,603.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 7,523.00 7,523.00 7,523.00T-III E NFCSP FY'16 42516 10/16 - 09/17 35,243.00 35,243.00 35,243.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 2,584.00 2,584.00 2,584.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 1,993.00 1,993.00 1,993.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 1,073,580.00 934,464.00 90,000.00 1,024,464.00 49,116.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 626,590.00 535,130.00 60,000.00 595,130.00 31,460.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 534,383.00 470,053.00 34,330.00 504,383.00 30,000.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 50,024.00 47,777.00 2,247.00 50,024.00T-III E NFCSP FY'17 42517 10/16 - 09/17 330,121.00 257,857.00 23,000.00 280,857.00 49,264.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 8,606.00 8,606.00 8,606.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 16,312.00 16,312.00 16,312.00
NSIP FY'16 42716 10/16 - 09/17 8,855.00 8,855.00 8,855.00NSIP FY'17 42717 10/16 - 09/17 85,732.00 68,845.00 5,000.00 73,845.00 11,887.00
46200 FY17 19,042.00 19,042.00 19,042.00
43516 7/1/15 - 6/30/16 328,491.00 322,700.00 323,920.00 323,920.00 4,571.0043517 7/1/16 - 6/30/17 335,015.00 75,800.00 293,900.00 11,000.00 304,900.00 30,115.00
44114 04/13 - 03/14 60,441.00 60,441.00 60,441.00 60,441.0044115 04/14 - 03/15 46,360.00 46,360.00 46,360.00 46,360.0044116 04/15 - 03/16 56,862.00 56,862.00 56,862.00 56,862.0044117 04/16 - 03/17 52,485.00 2,200.00 52,485.00 52,485.0044118 04/17 - 07/17 16,038.00 4,000.00 4,000.00 12,038.00
44817 9/30/14 - 9/29/17 160,741.00 74,025.00 133,225.00 11,000.00 144,225.00 16,516.0044977 9/30/14 - 9/29/17 63,595.00 63,595.00 63,595.00 63,595.0044917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 60,628.00 19,663.00 39,872.00 39,872.00 20,756.00
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
DOL (FY2016)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
SENIOR CONNECTIONS - CAPITAL AAA24 E. Cary Street
Richmond VA 23219-1496
VICAP FFY '14
DUALS
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
Page 55 PSA 15
REMITTANCE ADVICE FY 2017569
RMT 15 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
SENIOR CONNECTIONS - CAPITAL AAA24 E. Cary Street
Richmond VA 23219-1496
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16 15,000.00 15,000.00 15,000.0075081 SFY'17 - 07/01/16 25,000.00 25,000.00 25,000.0075084 SFY'17 - 07/01/16 44,072.00 44,072.00 44,072.0075080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16 112,723.00 112,723.00 112,723.0075082 SFY'17 - 10/01/16 237,786.00 237,786.00 237,786.0075081 SFY'17 - 10/01/16 261,698.00 261,698.00 261,698.0075084 SFY'17 - 10/01/16 315,511.00 315,511.00 315,511.0075080 SFY'17 - 10/01/16 60,133.00 60,133.00 60,133.0075875 SFY'17 - 10/01/16 2,796.00 2,796.00 2,796.0075200 SFY'17 - 10/01/16 36,661.00 36,661.00 36,661.0075083 SFY'17 - 10/01/16 24,710.00 24,710.00 24,710.0075086 SFY'17 - 10/01/16 100,400.00 100,400.00 100,400.00
75000 SFY'18 - 07/01/17 40,775.00 12,000.00 12,000.00 28,775.0075082 SFY'18 - 07/01/17 92,712.00 27,000.00 27,000.00 65,712.0075081 SFY'18 - 07/01/17 92,233.00 29,000.00 29,000.00 63,233.0075084 SFY'18 - 07/01/17 86,332.00 33,000.00 33,000.00 53,332.0075080 SFY'18 - 07/01/17 20,044.00 6,000.00 6,000.00 14,044.0075875 SFY'18 - 07/01/17 10,779.00 10,779.0075200 SFY'18 - 07/01/17 12,220.00 12,220.0075083 SFY'18 - 07/01/17 8,237.00 2,700.00 2,700.00 5,537.0075086 SFY'18 - 07/01/17 33,467.00 11,000.00 11,000.00 22,467.00
75097 SFY'17 (4/1/17-6/30/17) 2,822.00 2,822.00 2,822.0075097 SFY'17 (7/1/16-6/30/17) 50,000.00 8,000.00 50,000.00 50,000.0075090 SFY'17 (7/1/16-6/30/17) 57,521.00 14,000.00 57,521.00 57,521.0075095 SFY'17 (7/1/16-6/30/17) 50,000.00 8,000.00 50,000.00 50,000.0075094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18) 50,000.00 50,000.0075090 SFY'18 (7/1/17-6/30/18) 57,521.00 57,521.0075095 SFY'18 (7/1/17-6/30/18) 50,000.00 50,000.0075094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF COM BASE
GF TRANSPORTATION
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF H D MEALS
GF T-III MATCH
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 56 PSA 15
REMITTANCE ADVICE FY 2017569
RMT 15 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
SENIOR CONNECTIONS - CAPITAL AAA24 E. Cary Street
Richmond VA 23219-1496
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 1,100.00 1,100.00 (1,100.00)12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44414 2,155.00 2,155.00 2,155.00 (2,155.00)
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19 1,365.00 3,695.00 3,695.00 (3,695.00)
45818 08/01/16 - 07/31/18 80,850.00 21,175.00 21,175.00 59,675.00
71001 2016 8,552.00 8,552.00 8,552.00 8,552.0071001 2017 13,300.00 11,944.00 11,944.00 1,356.00
44016 2016
44017 2017
46316 10/15 - 9/16 5,471.00 5,471.00 5,471.00 5,471.0046317 10/16 - 9/17 5,422.00 5,422.00
TOTAL 6,148,301.00 769,189.00 5,030,234.00 369,221.00 5,399,455.00 748,846.0081.82% 87.82%
DEMENTIA SERVICES - ADSSP
Dementia Capable Va-Expanding Families
NO WRONG DOOR
CDSME: PSA 15 12,925; Piedmont 1,375; Crater 6,875
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Page 57 PSA 15
REMITTANCE ADVICE FY 2017570
RMT 16 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 3,141.00 3,141.00 3,141.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 3,623.00 3,623.00 3,623.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 4,399.00 4,399.00 4,399.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 2,096.00 2,096.00 2,096.00T-III E NFCSP FY'16 42516 10/16 - 09/17 3,130.00 3,130.00 3,130.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 606.00 606.00 606.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 839.00 839.00 839.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 316,278.00 268,913.00 20,000.00 288,913.00 27,365.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 113,843.00 94,265.00 12,500.00 106,765.00 7,078.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 97,180.00 61,253.00 13,601.00 74,854.00 22,326.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 13,939.00 12,577.00 750.00 13,327.00 612.00T-III E NFCSP FY'17 42517 10/16 - 09/17 78,077.00 62,908.00 5,726.00 68,634.00 9,443.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 2,019.00 2,019.00 2,019.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 6,865.00 6,865.00 6,865.00
NSIP FY'16 42716 10/16 - 09/17 2,609.00 2,609.00 2,609.00NSIP FY'17 42717 10/16 - 09/17 25,259.00 25,259.00 25,259.00
46200 FY17 3,450.00 2,750.00 250.00 3,000.00 450.00
43516 7/1/15 - 6/30/16 169,745.00 169,745.00 169,745.00 169,745.0043517 7/1/16 - 6/30/17 150,507.00 43,342.00 133,281.00 17,226.00 150,507.00
44114 04/13 - 03/14 25,569.00 25,569.00 25,569.00 25,569.0044115 04/14 - 03/15 25,453.00 25,453.00 25,453.00 25,453.0044116 04/15 - 03/16 33,444.00 31,524.00 33,444.00 33,444.0044117 04/16 - 03/17 26,008.00 9,791.00 26,008.00 26,008.0044118 04/17 - 07/17 8,658.00 8,658.00 8,658.00
44817 9/30/14 - 9/29/17 60,047.00 36,710.00 60,047.00 60,047.0044977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 11,805.00 7,764.00 11,805.00 11,805.00
RAPPAHANNOCK AREA AGENCY ON AGING460 Lendall Lane
Fredericksburg VA 22405
VICAP FFY '15
VICAP FFY '16
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
MIPPA Priority # 1 (ACL)
VICAP FFY '17
DOL (FY2016)
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
VICAP FFY '14
DUALS
Page 58 PSA 16
REMITTANCE ADVICE FY 2017570
RMT 16 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
RAPPAHANNOCK AREA AGENCY ON AGING460 Lendall Lane
Fredericksburg VA 22405
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16 21,093.00 21,093.00 21,093.0075080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16 28,482.00 28,482.00 28,482.0075082 SFY'17 - 10/01/16 72,752.00 72,752.00 72,752.0075081 SFY'17 - 10/01/16 26,465.00 26,465.00 26,465.0075084 SFY'17 - 10/01/16 93,805.00 93,805.00 93,805.0075080 SFY'17 - 10/01/16 14,247.00 14,247.00 14,247.0075875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16 10,399.00 10,399.00 10,399.0075086 SFY'17 - 10/01/16 25,368.00 25,368.00 25,368.00
75000 SFY'18 - 07/01/17 10,303.00 1,000.00 1,000.00 9,303.0075082 SFY'18 - 07/01/17 24,281.00 2,000.00 2,000.00 22,281.0075081 SFY'18 - 07/01/17 8,822.00 1,250.00 1,250.00 7,572.0075084 SFY'18 - 07/01/17 31,141.00 2,357.00 2,357.00 28,784.0075080 SFY'18 - 07/01/17 4,749.00 750.00 750.00 3,999.0075875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17 3,466.00 250.00 250.00 3,216.0075086 SFY'18 - 07/01/17 8,456.00 8,456.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF OMBUDSMAN
GF RESPITE CARE
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF T-III MATCH
GF OMBUDSMAN
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
CARE COORDINATION
CARE COORDINATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF RESPITE CARE
GF TRANSPORTATION
BIRMINGHAM GREEN-RESIDENTIAL SERV
GF TRANSPORTATION
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
EASTERN VA CARE TRANSITIONS
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF H D MEALS
GF TRANSPORTATION
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GF RESPITE CARE
GF OMBUDSMAN
GF H D MEALS
GF T-III MATCH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
CENSUS ADJUSTMENT
GF COM BASE
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
Page 59 PSA 16
REMITTANCE ADVICE FY 2017570
RMT 16 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
RAPPAHANNOCK AREA AGENCY ON AGING460 Lendall Lane
Fredericksburg VA 22405
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19 435.00 435.00 (435.00)
45818 08/01/16 - 07/31/18 26,950.00 12,650.00 12,650.00 14,300.00
71001 2016 1,453.00 877.00 877.00 576.0071001 2017 1,700.00 1,453.00 1,453.00 247.00
