Data shared with Subcontractors. If DSHS Data provided under this Contract is to be shared with a subcontractor, the Contract with the subcontractor must include all of the data security provisions within this Contract and within any amendments, attachments, or exhibits within this Contract. If the Contractor cannot protect the Data as articulated within this Contract, then the contract with the sub- Contractor must be submitted to the DSHS Contact specified for this contract for review and approval. Exhibit B Program Agreement Budget Original Budget Budget Revision REVENUES Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2024 State only Medicaid Total Rev. $ $ $ $ Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2025 State only Medicaid Total Rev. $ $ $ $ Job Foundation Funds PASRR Funds State Funds Medicaid Funds TOTAL ADMINISTRATION (11, 12, 13, 14) OTHER CONSUMER SUPPORTS (31, 32, 41, 92, 93, 94, 97) CONSUMER SUPPORT STATE-ONLY (62, 64, 65, 67, 69) Child Development (61) MEDICAID CLIENTS (62, 64, 67, 69, 95, 96) ROADS to COMMUNITY LIVING (62, 64, 65, 67, 69)
Appears in 2 contracts
Data shared with Subcontractors. If DSHS Data provided under this Contract is to be shared with a subcontractor, the Contract with the subcontractor must include all of the data security provisions within this Contract and within any amendments, attachments, or exhibits within this Contract. If the Contractor cannot protect the Data as articulated within this Contract, then the contract with the sub- Contractor must be submitted to the DSHS Contact specified for this contract for review and approval. Exhibit A Exhibit B Program Agreement Budget X Original Budget Budget Revision REVENUES Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2024 2020 State only Medicaid 509,106 Waiver Total Rev. $ $1,000,874 $ $ $ Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2025 2021 State only Medicaid Waiver Total Rev. $ $ $ $ Job Foundation Funds PASRR Funds State Funds Medicaid Funds TOTAL ADMINISTRATION (CMIS/AWA BARS 11, 12, 13, 14) 36012 29465 65477 OTHER CONSUMER SUPPORTS (CMIS/AWA Code 31, 32, 41, 92, 93, 94, 97) 33656 27538 61194 CONSUMER SUPPORT STATE-ONLY (62, 64, 65, 67, 69) Child Development (61) 8871 8871 MEDICAID CLIENTS (62, 64, 67, 69, 95, 96) 428466 428466 856932 ROADS to COMMUNITY LIVING (62, 64, 65, 67, 69)2100 6300 8400
Appears in 1 contract
Samples: County Program Agreement
Data shared with Subcontractors. If DSHS Data provided under this Contract is to be shared with a subcontractor, the Contract with the subcontractor must include all of the data security provisions within this Contract and within any amendments, attachments, or exhibits within this Contract. If the Contractor cannot protect the Data as articulated within this Contract, then the contract with the sub- Contractor must be submitted to the DSHS Contact specified for this contract for review and approval. Exhibit B Program Agreement Budget Original Budget Budget Revision REVENUES Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2024 2020 State only Medicaid Waiver Total Rev. $ $ $ $ Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2025 2021 State only Medicaid Waiver Total Rev. $ $ $ $ Job Foundation Funds PASRR Funds State Funds Medicaid Funds TOTAL ADMINISTRATION (CMIS/AWA BARS 11, 12, 13, 14) OTHER CONSUMER SUPPORTS (CMIS/AWA Code 31, 32, 41, 92, 93, 94, 97) CONSUMER SUPPORT STATE-ONLY (62, 64, 65, 67, 69) Child Development (61) MEDICAID CLIENTS (62, 64, 67, 69, 95, 96) ROADS to COMMUNITY LIVING (62, 64, 65, 67, 69)LIVING
Appears in 1 contract
Samples: County Program Agreement
