REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy...

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REMITTANCE ADVICE FY 2017 RMT 1 07/31/17 551 PAID 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 25,981.00 T-III C1 CON MEAL FY'16 42216 10/16 - 09/17 16,861.00 16,861.00 16,861.00 T-III C2 - H D MEALS FY'16 42316 10/16 - 09/17 33,667.00 33,667.00 33,667.00 T-III D PREV HEAL FY'16 42416 10/16 - 09/17 3,168.00 3,168.00 3,168.00 T-III E NFCSP FY'16 42516 10/16 - 09/17 16,118.00 16,118.00 16,118.00 T-VII G ELDER ABUSE FY'16 43716 10/16 - 09/17 912.00 912.00 912.00 T-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 65,816.00 T-III C1 CON MEAL FY'17 42217 10/16 - 09/17 145,516.00 95,520.00 12,498.00 108,018.00 37,498.00 T-III C2 - H D MEALS FY'17 42317 10/16 - 09/17 188,340.00 119,491.00 17,211.00 136,702.00 51,638.00 T-III D PREV HEAL FY'17 42417 10/16 - 09/17 12,663.00 7,808.00 1,214.00 9,022.00 3,641.00 T-III E NFCSP FY'17 42517 10/16 - 09/17 87,273.00 55,239.00 8,007.00 63,246.00 24,027.00 T-VII G ELDER ABUSE FY'17 43717 10/16 - 09/17 2,314.00 1,313.00 251.00 1,564.00 750.00 T-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 15,515.00 NSIP 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 - 6/30/16 116,141.00 116,141.00 116,141.00 116,141.00 43517 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 6,465.00 44115 04/14 - 03/15 22,274.00 22,274.00 22,274.00 22,274.00 44116 04/15 - 03/16 25,870.00 25,870.00 25,870.00 25,870.00 44117 04/16 - 03/17 26,344.00 9,255.00 26,344.00 26,344.00 44118 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 4,091.00 44417 12/22/14 - 12/21/17 DUALS 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

Transcript of REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy...

Page 1: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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)

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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

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Page 3: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

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Page 5: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 6: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 7: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 8: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 9: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

Page 11: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 12: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 13: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 14: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 15: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 16: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 17: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 18: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 19: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 20: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 21: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 22: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 23: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

Page 25: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 26: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 27: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 28: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 29: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 30: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 31: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 32: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 33: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 34: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 35: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 36: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 37: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 38: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

Page 40: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 41: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

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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

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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

Page 45: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 46: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 47: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 48: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 49: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 50: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

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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

Page 53: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

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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

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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

Page 57: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 58: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 59: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 60: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 61: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 62: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

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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

Page 65: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 66: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

Page 68: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 69: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

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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

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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

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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

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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

Page 75: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 76: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 77: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 78: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 79: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 80: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 81: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

Page 83: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 84: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 85: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 86: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 87: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 88: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 89: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 90: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

Page 92: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 93: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 94: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 95: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 96: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 97: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

Page 99: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 100: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 101: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 102: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 103: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 104: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

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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

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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

Page 108: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

Page 110: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 111: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

Page 113: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 114: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

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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

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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

Page 118: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 119: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 120: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 121: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 122: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

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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

Page 124: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 125: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 126: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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

Page 127: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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)

Page 128: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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)

Page 129: REMITTANCE ADVICE FY 2017 MOUNTAIN EMPIRE OLDER … Documents/July_2017.pdf · remittance advice fy 2017 rmt 1 07/31/17 551 paid prior previously this grant to date obligation 10/1/2016

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)