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 1,602,521.00 349,898.00 1,345,185.00 91,763.00 1,436,948.00 165,573.0083.94% 89.67%
DEMENTIA ADI SSS
NO WRONG DOOR
GRANDDRIVER CAMPAIGN
Dementia Capable Va-Expanding Families
Virginia Elder Justice YR1
Virginia Elder Justice YR2
GRANDDRIVER CAMPAIGN
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
ADRC REIMBURSEMENT
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
CDSME - Chronic Disease Self-Mgmt Ed
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
Page 60 PSA 16
REMITTANCE ADVICE FY 2017571
RMT 17/18 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 70,933.00 70,933.00 70,933.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 21,877.00 21,877.00 21,877.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 6,470.00 6,470.00 6,470.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 16,278.00 6,265.00 647.00 6,912.00 9,366.00T-III E NFCSP FY'16 42516 10/16 - 09/17 4,618.00 4,618.00 4,618.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 2,658.00 2,658.00 2,658.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 1,710.00 1,710.00 1,710.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 341,988.00 232,480.00 32,335.00 264,815.00 77,173.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 191,725.00 120,247.00 15,469.00 135,716.00 56,009.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 248,806.00 210,950.00 12,975.00 223,925.00 24,881.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 16,820.00 16,820.00T-III E NFCSP FY'17 42517 10/16 - 09/17 115,207.00 115,207.00 115,207.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 3,040.00 1,398.00 1,398.00 1,642.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 13,995.00 13,995.00 13,995.00
NSIP FY'16 42716 10/16 - 09/17 12,073.00 12,073.00 12,073.00NSIP FY'17 42717 10/16 - 09/17 98,741.00 87,847.00 87,847.00 10,894.00
46200 FY17 9,965.00 9,965.00 9,965.00
43516 7/1/15 - 6/30/16 138,661.00 138,661.00 138,661.00 138,661.0043517 7/1/16 - 6/30/17 135,916.00 31,955.00 135,916.00 135,916.00
44114 04/13 - 03/14 72,648.00 72,648.00 72,648.00 72,648.0044115 04/14 - 03/15 56,443.00 56,443.00 56,443.00 56,443.0044116 04/15 - 03/16 65,934.00 65,934.00 65,934.00 65,934.0044117 04/16 - 03/17 61,468.00 15,616.00 61,468.00 61,468.0044118 04/17 - 07/17 19,001.00 3,167.00 3,167.00 15,834.00
44817 9/30/14 - 9/29/17 159,391.00 28,673.00 115,556.00 14,401.00 129,957.00 29,434.0044977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 38,823.00 6,471.00 6,471.00 32,352.00DUALS
BAY AGINGP. O. Box 610
Urbanna VA 23175-0610
VICAP FFY '15
VICAP FFY '16
DOL (FY2016)
DMAS OMBUDSMAN
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
VICAP FFY '13
VICAP FFY '14
DOL (FY2015)
VICAP FFY '17
Page 61 PSA 17-18
REMITTANCE ADVICE FY 2017571
RMT 17/18 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
BAY AGINGP. O. Box 610
Urbanna VA 23175-0610
75000 SFY'17 - 07/01/16 13,033.00 13,033.00 13,033.0075082 SFY'17 - 07/01/16 36,251.00 36,251.00 36,251.0075081 SFY'17 - 07/01/16 13,099.00 13,099.00 13,099.0075084 SFY'17 - 07/01/16 45,675.00 45,675.00 45,675.0075080 SFY'17 - 07/01/16 7,052.00 7,052.00 7,052.0075875 SFY'17 - 07/01/16 30,800.00 30,800.00 30,800.0075200 SFY'17 - 07/01/16 16,612.00 16,612.00 16,612.0075083 SFY'17 - 07/01/16 7,058.00 7,058.00 7,058.0075086 SFY'17 - 07/01/16 10,697.00 10,697.00 10,697.00
75000 SFY'17 - 10/01/16 35,209.00 35,209.00 35,209.0075082 SFY'17 - 10/01/16 107,509.00 107,509.00 107,509.0075081 SFY'17 - 10/01/16 38,872.00 38,872.00 38,872.0075084 SFY'17 - 10/01/16 137,431.00 137,431.00 137,431.0075080 SFY'17 - 10/01/16 20,927.00 20,927.00 20,927.0075875 SFY'17 - 10/01/16 7,988.00 7,988.00 7,988.0075200 SFY'17 - 10/01/16 41,250.00 41,250.00 41,250.0075083 SFY'17 - 10/01/16 21,200.00 21,200.00 21,200.0075086 SFY'17 - 10/01/16 31,360.00 31,360.00 31,360.00
75000 SFY'18 - 07/01/17 12,736.00 12,736.0075082 SFY'18 - 07/01/17 35,873.00 35,873.0075081 SFY'18 - 07/01/17 12,958.00 12,958.0075084 SFY'18 - 07/01/17 45,653.00 45,653.0075080 SFY'18 - 07/01/17 6,976.00 6,976.0075875 SFY'18 - 07/01/17 30,800.00 30,800.0075200 SFY'18 - 07/01/17 13,750.00 13,750.0075083 SFY'18 - 07/01/17 7,067.00 7,067.0075086 SFY'18 - 07/01/17 10,453.00 10,453.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17) 250,000.00 250,000.00 250,000.0075810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 62 PSA 17-18
REMITTANCE ADVICE FY 2017571
RMT 17/18 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
BAY AGINGP. O. Box 610
Urbanna VA 23175-0610
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016 1,953.00 1,953.00 1,953.00 1,953.0071001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 2,975,431.00 411,883.00 2,448,933.00 75,827.00 2,524,760.00 450,671.0082.31% 84.85%
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Dementia Capable Va-Expanding Families
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
GRANDDRIVER CAMPAIGN
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
Page 63 PSA 17-18
REMITTANCE ADVICE FY 2017572
RMT 19 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 175,953.00 175,953.00 175,953.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 89,703.00 89,703.00 89,703.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 93,128.00 93,128.00 93,128.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 23,904.00 12,929.00 695.00 13,624.00 10,280.00T-III E NFCSP FY'16 42516 10/16 - 09/17 138,777.00 108,095.00 9,459.00 117,554.00 21,223.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 3,841.00 3,822.00 3,822.00 19.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 897.00 897.00 897.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 331,163.00 121,573.00 41,830.00 163,403.00 167,760.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 185,726.00 54,031.00 29,696.00 83,727.00 101,999.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 241,475.00 93,274.00 31,542.00 124,816.00 116,659.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 16,822.00 16,822.00T-III E NFCSP FY'17 42517 10/16 - 09/17 111,752.00 111,752.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 2,940.00 2,940.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 7,344.00 7,344.00 7,344.00
NSIP FY'16 42716 10/16 - 09/17 3,579.00 3,579.00 3,579.00NSIP FY'17 42717 10/16 - 09/17 34,651.00 26,268.00 26,268.00 8,383.00
46200 FY17 5,807.00 5,807.00 5,807.00
43516 7/1/15 - 6/30/16 142,943.00 129,091.00 129,091.00 129,091.00 13,852.0043517 7/1/16 - 6/30/17 126,664.00 31,173.00 119,677.00 119,677.00 6,987.00
44114 04/13 - 03/14 24,943.00 24,943.00 24,943.00 24,943.0044115 04/14 - 03/15 23,837.00 21,452.00 21,452.00 21,452.00 2,385.0044116 04/15 - 03/16 37,052.00 28,941.00 37,052.00 37,052.0044117 04/16 - 03/17 23,890.00 9,774.00 19,105.00 19,105.00 4,785.0044118 04/17 - 07/17 7,967.00 2,719.00 381.00 3,100.00 4,867.00
44817 9/30/14 - 9/29/17 44,942.00 13,028.00 28,875.00 1,475.00 30,350.00 14,592.0044977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 19,731.00 8,051.00 13,785.00 667.00 14,452.00 5,279.00
DMAS OMBUDSMAN
VICAP FFY '14
DUALS
CRATER DISTRICT AREA AGENCY ON AGING23 Seyler Dr
Petersburg VA 23806-9243
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
VICAP FFY '15
VICAP FFY '16
DOL (FY2015)
VICAP FFY '13
DOL (FY2016)
VICAP FFY '17
Page 64 PSA 19
REMITTANCE ADVICE FY 2017572
RMT 19 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
CRATER DISTRICT AREA AGENCY ON AGING23 Seyler Dr
Petersburg VA 23806-9243
75000 SFY'17 - 07/01/16 8,227.00 8,227.00 8,227.0075082 SFY'17 - 07/01/16 34,585.00 34,585.00 34,585.0075081 SFY'17 - 07/01/16 3,063.00 3,063.00 3,063.0075084 SFY'17 - 07/01/16 43,591.00 43,591.00 43,591.0075080 SFY'17 - 07/01/16 475.00 475.00 475.0075875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16 449.00 449.00 449.0075086 SFY'17 - 07/01/16 10,171.00 10,171.00 10,171.00
75000 SFY'17 - 10/01/16 35,212.00 35,212.00 35,212.0075082 SFY'17 - 10/01/16 104,260.00 104,260.00 104,260.0075081 SFY'17 - 10/01/16 37,734.00 37,734.00 37,734.0075084 SFY'17 - 10/01/16 133,462.00 133,462.00 133,462.0075080 SFY'17 - 10/01/16 20,314.00 20,314.00 20,314.0075875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16 11,126.00 11,126.00 11,126.0075086 SFY'17 - 10/01/16 31,363.00 31,363.00 31,363.00
75000 SFY'18 - 07/01/17 12,737.00 2,298.00 2,298.00 10,439.0075082 SFY'18 - 07/01/17 34,790.00 34,790.0075081 SFY'18 - 07/01/17 12,578.00 3,690.00 3,690.00 8,888.0075084 SFY'18 - 07/01/17 44,330.00 44,330.0075080 SFY'18 - 07/01/17 6,771.00 6,771.0075875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17 3,709.00 1,235.00 1,235.00 2,474.0075086 SFY'18 - 07/01/17 10,454.00 10,454.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP MENTAL HEALTH
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP MENTAL HEALTH
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF T-III MATCH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF H D MEALS
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CARE COORDINATION
GF RESPITE CARE
CENSUS ADJUSTMENT
CENSUS ADJUSTMENT
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GF T-III MATCH
GF H D MEALS
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF COM BASE
GF TRANSPORTATION
Page 65 PSA 19
REMITTANCE ADVICE FY 2017572
RMT 19 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
CRATER DISTRICT AREA AGENCY ON AGING23 Seyler Dr
Petersburg VA 23806-9243
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44414
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016 2,553.00 2,514.00 2,514.00 39.0071001 2017 3,500.00 3,500.00
44016 2016
44017 2017
46316 10/15 - 9/16 7,797.71 2,355.00 3,117.00 3,117.00 4,680.7146317 10/16 - 9/17 8,903.69 4,871.00 170.00 5,041.00 3,862.69
TOTAL 2,541,586.40 268,808.00 1,677,636.00 123,138.00 1,800,774.00 740,812.4066.01% 70.85%
SUPPLEMENTAL NUTRITION ASSIST PROG.
Partnership People w/Disabilities
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
ADRC REIMBURSEMENT
GRANDDRIVER CAMPAIGN
FAN CARE PROGRAM
SR. FARMER'S MARKET
Virginia Elder Justice YR2
Dementia Capable Va-Expanding Families
Partnership People w/Disabilities
ADRC "E"
ADRC - EXPANSION -"C"-VCU
ADRC Options Counseling for DUALS
CDSME - Chronic Disease Self-Mgmt Ed
ADRC-State LTSS Access NWD
Model Approaches to Legal Assistance Sys
NO WRONG DOOR
DEMENTIA SERVICES - ADSSP
Partnership People w/Disabilities
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Note: T-III D - 1,164 lost (42414) - Removed from Remit
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
FAN CARE PROGRAM
SR. FARMER'S MARKET
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
Page 66 PSA 19
REMITTANCE ADVICE FY 2017573
RMT 20 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 276,639.00 276,639.00 276,639.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 119,073.00 119,073.00 119,073.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 61,296.00 61,296.00 61,296.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 8,464.00 8,464.00 8,464.00T-III E NFCSP FY'16 42516 10/16 - 09/17 21,700.00 21,700.00 21,700.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 3,177.00 3,177.00 3,177.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 2,361.00 2,361.00 2,361.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 1,350,342.00 904,009.00 139,204.00 1,043,213.00 307,129.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 840,632.00 639,063.00 35,591.00 674,654.00 165,978.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 539,828.00 426,055.00 29,274.00 455,329.00 84,499.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 56,286.00 56,286.00 56,286.00T-III E NFCSP FY'17 42517 10/16 - 09/17 402,460.00 305,301.00 19,051.00 324,352.00 78,108.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 10,583.00 10,583.00 10,583.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 13,305.00 13,305.00 13,305.00
NSIP FY'16 42716 10/16 - 09/17 11,356.00 11,356.00 11,356.00NSIP FY'17 42717 10/16 - 09/17 109,944.00 86,846.00 6,654.00 93,500.00 16,444.00
46200 FY17 16,044.00 5,866.00 6,167.00 12,033.00 4,011.00
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14 57,629.00 57,629.00 57,629.00 57,629.0044115 04/14 - 03/15 47,410.00 47,410.00 47,410.00 47,410.0044116 04/15 - 03/16 58,460.00 58,460.00 58,460.00 58,460.0044117 04/16 - 03/17 61,697.00 61,697.00 61,697.0044118 04/17 - 07/17 16,128.00 2,688.00 2,688.00 13,440.00
44817 9/30/14 - 9/29/17 230,649.00 141,865.00 210,016.00 20,633.00 230,649.0044977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 72,162.00 47,458.00 51,575.00 2,090.00 53,665.00 18,497.00
DMAS OMBUDSMAN
DOL (FY2015)
SENIOR SERVICES of SOUTHEASTERN VIRGINIA 6350 Center Drive, Suite 101
Norfolk VA 23502
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
MIPPA Priority # 1 (ACL)
DOL (FY2016)
VICAP FFY '13
VICAP FFY '14
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
DUALS
Page 67 PSA 20
REMITTANCE ADVICE FY 2017573
RMT 20 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
SENIOR SERVICES of SOUTHEASTERN VIRGINIA 6350 Center Drive, Suite 101
Norfolk VA 23502
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16 27,819.00 27,819.00 27,819.0075080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16 3,239.00 3,239.00 3,239.0075083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16 127,343.00 127,343.00 127,343.0075082 SFY'17 - 10/01/16 225,280.00 225,280.00 225,280.0075081 SFY'17 - 10/01/16 506,801.00 506,801.00 506,801.0075084 SFY'17 - 10/01/16 260,018.00 260,018.00 260,018.0075080 SFY'17 - 10/01/16 73,167.00 73,167.00 73,167.0075875 SFY'17 - 10/01/16 7,835.00 7,835.00 7,835.0075200 SFY'17 - 10/01/16 22,500.00 22,500.00 22,500.0075083 SFY'17 - 10/01/16 20,155.00 20,155.00 20,155.0075086 SFY'17 - 10/01/16 113,421.00 113,421.00 113,421.00
75000 SFY'18 - 07/01/17 46,064.00 1,893.00 1,893.00 44,171.0075082 SFY'18 - 07/01/17 75,173.00 12,201.00 12,201.00 62,972.0075081 SFY'18 - 07/01/17 159,286.00 12,698.00 12,698.00 146,588.0075084 SFY'18 - 07/01/17 95,803.00 54,178.00 54,178.00 41,625.0075080 SFY'18 - 07/01/17 24,389.00 3,034.00 3,034.00 21,355.0075875 SFY'18 - 07/01/17 30,211.00 30,211.0075200 SFY'18 - 07/01/17 7,500.00 7,500.0075083 SFY'18 - 07/01/17 6,718.00 1,797.00 1,797.00 4,921.0075086 SFY'18 - 07/01/17 37,807.00 37,807.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP-DBDHS MENTAL ILLNESS
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 68 PSA 20
REMITTANCE ADVICE FY 2017573
RMT 20 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
SENIOR SERVICES of SOUTHEASTERN VIRGINIA 6350 Center Drive, Suite 101
Norfolk VA 23502
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 2,675.00 10,652.50 1,475.00 12,127.50 (12,127.50)44417 12/22/14 - 12/21/17 512.50 1,250.00 50.00 1,300.00 (1,300.00)44415 9/14-3/16 4,325.00 4,325.00 4,325.00 (4,325.00)44413 10/12 - 9/13
44414 5,087.50 5,087.50 5,087.50 (5,087.50)
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19 1,805.00 8,865.00 325.00 9,190.00 (9,190.00)
45818 08/01/16 - 07/31/18 26,950.00 12,925.00 12,925.00 14,025.00
71001 2016
71001 2017 2,000.00 2,000.00
44016 2016 1,145.00 1,145.00 1,145.00 1,145.0044017 2017 1,085.00 1,085.00
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 6,289,334.00 368,372.00 4,869,995.00 349,003.00 5,218,998.00 1,070,336.0077.43% 82.98%
Dementia Capable Va-Expanding Families
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
ADRC REIMBURSEMENT
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Virginia Elder Justice YR2
Virginia Elder Justice YR3
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
GRANDDRIVER CAMPAIGN
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Model Approaches to Legal Assistance Sys
SUPPLEMENTAL NUTRITION ASSIST PROG.
FAN CARE PROGRAM
SR. FARMER'S MARKET
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
FAN CARE PROGRAM
Page 69 PSA 20
REMITTANCE ADVICE FY 2017574
RMT 21 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 6,575.00 6,575.00 6,575.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 60,844.00 60,844.00 60,844.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 9,122.00 9,122.00 9,122.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 3,649.00 3,649.00 3,649.00T-III E NFCSP FY'16 42516 10/16 - 09/17 28,589.00 28,589.00 28,589.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 1,277.00 1,277.00 1,277.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17 540,601.00 431,752.00 44,790.00 476,542.00 64,059.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 208,768.00 106,108.00 19,048.00 125,156.00 83,612.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 350,786.00 265,012.00 29,970.00 294,982.00 55,804.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 24,263.00 19,705.00 2,233.00 21,938.00 2,325.00T-III E NFCSP FY'17 42517 10/16 - 09/17 162,258.00 84,579.00 2,450.00 87,029.00 75,229.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 4,255.00 1,998.00 354.00 2,352.00 1,903.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17 10,545.00 10,545.00 10,545.00NSIP FY'17 42717 10/16 - 09/17 102,090.00 84,072.00 9,386.00 93,458.00 8,632.00
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
DOL (FY2016)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
PENINSULA AREA AGENCY ON AGING739 Thimble Shoals Boulevard, Suite 1006
Newport News VA 23606-3562
VICAP FFY '14
DUALS
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
Page 70 PSA 21
REMITTANCE ADVICE FY 2017574
RMT 21 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
PENINSULA AREA AGENCY ON AGING739 Thimble Shoals Boulevard, Suite 1006
Newport News VA 23606-3562
75000 SFY'17 - 07/01/16 7,862.00 7,862.00 7,862.0075082 SFY'17 - 07/01/16 21,012.00 21,012.00 21,012.0075081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16 7,771.00 7,771.00 7,771.0075200 SFY'17 - 07/01/16 3,868.00 3,868.00 3,868.0075083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16 52,584.00 52,584.00 52,584.0075082 SFY'17 - 10/01/16 126,347.00 126,347.00 126,347.0075081 SFY'17 - 10/01/16 54,827.00 54,827.00 54,827.0075084 SFY'17 - 10/01/16 193,991.00 193,991.00 193,991.0075080 SFY'17 - 10/01/16 29,516.00 29,516.00 29,516.0075875 SFY'17 - 10/01/16 31,662.00 31,662.00 31,662.0075200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16 46,836.00 46,836.00 46,836.00
75000 SFY'18 - 07/01/17 19,021.00 19,021.0075082 SFY'18 - 07/01/17 50,503.00 50,503.0075081 SFY'18 - 07/01/17 18,276.00 6,092.00 6,092.00 12,184.0075084 SFY'18 - 07/01/17 64,429.00 13,161.00 13,161.00 51,268.0075080 SFY'18 - 07/01/17 9,839.00 3,280.00 3,280.00 6,559.0075875 SFY'18 - 07/01/17 25,688.00 25,688.0075200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17 15,612.00 4,577.00 4,577.00 11,035.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF COM BASE
GF TRANSPORTATION
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF H D MEALS
GF T-III MATCH
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 71 PSA 21
REMITTANCE ADVICE FY 2017574
RMT 21 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
PENINSULA AREA AGENCY ON AGING739 Thimble Shoals Boulevard, Suite 1006
Newport News VA 23606-3562
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44414 2,157.50 2,157.50 2,157.50 (2,157.50)
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19 1,245.00 1,675.00 660.00 2,335.00 (2,335.00)
45818 08/01/16 - 07/31/18 53,900.00 6,600.00 6,600.00 47,300.00
71001 2016 2,953.00 2,511.00 2,511.00 2,511.00 442.0071001 2017 4,200.00 120.00 120.00 4,080.00
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 2,354,319.00 5,913.50 1,703,046.50 136,121.00 1,839,167.50 515,151.5072.34% 78.12%
DEMENTIA SERVICES - ADSSP
GRANDDRIVER CAMPAIGN
Dementia Capable Va-Expanding Families
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Page 72 PSA 21
REMITTANCE ADVICE FY 2017575
RMT 22 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17 2,594.00 2,594.00 2,594.00T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 2,986.00 2,986.00 2,986.00T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 3,587.00 3,587.00 3,587.00T-III D PREV HEAL FY'16 42416 10/16 - 09/17 1,542.00 1,542.00 1,542.00T-III E NFCSP FY'16 42516 10/16 - 09/17 2,559.00 2,559.00 2,559.00T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 505.00 505.00 505.00T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17 670.00 670.00 670.00
T-III B AP & SS FY'17 42017 10/16 - 09/17 189,343.00 169,265.00 169,265.00 20,078.00T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 106,174.00 95,416.00 5,155.00 100,571.00 5,603.00T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 137,942.00 115,227.00 1,084.00 116,311.00 21,631.00T-III D PREV HEAL FY'17 42417 10/16 - 09/17 10,255.00 9,611.00 644.00 10,255.00T-III E NFCSP FY'17 42517 10/16 - 09/17 63,851.00 46,989.00 1,766.00 48,755.00 15,096.00T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 1,682.00 1,069.00 1,069.00 613.00T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17 5,480.00 5,480.00 5,480.00
NSIP FY'16 42716 10/16 - 09/17 2,342.00 2,342.00 2,342.00NSIP FY'17 42717 10/16 - 09/17 22,669.00 22,669.00 22,669.00
46200 FY17 1,166.00 1,166.00 1,166.00
43516 7/1/15 - 6/30/16 80,406.00 80,406.00 80,406.00 80,406.0043517 7/1/16 - 6/30/17 80,530.00 19,552.00 73,995.00 6,535.00 80,530.00
44114 04/13 - 03/14 20,325.00 20,325.00 20,325.00 20,325.0044115 04/14 - 03/15 20,033.00 20,033.00 20,033.00 20,033.0044116 04/15 - 03/16 24,807.00 22,567.00 24,807.00 24,807.0044117 04/16 - 03/17 27,057.00 9,980.00 27,057.00 27,057.0044118 04/17 - 07/17 6,678.00 2,293.00 30.00 2,323.00 4,355.00
44817 9/30/14 - 9/29/17 15,650.00 9,656.00 15,650.00 15,650.0044977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17 7,487.00 4,924.00 7,487.00 7,487.00
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
DOL (FY2016)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
EASTERN SHORE AREA AGENCY ON AGING5432 Bayside Rd.
Exmore, VA 23350
VICAP FFY '14
DUALS
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
Page 73 PSA 22
REMITTANCE ADVICE FY 2017575
RMT 22 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
EASTERN SHORE AREA AGENCY ON AGING5432 Bayside Rd.
Exmore, VA 23350
75000 SFY'17 - 07/01/16 7,015.00 7,015.00 7,015.0075082 SFY'17 - 07/01/16 13,238.00 13,238.00 13,238.0075081 SFY'17 - 07/01/16 7,101.00 7,101.00 7,101.0075084 SFY'17 - 07/01/16 15,990.00 15,990.00 15,990.0075080 SFY'17 - 07/01/16 3,822.00 3,822.00 3,822.0075875 SFY'17 - 07/01/16 3,768.00 3,768.00 3,768.0075200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16 198.00 198.00 198.0075086 SFY'17 - 07/01/16 2,366.00 2,366.00 2,366.00
75000 SFY'17 - 10/01/16 19,882.00 19,882.00 19,882.0075082 SFY'17 - 10/01/16 59,576.00 59,576.00 59,576.0075081 SFY'17 - 10/01/16 52,043.00 52,043.00 52,043.0075084 SFY'17 - 10/01/16 45,733.00 45,733.00 45,733.0075080 SFY'17 - 10/01/16 11,603.00 11,603.00 11,603.0075875 SFY'17 - 10/01/16 2,585.00 2,585.00 2,585.0075200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16 8,302.00 8,302.00 8,302.0075086 SFY'17 - 10/01/16 17,709.00 17,709.00 17,709.00
75000 SFY'18 - 07/01/17 7,192.00 2,841.00 2,841.00 4,351.0075082 SFY'18 - 07/01/17 19,879.00 7,724.00 7,724.00 12,155.0075081 SFY'18 - 07/01/17 7,185.00 7,185.0075084 SFY'18 - 07/01/17 25,319.00 7,253.00 7,253.00 18,066.0075080 SFY'18 - 07/01/17 3,868.00 3,868.0075875 SFY'18 - 07/01/17 9,966.00 3,138.00 3,138.00 6,828.0075200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17 2,767.00 500.00 500.00 2,267.0075086 SFY'18 - 07/01/17 5,903.00 1,000.00 1,000.00 4,903.00
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF COM BASE
GF TRANSPORTATION
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF H D MEALS
GF T-III MATCH
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 74 PSA 22
REMITTANCE ADVICE FY 2017575
RMT 22 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
EASTERN SHORE AREA AGENCY ON AGING5432 Bayside Rd.
Exmore, VA 23350
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 8,850.00 33,250.00 4,350.00 37,600.00 (37,600.00)44417 12/22/14 - 12/21/17 9,500.00 26,250.00 2,300.00 28,550.00 (28,550.00)44415 9/14-3/16 9,200.00 9,200.00 9,200.00 (9,200.00)44413 10/12 - 9/13
44414 39,937.50 39,937.50 39,937.50 (39,937.50)
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19 1,545.00 1,545.00 (1,545.00)
45818 08/01/16 - 07/31/18 26,950.00 6,875.00 6,875.00 20,075.00
71001 2016
71001 2017
44016 2016 1,145.00 1,145.00 1,145.00 1,145.0044017 2017 1,075.00 1,075.00 1,075.00
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 1,220,500.00 256,075.50 1,144,863.50 45,395.00 1,190,258.50 30,241.5093.80% 97.52%
DEMENTIA SERVICES - ADSSP
GRANDDRIVER CAMPAIGN
Dementia Capable Va-Expanding Families
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Page 75 PSA 22
REMITTANCE ADVICE FY 2017539
RMT ADULT CARE SHEN 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
ADULT CARE CENTER OF THE NO SHENANDOAH VALLEY411 North Cameron St., Ste. 100
Winchester, VA 22601
VICAP FFY '14
DOL (FY2015)
DOL (FY2016)
DUALS
VICAP FFY '15
DMAS OMBUDSMAN
VICAP FFY '13
VICAP FFY '16
VICAP FFY '17
Page 76 ADULT CARE SHENANDOAH
REMITTANCE ADVICE FY 2017539
RMT ADULT CARE SHEN 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
ADULT CARE CENTER OF THE NO SHENANDOAH VALLEY411 North Cameron St., Ste. 100
Winchester, VA 22601
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16 8,366.00 7,289.00 8,366.00 8,366.0075083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16 33,750.00 33,750.00 33,750.0075083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17 11,250.00 11,250.0075083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF T-III MATCH
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF RESPITE CARE
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CENSUS ADJUSTMENT
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF OMBUDSMAN
Page 77 ADULT CARE SHENANDOAH
REMITTANCE ADVICE FY 2017539
RMT ADULT CARE SHEN 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
ADULT CARE CENTER OF THE NO SHENANDOAH VALLEY411 North Cameron St., Ste. 100
Winchester, VA 22601
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 53,366.00 7,289.00 42,116.00 11,250.004211600.00% 78.92%
0.79
Dementia Capable Va-Expanding Families
Virginia Elder Justice YR1
Virginia Elder Justice YR2
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Page 78 ADULT CARE SHENANDOAH
REMITTANCE ADVICE FY 2017582
RMT ADULT CARE 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
ADULT CARE CENTER OF CENTRAL VIRGINIAP O Box 568
Lynchburg, VA 24505
VICAP FFY '15
VICAP FFY '16
DOL (FY2016)
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
VICAP FFY '14
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
VICAP FFY '17
MIPPA Priority # 3 (ACL)
DUALS
Page 79 ADULT CARE CTR OF CENTRAL VA
REMITTANCE ADVICE FY 2017582
RMT ADULT CARE 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
ADULT CARE CENTER OF CENTRAL VIRGINIAP O Box 568
Lynchburg, VA 24505
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16 26,250.00 26,250.00 26,250.0075083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17 8,750.00 8,750.0075083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF T-III MATCH
CARE COORDINATION
GF H D MEALS
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
EASTERN VA CARE TRANSITIONS
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 80 ADULT CARE CTR OF CENTRAL VA
REMITTANCE ADVICE FY 2017582
RMT ADULT CARE 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
ADULT CARE CENTER OF CENTRAL VIRGINIAP O Box 568
Lynchburg, VA 24505
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 35,000.00 26,250.00 8,750.002625000.00% 75.00%
0.75
NO WRONG DOOR
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Dementia Capable Va-Expanding Families
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
CDSME - Chronic Disease Self-Mgmt Ed
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SUPPLEMENTAL NUTRITION ASSIST PROG.
GRANDDRIVER CAMPAIGN
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
Page 81 ADULT CARE CTR OF CENTRAL VA
REMITTANCE ADVICE FY 2017532
RMT Alleghany 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
DMAS OMBUDSMAN
VICAP FFY '13
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
ALLEGHANY HIGHLAND COMMUNITY SERVICES205 E. Hawthorne Street
Covington ,VA 24426
VICAP FFY '14
DOL (FY2015)
DOL (FY2016)
DUALS
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
Page 82 ALLEGHANY HIGHLANDS
REMITTANCE ADVICE FY 2017532
RMT Alleghany 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
ALLEGHANY HIGHLAND COMMUNITY SERVICES205 E. Hawthorne Street
Covington ,VA 24426
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17) 1,270.00 1,270.00 1,270.0075097 SFY'17 (7/1/16-6/30/17) 57,267.00 11,871.00 57,267.00 57,267.0075090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18) 57,267.00 4,772.00 4,772.00 52,495.0075090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF T-III MATCH
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF RESPITE CARE
GF COM BASE
GF TRANSPORTATION
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CENSUS ADJUSTMENT
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF OMBUDSMAN
GF OMBUDSMAN
GF COM BASE
GF TRANSPORTATION
Page 83 ALLEGHANY HIGHLANDS
REMITTANCE ADVICE FY 2017532
RMT Alleghany 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
ALLEGHANY HIGHLAND COMMUNITY SERVICES205 E. Hawthorne Street
Covington ,VA 24426
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 115,804.00 11,871.00 4,772.00 63,309.00 52,495.005853700.00% 54.67%
0.51
DEMENTIA ADI SSS
NO WRONG DOOR
Dementia Capable Va-Expanding Families
Virginia Elder Justice YR1
Virginia Elder Justice YR2
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Page 84 ALLEGHANY HIGHLANDS
REMITTANCE ADVICE FY 2017584
RMT ARC 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
DMAS OMBUDSMAN
VICAP FFY '13
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
THE ARC OF NORTHERN VA2755 Hartland Road - Suite 200
Falls Church, VA 22043
VICAP FFY '14
DOL (FY2015)
DOL (FY2016)
DUALS
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
Page 85 ARC NORTH VA
REMITTANCE ADVICE FY 2017584
RMT ARC 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
THE ARC OF NORTHERN VA2755 Hartland Road - Suite 200
Falls Church, VA 22043
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17) 2,116.00 2,116.00 2,116.0075097 SFY'17 (7/1/16-6/30/17) 55,339.00 13,835.00 55,339.00 55,339.0075090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17) 92,500.00 23,125.00 92,500.00 92,500.0075094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18) 55,339.00 55,339.0075090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18) 92,500.00 92,500.0075094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF TRANSPORTATION
GF T-III MATCH
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF RESPITE CARE
GF COM BASE
GF TRANSPORTATION
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CENSUS ADJUSTMENT
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF OMBUDSMAN
GF RESPITE CARE
CENSUS ADJUSTMENT
GF COM BASE
Page 86 ARC NORTH VA
REMITTANCE ADVICE FY 2017584
RMT ARC 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
THE ARC OF NORTHERN VA2755 Hartland Road - Suite 200
Falls Church, VA 22043
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 297,794.00 36,960.00 149,955.00 147,839.0014995500.00% 50.36%
0.50
DEMENTIA ADI SSS
NO WRONG DOOR
Dementia Capable Va-Expanding Families
Virginia Elder Justice YR1
Virginia Elder Justice YR2
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Page 87 ARC NORTH VA
REMITTANCE ADVICE FY 2017550
RMT AUTUMN 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17DUALS
AUTUMN VALLEY GUARDIANSHIP INCP O Box 847
Basye, VA 22810
DOL (FY2015)
VICAP FFY '13
VICAP FFY '14
DOL (FY2016)
DMAS OMBUDSMAN
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
Page 88 Autumn Valley
REMITTANCE ADVICE FY 2017550
RMT AUTUMN 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
AUTUMN VALLEY GUARDIANSHIP INCP O Box 847
Basye, VA 22810
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17) 776.00 776.00 776.0075097 SFY'17 (7/1/16-6/30/17) 7,000.00 1,749.00 7,000.00 7,000.0075090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17) 38,888.00 9,723.00 38,888.00 38,888.0075094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18) 7,000.00 583.00 583.00 6,417.0075090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18) 38,888.00 3,241.00 3,241.00 35,647.0075094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF OMBUDSMAN
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF RESPITE CARE
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 89 Autumn Valley
REMITTANCE ADVICE FY 2017550
RMT AUTUMN 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
AUTUMN VALLEY GUARDIANSHIP INCP O Box 847
Basye, VA 22810
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 92,552.00 11,472.00 3,824.00 50,488.00 42,064.004666400.00% 54.55%
0.50
ADRC-State LTSS Access NWD
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
Dementia Capable Va-Expanding Families
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Page 90 Autumn Valley
REMITTANCE ADVICE FY 2017548
RMT BIRMINGHAM GREEN 07/01/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
BIRMINGHAM GREEN ADULT CARE RESIDENCE8605 Centreville RoadManassas, VA 20110
DOL (FY2015)
VICAP FFY '17
VICAP FFY '16
DOL (FY2016)
VICAP FFY '13
VICAP FFY '14
VICAP FFY '15
DMAS OMBUDSMAN
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
DUALS
Page 91 BIRMINGHAM GREEN
REMITTANCE ADVICE FY 2017548
RMT BIRMINGHAM GREEN 07/01/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
BIRMINGHAM GREEN ADULT CARE RESIDENCE8605 Centreville RoadManassas, VA 20110
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17) 250,000.00 250,000.00 250,000.00
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18) 250,000.00 250,000.00
CENSUS ADJUSTMENT
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GF RESPITE CARE
GF H D MEALS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
CARE COORDINATION
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF RESPITE CARE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CARE COORDINATION
GF T-III MATCH
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
GF COM BASE
GUARDIANSHIP
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GF TRANSPORTATION
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
Page 92 BIRMINGHAM GREEN
REMITTANCE ADVICE FY 2017548
RMT BIRMINGHAM GREEN 07/01/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
BIRMINGHAM GREEN ADULT CARE RESIDENCE8605 Centreville RoadManassas, VA 20110
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 500,000.00 250,000.00 250,000.00 250,000.00100.00% 50.00%
ADRC-State LTSS Access NWD
FAN CARE PROGRAM
Model Approaches to Legal Assistance Sys
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
ADRC REIMBURSEMENT
ADRC "E"
ADRC Options Counseling for DUALS
Virginia Elder Justice YR3
Virginia Elder Justice YR2
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
SUPPLEMENTAL NUTRITION ASSIST PROG.
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
NO WRONG DOOR
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Dementia Capable Va-Expanding Families
Page 93 BIRMINGHAM GREEN
REMITTANCE ADVICE FY 2017580
RMT BRIDGES 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
BRIDGES SENIOR CARE SOLUTIONS INCP O Box 1310
Fredericksburg VA 22402
VICAP FFY '15
VICAP FFY '16
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
MIPPA Priority # 1 (ACL)
VICAP FFY '17
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
VICAP FFY '14
DOL (FY2016)
DUALS
Page 94 BRIDGES-SR CARE
REMITTANCE ADVICE FY 2017580
RMT BRIDGES 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
BRIDGES SENIOR CARE SOLUTIONS INCP O Box 1310
Fredericksburg VA 22402
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17) 11,004.00 11,004.00 11,004.0075097 SFY'17 (7/1/16-6/30/17) 206,440.00 51,609.00 206,440.00 206,440.0075090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17) 387,843.00 96,960.00 387,843.00 387,843.0075094 SFY'17 (7/1/16-6/30/17) 135,000.00 33,750.00 135,000.00 135,000.0075800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18) 206,440.00 17,203.00 17,203.00 189,237.0075090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18) 387,843.00 32,320.00 32,320.00 355,523.0075094 SFY'18 (7/1/17-6/30/18) 135,000.00 11,250.00 11,250.00 123,750.0075800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF OMBUDSMAN
GF OMBUDSMAN
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF RESPITE CARE
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CARE COORDINATION
GF RESPITE CARE
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CENSUS ADJUSTMENT
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
CARE COORDINATION
GUARDIANSHIP - ONE TIME AWARD
GF RESPITE CARE
GF OMBUDSMAN
GF H D MEALS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
CENSUS ADJUSTMENT
GUARDIANSHIP
GF COM BASE
GF TRANSPORTATION
GF T-III MATCH
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
Page 95 BRIDGES-SR CARE
REMITTANCE ADVICE FY 2017580
RMT BRIDGES 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
BRIDGES SENIOR CARE SOLUTIONS INCP O Box 1310
Fredericksburg VA 22402
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
44415 9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 1,469,570.00 182,319.00 740,287.00 60,773.00 801,060.00 668,510.0050.37% 54.51%
GRANDDRIVER CAMPAIGN
DEMENTIA SERVICES - ADSSP
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
NO WRONG DOOR
Dementia Capable Va-Expanding Families
ADRC-State LTSS Access NWD
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
GRANDDRIVER CAMPAIGN
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
Page 96 BRIDGES-SR CARE
REMITTANCE ADVICE FY 2017583
RMT CATHOLIC RICH 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
DUALS
COMMONWEALTH CATHOLIC CHARITIES OF GREATER RICH1601 Rolling Hills Dr.
Richmond, VA 23229
DOL (FY2015)
VICAP FFY '13
VICAP FFY '14
DOL (FY2016)
DMAS OMBUDSMAN
Page 97 CATHOLIC RICH
REMITTANCE ADVICE FY 2017583
RMT CATHOLIC RICH 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
COMMONWEALTH CATHOLIC CHARITIES OF GREATER RICH1601 Rolling Hills Dr.
Richmond, VA 23229
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17) 7,758.00 7,758.00 7,758.0075097 SFY'17 (7/1/16-6/30/17) 53,000.00 8,834.00 53,000.00 53,000.0075090 SFY'17 (7/1/16-6/30/17) 67,979.00 11,330.00 67,979.00 67,979.0075095 SFY'17 (7/1/16-6/30/17) 372,268.00 62,044.00 372,268.00 372,268.0075094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18) 53,000.00 53,000.0075090 SFY'18 (7/1/17-6/30/18) 67,979.00 67,979.0075095 SFY'18 (7/1/17-6/30/18) 372,268.00 372,268.0075094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF TRANSPORTATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
GF H D MEALS
GF COM BASE
GF TRANSPORTATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
EASTERN VA CARE TRANSITIONS
Page 98 CATHOLIC RICH
REMITTANCE ADVICE FY 2017583
RMT CATHOLIC RICH 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
COMMONWEALTH CATHOLIC CHARITIES OF GREATER RICH1601 Rolling Hills Dr.
Richmond, VA 23229
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 994,252.00 82,208.00 501,005.00 501,005.00 493,247.0050.39% 50.39%
Dementia Capable Va-Expanding Families
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
GRANDDRIVER CAMPAIGN
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Page 99 CATHOLIC RICH
REMITTANCE ADVICE FY 2017543
RMT CATHOLIC EASTERN 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
DMAS OMBUDSMAN
VICAP FFY '13
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
CATHOLIC CHARITIES OF EASTERN VIRGINIA INC5361 Virginia Beach Blvd
Virginia Beach, VA 23462
VICAP FFY '14
DOL (FY2015)
DOL (FY2016)
DUALS
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
Page 100 CATHOLIC EASTERN
REMITTANCE ADVICE FY 2017543
RMT CATHOLIC EASTERN 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
CATHOLIC CHARITIES OF EASTERN VIRGINIA INC5361 Virginia Beach Blvd
Virginia Beach, VA 23462
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17) 5,361.00 5,361.00 5,361.0075097 SFY'17 (7/1/16-6/30/17) 155,387.00 38,847.00 155,387.00 155,387.0075090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17) 88,500.00 22,125.00 88,500.00 88,500.0075094 SFY'17 (7/1/16-6/30/17)
75430 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18) 155,387.00 12,949.00 12,949.00 142,438.0075090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18) 88,500.00 7,375.00 7,375.00 81,125.0075094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF T-III MATCH
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF RESPITE CARE
GF TRANSPORTATION
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CENSUS ADJUSTMENT
GF COM BASE
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF OMBUDSMAN
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF TRANSPORTATION
Page 101 CATHOLIC EASTERN
REMITTANCE ADVICE FY 2017543
RMT CATHOLIC EASTERN 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
CATHOLIC CHARITIES OF EASTERN VIRGINIA INC5361 Virginia Beach Blvd
Virginia Beach, VA 23462
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 493,135.00 60,972.00 249,248.00 20,324.00 269,572.00 223,563.0050.54% 54.66%
NO WRONG DOOR
Dementia Capable Va-Expanding Families
Virginia Elder Justice YR1
Virginia Elder Justice YR2
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Page 102 CATHOLIC EASTERN
REMITTANCE ADVICE FY 2017588
RMT- ENDEPENDENCE 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17
T-III C1 CON MEAL FY'16 42216 10/16 - 09/17
T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17
T-III D PREV HEAL FY'16 42416 10/16 - 09/17
T-III E NFCSP FY'16 42516 10/16 - 09/17
T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17
T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17
T-III C1 CON MEAL FY'17 42217 10/16 - 09/17
T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17
T-III D PREV HEAL FY'17 42417 10/16 - 09/17
T-III E NFCSP FY'17 42517 10/16 - 09/17
T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17
T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17
NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
DMAS OMBUDSMAN
Norfolk VA 23502
ENDEPENDENCE CENTER INC6300 E Virginia Beach Blvd
VICAP FFY '13
VICAP FFY '14
VICAP FFY '15
DOL (FY2015)
DOL (FY2016)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
DUALS
VICAP FFY '16
VICAP FFY '17
Page 103 ENDEPENDENCE CENTER
REMITTANCE ADVICE FY 2017588
RMT- ENDEPENDENCE 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
Norfolk VA 23502
ENDEPENDENCE CENTER INC6300 E Virginia Beach Blvd
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF T-III MATCH
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
Page 104 ENDEPENDENCE CENTER
REMITTANCE ADVICE FY 2017588
RMT- ENDEPENDENCE 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
Norfolk VA 23502
ENDEPENDENCE CENTER INC6300 E Virginia Beach Blvd
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 900.00 9,250.00 625.00 9,875.00 (9,875.00)44417 12/22/14 - 12/21/17 1,200.00 4,487.50 1,312.50 5,800.00 (5,800.00)44415 9/14-3/16 2,375.00 2,375.00 2,375.00 (2,375.00)44413 10/12 - 9/13
44414 39,001.50 39,001.50 39,001.50 (39,001.50)
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 43,476.50 55,114.00 1,937.50 57,051.50 (57,051.50)#DIV/0! #DIV/0!
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
GRANDDRIVER CAMPAIGN
SUPPLEMENTAL NUTRITION ASSIST PROG.
VHQC - DIABETES SELF MGMT PRGRAM
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Virginia Elder Justice YR3
GRANDDRIVER CAMPAIGN
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
ADRC REIMBURSEMENT
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Dementia Capable Va-Expanding Families
FAN CARE PROGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
Page 105 ENDEPENDENCE CENTER
REMITTANCE ADVICE FY 2017500
RMT FAMILY SER 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
FAMILY SERVICES OF ROANOKE VALLEY360 Campbell Ave
Roanoke, VA 24016
VICAP FFY '15
VICAP FFY '16
DOL (FY2016)
DMAS OMBUDSMAN
DOL (FY2015)
VICAP FFY '13
VICAP FFY '14
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
DUALS
VICAP FFY '17
Page 106 FAMILY SER ROANOKE VALLEY
REMITTANCE ADVICE FY 2017500
RMT FAMILY SER 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
FAMILY SERVICES OF ROANOKE VALLEY360 Campbell Ave
Roanoke, VA 24016
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17) 4,938.00 4,938.00 4,938.0075097 SFY'17 (7/1/16-6/30/17) 97,546.00 16,748.00 97,546.00 97,546.0075090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17) 123,192.00 19,637.00 123,192.00 123,192.0075094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18) 97,546.00 97,546.0075090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18) 123,192.00 123,192.0075094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
CARE COORDINATION
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF T-III MATCH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
EASTERN VA CARE TRANSITIONS
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 107 FAMILY SER ROANOKE VALLEY
REMITTANCE ADVICE FY 2017500
RMT FAMILY SER 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
FAMILY SERVICES OF ROANOKE VALLEY360 Campbell Ave
Roanoke, VA 24016
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 446,414.00 36,385.00 225,676.00 220,738.0022567600.00% 50.55%
0.51
DEMENTIA ADI SSS
NO WRONG DOOR
Dementia Capable Va-Expanding Families
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Page 108 FAMILY SER ROANOKE VALLEY
REMITTANCE ADVICE FY 2017542
RMT JEWISH RICH 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
DMAS OMBUDSMAN
DUALS
DOL (FY2015)
VICAP FFY '13
VICAP FFY '14
DOL (FY2016)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
6718 Patterson AvenueRichmond, VA 23226
JEWISH FAMILY SERVICES - RICHMOND
Page 109 JEWISH FAMILY - RICH
REMITTANCE ADVICE FY 2017542
RMT JEWISH RICH 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
6718 Patterson AvenueRichmond, VA 23226
JEWISH FAMILY SERVICES - RICHMOND
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75420 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75420 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17) 2,822.00 2,822.00 2,822.0075097 SFY'17 (7/1/16-6/30/17) 92,836.00 23,208.00 92,836.00 92,836.0075090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17) 85,659.00 21,414.00 85,659.00 85,659.0075094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18) 92,836.00 7,736.00 7,736.00 85,100.0075090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18) 85,659.00 7,138.00 7,138.00 78,521.0075094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP - ONE TIME AWARD
GF H D MEALS
GF T-III MATCH
GUARDIANSHIP-DBHDS ID/DDS
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP
CARE COORDINATION
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
GUARDIANSHIP MENTAL HEALTH
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GF H D MEALS
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 110 JEWISH FAMILY - RICH
REMITTANCE ADVICE FY 2017542
RMT JEWISH RICH 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
6718 Patterson AvenueRichmond, VA 23226
JEWISH FAMILY SERVICES - RICHMOND
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 359,812.00 44,622.00 14,874.00 196,191.00 163,621.0018131700.00% 54.53%
0.50
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Partnership People w/Disabilities
Partnership People w/Disabilities
NO WRONG DOOR
GRANDDRIVER CAMPAIGN
SR. FARMER'S MARKET
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
Partnership People w/Disabilities
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Dementia Capable Va-Expanding Families
Page 111 JEWISH FAMILY - RICH
REMITTANCE ADVICE FY 2017581
RMT JEWISH TIDEWATER 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
DMAS OMBUDSMAN
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
VICAP FFY '15
VICAP FFY '16
DUALS
JEWISH FAMILY SERVICES OF TIDEWATER260 Grayson Rd
Virginia Beach VA 23462
DOL (FY2015)
VICAP FFY '13
VICAP FFY '14
DOL (FY2016)
VICAP FFY '17
Page 112 JEWISH FAMILY - TIDEWATER
REMITTANCE ADVICE FY 2017581
RMT JEWISH TIDEWATER 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
JEWISH FAMILY SERVICES OF TIDEWATER260 Grayson Rd
Virginia Beach VA 23462
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75094 SFY'17 (4/1/17-6/30/17) 10,228.00 10,228.00 10,228.0075097 SFY'17 (7/1/16-6/30/17) 212,918.00 53,229.00 212,918.00 212,918.0075090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17) 228,750.00 57,189.00 228,750.00 228,750.0075094 SFY'17 (7/1/16-6/30/17) 133,323.00 33,000.00 133,323.00 133,323.0075800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18) 212,918.00 17,743.00 17,743.00 195,175.0075090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18) 228,750.00 19,063.00 19,063.00 209,687.0075094 SFY'18 (7/1/17-6/30/18) 138,000.00 11,500.00 11,500.00 126,500.0075800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
Page 113 JEWISH FAMILY - TIDEWATER
REMITTANCE ADVICE FY 2017581
RMT JEWISH TIDEWATER 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
JEWISH FAMILY SERVICES OF TIDEWATER260 Grayson Rd
Virginia Beach VA 23462
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 1,164,887.00 143,418.00 585,219.00 48,306.00 633,525.00 531,362.0050.24% 54.39%
NO WRONG DOOR
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Dementia Capable Va-Expanding Families
Model Approaches to Legal Assistance Sys
Virginia Elder Justice YR1
Virginia Elder Justice YR2
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
SR. FARMER'S MARKET
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
FAN CARE PROGRAM
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
GRANDDRIVER CAMPAIGN
ADRC REIMBURSEMENT
Page 114 JEWISH FAMILY - TIDEWATER
REMITTANCE ADVICE FY 2017
RMT JEWISH SOCIAL SERV 07/31/17 032PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17
T-III C1 CON MEAL FY'16 42216 10/16 - 09/17
T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17
T-III D PREV HEAL FY'16 42416 10/16 - 09/17
T-III E NFCSP FY'16 42516 10/16 - 09/17
T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17
T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17
T-III C1 CON MEAL FY'17 42217 10/16 - 09/17
T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17
T-III D PREV HEAL FY'17 42417 10/16 - 09/17
T-III E NFCSP FY'17 42517 10/16 - 09/17
T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17
T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17
NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
DMAS OMBUDSMAN
JEWISH SOCIAL SERVICE AGENCY6123 Montrose RoadRockville, MD 20852
VICAP FFY '13
VICAP FFY '14
VICAP FFY '15
DOL (FY2015)
DOL (FY2016)
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
DUALS
VICAP FFY '16
VICAP FFY '17
Page 115 JEWISH SOCIAL SERVICE AGENCY
REMITTANCE ADVICE FY 2017
RMT JEWISH SOCIAL SERV 07/31/17 032PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
JEWISH SOCIAL SERVICE AGENCY6123 Montrose RoadRockville, MD 20852
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17) 50,000.00 17,151.00 50,000.00 50,000.0075140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18) 100,000.00 2,947.00 2,947.00 97,053.0075140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF T-III MATCH
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
Page 116 JEWISH SOCIAL SERVICE AGENCY
REMITTANCE ADVICE FY 2017
RMT JEWISH SOCIAL SERV 07/31/17 032PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
JEWISH SOCIAL SERVICE AGENCY6123 Montrose RoadRockville, MD 20852
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
44417 12/22/14 - 12/21/17
9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 150,000.00 17,151.00 50,000.00 2,947.00 52,947.00 97,053.0033.33% 35.30%
Deobligated Funds
Dementia Capable Va-Expanding Families
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
Virginia Elder Justice YR1
Virginia Elder Justice YR2
Virginia Elder Justice YR3
SUPPLEMENTAL NUTRITION ASSIST PROG.
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
GRANDDRIVER CAMPAIGN
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
ADRC REIMBURSEMENT
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Page 117 JEWISH SOCIAL SERVICE AGENCY
REMITTANCE ADVICE FY 2017
RMT - JUNCTION 07/31/17 587PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
DMAS OMBUDSMAN
VICAP FFY '13
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
JUNCTION CENTER FOR INDEPENDENT LIVINGP O Box 1210
Norton, VA 24273
VICAP FFY '14
DOL (FY2015)
DOL (FY2016)
DUALS
VICAP FFY '15
VICAP FFY '16
VICAP FFY '17
Page 118 JUNCTION CENTER
REMITTANCE ADVICE FY 2017
RMT - JUNCTION 07/31/17 587PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
JUNCTION CENTER FOR INDEPENDENT LIVINGP O Box 1210
Norton, VA 24273
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF T-III MATCH
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF RESPITE CARE
GF COM BASE
GF TRANSPORTATION
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CENSUS ADJUSTMENT
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP
GF OMBUDSMAN
GUARDIANSHIP - ONE TIME AWARD
Page 119 JUNCTION CENTER
REMITTANCE ADVICE FY 2017
RMT - JUNCTION 07/31/17 587PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
JUNCTION CENTER FOR INDEPENDENT LIVINGP O Box 1210
Norton, VA 24273
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 1,412.50 5,400.00 175.00 5,575.00 (5,575.00)44417 12/22/14 - 12/21/17 1,025.00 1,862.50 1,862.50 (1,862.50)44415 9/14-3/16 1,350.00 1,350.00 1,350.00 (1,350.00)44413 10/12 - 9/13
44414 8,900.00 8,900.00 8,900.00 (8,900.00)
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 12,687.50 17,512.50 175.00 17,687.50 (17,687.50)#DIV/0! #DIV/0!
DEMENTIA ADI SSS
Dementia Capable Va-Expanding Families
Virginia Elder Justice YR1
Virginia Elder Justice YR2
CDSME - Chronic Disease Self-Mgmt Ed
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Page 120 JUNCTION CENTER
REMITTANCE ADVICE FY 2017
RMT STEPS 07/31/17 590PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16 266,152.00 266,152.00 266,152.00 266,152.0043517 7/1/16 - 6/30/17 245,538.00 23,282.00 202,495.00 41,343.00 243,838.00 1,700.00
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
SOUTHSIDE TRAINING EMPLOYMENT & PLACEMENT SERVICES INC225 Industrial Park Road
Farmville, VA 23901
VICAP FFY '14
DOL (FY2015)
DOL (FY2016)
DUALS
VICAP FFY '15
VICAP FFY '16
DMAS OMBUDSMAN
VICAP FFY '13
VICAP FFY '17
Page 121 STEPS
REMITTANCE ADVICE FY 2017
RMT STEPS 07/31/17 590PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
SOUTHSIDE TRAINING EMPLOYMENT & PLACEMENT SERVICES INC225 Industrial Park Road
Farmville, VA 23901
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF T-III MATCH
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF RESPITE CARE
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CENSUS ADJUSTMENT
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF OMBUDSMAN
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 122 STEPS
REMITTANCE ADVICE FY 2017
RMT STEPS 07/31/17 590PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
SOUTHSIDE TRAINING EMPLOYMENT & PLACEMENT SERVICES INC225 Industrial Park Road
Farmville, VA 23901
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 511,690.00 289,434.00 468,647.00 41,343.00 509,990.00 1,700.0091.59% 99.67%
Dementia Capable Va-Expanding Families
Virginia Elder Justice YR1
Virginia Elder Justice YR2
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
GRANDDRIVER CAMPAIGN
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
NO WRONG DOOR
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
Page 123 STEPS
REMITTANCE ADVICE FY 2017
RMT -Valley Assoc 07/31/17 592PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17T-III C1 CON MEAL FY'16 42216 10/16 - 09/17T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17T-III D PREV HEAL FY'16 42416 10/16 - 09/17T-III E NFCSP FY'16 42516 10/16 - 09/17T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17T-III C1 CON MEAL FY'17 42217 10/16 - 09/17T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17T-III D PREV HEAL FY'17 42417 10/16 - 09/17T-III E NFCSP FY'17 42517 10/16 - 09/17T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
MIPPA Priority # 3 (ACL)
VALLEY ASSOCIATES FOR INDEPENDENT LIVING, INC3210 Peoples Drive - Suite 220
Harrisonburg, VA 22801
VICAP FFY '14
DOL (FY2015)
DOL (FY2016)
DUALS
VICAP FFY '15
VICAP FFY '16
DMAS OMBUDSMAN
VICAP FFY '13
VICAP FFY '17
Page 124 VALLEY ASSOCIATES
REMITTANCE ADVICE FY 2017
RMT -Valley Assoc 07/31/17 592PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
VALLEY ASSOCIATES FOR INDEPENDENT LIVING, INC3210 Peoples Drive - Suite 220
Harrisonburg, VA 22801
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
GF T-III MATCH
CARE COORDINATION
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GF RESPITE CARE
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CENSUS ADJUSTMENT
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF OMBUDSMAN
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
EASTERN VA CARE TRANSITIONS
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 125 VALLEY ASSOCIATES
REMITTANCE ADVICE FY 2017
RMT -Valley Assoc 07/31/17 592PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2016 PAID PAYMENT PAYMENT BALANCE
VALLEY ASSOCIATES FOR INDEPENDENT LIVING, INC3210 Peoples Drive - Suite 220
Harrisonburg, VA 22801
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18 6,375.00 12,538.50 112.50 12,651.00 (12,651.00)44417 12/22/14 - 12/21/17 5,075.00 10,750.00 10,750.00 (10,750.00)44415 9/14-3/16 2,775.00 2,775.00 2,775.00 (2,775.00)44413 10/12 - 9/13
44413 12,730.00 12,730.00 12,730.00 (12,730.00)
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 26,955.00 38,793.50 38,906.00 (38,906.00)#DIV/0! #DIV/0!
Dementia Capable Va-Expanding Families
Virginia Elder Justice YR1
Virginia Elder Justice YR2
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
FAN CARE PROGRAM
GRANDDRIVER CAMPAIGN
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA SERVICES - ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
GRANDDRIVER CAMPAIGN
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
NO WRONG DOOR
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
Page 126 VALLEY ASSOCIATES
REMITTANCE ADVICE FY 2017546
RMT VPLC 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2013 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS FY'16 42016 10/16 - 09/17
T-III C1 CON MEAL FY'16 42216 10/16 - 09/17
T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17
T-III D PREV HEAL FY'16 42416 10/16 - 09/17
T-III E NFCSP FY'16 42516 10/16 - 09/17
T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17
T-VII OMBUDSMAN FY'16 43616 10/16 - 09/17
T-III B AP & SS FY'17 42017 10/16 - 09/17
T-III C1 CON MEAL FY'17 42217 10/16 - 09/17
T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17
T-III D PREV HEAL FY'17 42417 10/16 - 09/17
T-III E NFCSP FY'17 42517 10/16 - 09/17
T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17
T-VII OMBUDSMAN FY'17 43617 10/16 - 09/17
NSIP FY'16 42716 10/16 - 09/17
NSIP FY'17 42717 10/16 - 09/17
46200 FY17
43516 7/1/15 - 6/30/16
43517 7/1/16 - 6/30/17
44114 04/13 - 03/14
44115 04/14 - 03/15
44116 04/15 - 03/16
44117 04/16 - 03/17
44118 04/17 - 07/17
44817 9/30/14 - 9/29/17
44977 9/30/14 - 9/29/17
44917 9/30/14 - 9/29/17
44417 12/22/14 - 12/21/17DUALS
DOL (FY2015)
VICAP FFY '13
VICAP FFY '14
DOL (FY2016)
VICAP FFY '15
VICAP FFY '16
DMAS OMBUDSMAN
VIRGINIA POVERTY LAW CENTER (VPLC)919 E. Main Street - Suite 610
Richmond, VA 23229
MIPPA Priority # 1 (ACL)
MIPPA Priority # 2 (ACL)
VICAP FFY '17
MIPPA Priority # 3 (ACL)
Page 127 VA POVERTY LAW CENTER (VPLC)
REMITTANCE ADVICE FY 2017546
RMT VPLC 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2013 PAID PAYMENT PAYMENT BALANCE
VIRGINIA POVERTY LAW CENTER (VPLC)919 E. Main Street - Suite 610
Richmond, VA 23229
75000 SFY'17 - 07/01/16
75082 SFY'17 - 07/01/16
75081 SFY'17 - 07/01/16
75084 SFY'17 - 07/01/16
75080 SFY'17 - 07/01/16
75875 SFY'17 - 07/01/16
75200 SFY'17 - 07/01/16
75083 SFY'17 - 07/01/16
75086 SFY'17 - 07/01/16
75000 SFY'17 - 10/01/16
75082 SFY'17 - 10/01/16
75081 SFY'17 - 10/01/16
75084 SFY'17 - 10/01/16
75080 SFY'17 - 10/01/16
75875 SFY'17 - 10/01/16
75200 SFY'17 - 10/01/16
75083 SFY'17 - 10/01/16
75086 SFY'17 - 10/01/16
75000 SFY'18 - 07/01/17
75082 SFY'18 - 07/01/17
75081 SFY'18 - 07/01/17
75084 SFY'18 - 07/01/17
75080 SFY'18 - 07/01/17
75875 SFY'18 - 07/01/17
75200 SFY'18 - 07/01/17
75083 SFY'18 - 07/01/17
75086 SFY'18 - 07/01/17
75097 SFY'17 (4/1/17-6/30/17)
75097 SFY'17 (7/1/16-6/30/17)
75090 SFY'17 (7/1/16-6/30/17)
75095 SFY'17 (7/1/16-6/30/17)
75094 SFY'17 (7/1/16-6/30/17)
75800 SFY'17 (7/1/16-6/30/17)
75150 SFY'17 (7/1/16-6/30/17)
75120 SFY'17 (7/1/16-6/30/17)
75140 SFY'17 (7/1/16-6/30/17)
75810 SFY'17 (7/1/16-6/30/17)
75097 SFY'18 (7/1/17-6/30/18)
75090 SFY'18 (7/1/17-6/30/18)
75095 SFY'18 (7/1/17-6/30/18)
75094 SFY'18 (7/1/17-6/30/18)
75800 SFY'18 (7/1/17-6/30/18)
75150 SFY'18 (7/1/17-6/30/18)
75120 SFY'18 (7/1/17-6/30/18)
75140 SFY'18 (7/1/17-6/30/18)
75810 SFY'18 (7/1/17-6/30/18)
CENSUS ADJUSTMENT
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
CENSUS ADJUSTMENT
GF COM BASE
GF TRANSPORTATION
GF COM BASE
GF TRANSPORTATION
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
EASTERN VA CARE TRANSITIONS
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR Title III C1 & 2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF H D MEALS
GF T-III MATCH
CARE COORDINATION
GUARDIANSHIP - ONE TIME AWARD
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
EASTERN VA CARE TRANSITIONS
BIRMINGHAM GREEN-RESIDENTIAL SERV
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
Page 128 VA POVERTY LAW CENTER (VPLC)
REMITTANCE ADVICE FY 2017546
RMT VPLC 07/31/17PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
OBLIGATION 10/1/2013 PAID PAYMENT PAYMENT BALANCE
VIRGINIA POVERTY LAW CENTER (VPLC)919 E. Main Street - Suite 610
Richmond, VA 23229
45118 09/16 - 02/18
45917 09/14 - 08/15
45917 09/15 - 08/16
45917 09/16 - 08/17
45918 09/15 - 08/16
45918 09/16 - 08/17
45918 09/17 - 08/18
44418 10/01/16 - 09/30/17
44418 09/30/15 - 09/29/18
12/22/14 - 12/21/17
9/14-3/16
44413 10/12 - 9/13
44413
44217 9/1/14 - 7/31/15
44217 8/1/15 - 7/31/16
44217 8/1/16 - 7/31/17
46416 04/1/16 - 9/30/16
46417 10/01/16 - 09/30/17
45015 10/1/12 - 9/30/13
45015 10/1/13 - 9/30/14
45015 10/1/14 - 9/30/15
45019 12/1/16-7/31/19 213,333.00 53,334.00 6,667.00 60,001.00 153,332.00
46119 2/1/16 - 7/30/19
45818 08/01/16 - 07/31/18
71001 2016
71001 2017
44016 2016
44017 2017
46316 10/15 - 9/16
46317 10/16 - 9/17
TOTAL 213,333.00 53,334.00 6,667.00 60,001.00 153,332.0025.00% 28.13%
NO WRONG DOOR
Alzheimer Disease Support ADSSP
Alzheimer Disease Support ADSSP
Alzheimer Disease Support ADSSP
DEMENTIA ADI SSS
DEMENTIA ADI SSS
DEMENTIA ADI SSS
Dementia Capable Va-Expanding Families
Partnership People w/Disabilities
Partnership People w/Disabilities
Partnership People w/Disabilities
ADRC REIMBURSEMENT
ADRC-State LTSS Access NWD
ADRC Options Counseling for DUALS
ADRC "E"
ADRC - EXPANSION -"C"-VCU
GRANDDRIVER CAMPAIGN
Virginia Elder Justice YR1
Virginia Elder Justice YR2
SUPPLEMENTAL NUTRITION ASSIST PROG.
Virginia Elder Justice YR3
VHQC - DIABETES SELF MGMT PRGRAM
CDSME - Chronic Disease Self-Mgmt Ed
FAN CARE PROGRAM
SR. FARMER'S MARKET
SUPPLEMENTAL NUTRITION ASSIST PROG.
SR. FARMER'S MARKET
Model Approaches to Legal Assistance Sys
GRANDDRIVER CAMPAIGN
FAN CARE PROGRAM
Page 129 VA POVERTY LAW CENTER (VPLC)