Data shared with Subcontractors. If DSHS Data provided under this Contract is to be shared with a subcontractor, the Contract with the subcontractor must include all of the data security provisions within this Contract and within any amendments, attachments, or exhibits within this Contract. If the Contractor cannot protect the Data as articulated within this Contract, then the contract with the sub- Contractor must be submitted to the DSHS Contact specified for this contract for review and approval. Exhibit A Exhibit B Program Agreement Budget X Original Budget Budget Revision REVENUES Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2024 2020 State only Medicaid 4,322,409 Waiver Total Rev. $ $8,107,708 $ $ $ Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2025 2021 State only Medicaid Waiver Total Rev. $ $ $ $ Job Foundation Funds PASRR Funds State Funds Medicaid Funds TOTAL ADMINISTRATION (CMIS/AWA BARS 11, 12, 13, 14) 1529 290885 237997 530,411 OTHER CONSUMER SUPPORTS (CMIS/AWA Code 31, 32, 41, 92, 93, 94, 97) 272642 223070 495,712 CONSUMER SUPPORT STATE-ONLY (62, 64, 65, 67, 69) Child Development (61) 434497 434,497 MEDICAID CLIENTS (62, 64, 67, 69, 95, 96) 21840 3312624 3312624 6,647,088 ROADS to COMMUNITY LIVING (62, 64, 65, 67, 69)LIVING
Appears in 1 contract
Samples: www.spokanecounty.org
Data shared with Subcontractors. If DSHS Data provided under this Contract is to be shared with a subcontractor, the Contract with the subcontractor must include all of the data security provisions within this Contract and within any amendments, attachments, or exhibits within this Contract. If the Contractor cannot protect the Data as articulated within this Contract, then the contract with the sub- Contractor must be submitted to the DSHS Contact specified for this contract for review and approval. Exhibit B Program Agreement Budget ο Original Budget Budget Revision REVENUES Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2024 State only 688,558 Medicaid 606,851 Total Rev. $ $1,295,409 $ $ $ Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2025 State only Medicaid Total Rev. $ $ $ $ Job Foundation Funds PASRR Funds State Funds Medicaid Funds TOTAL ADMINISTRATION (11, 12, 13, 14) 672 0 64,224 52,547 117,443 OTHER CONSUMER SUPPORTS (31, 32, 41, 92, 93, 94, 97) 672 0 42,014 34,375 77,061 CONSUMER SUPPORT STATE-ONLY (62, 64, 65, 67, 69) Child Development (61) 52,051 52,051 MEDICAID CLIENTS (62, 64, 67, 69, 95, 96) 9,600 0 519,627 519,627 1,048,854 ROADS to COMMUNITY LIVING (62, 64, 65, 67, 69)) 0 0 0
Appears in 1 contract
Samples: County Program Agreement Dda County Services DSHS Agreement
Data shared with Subcontractors. If DSHS Data provided under this Contract is to be shared with a subcontractor, the Contract with the subcontractor must include all of the data security provisions within this Contract and within any amendments, attachments, or exhibits within this Contract. If the Contractor cannot protect the Data as articulated within this Contract, then the contract with the sub- Contractor must be submitted to the DSHS Contact specified for this contract for review and approval. Exhibit B Program Agreement Budget X Original Budget Budget Revision REVENUES Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2024 2022 State only Funds 491,780 Medicaid Funds 443,505 Total Rev. $ $936,293 $ $ $ Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2025 2023 State only Funds Medicaid Funds Total Rev. $ $ $ $ Job Foundation Funds PASRR Funds State Funds Medicaid Funds TOTAL ADMINISTRATION (CMIS/AWA BARS 11, 12, 13, 14) 1,008 1,730 32,084 26,251 61,073 OTHER CONSUMER SUPPORTS (CMIS/AWA Code 31, 32, 41, 92, 93, 94, 97) 0 0 31,491 25,766 57,257 CONSUMER SUPPORT STATE-ONLY (62, 64, 65, 67, 69) 0 0 Child Development (61) 52,051 52,051 MEDICAID CLIENTS (62, 64, 67, 69, 95, 96) 14,400 24,720 363,396 363,396 765,912 ROADS to COMMUNITY LIVING (62, 64, 65, 67, 69)0 0 0
Appears in 1 contract
Samples: County Program Agreement
Data shared with Subcontractors. If DSHS Data provided under this Contract is to be shared with a subcontractor, the Contract with the subcontractor must include all of the data security provisions within this Contract and within any amendments, attachments, or exhibits within this Contract. If the Contractor cannot protect the Data as articulated within this Contract, then the contract with the sub- Contractor must be submitted to the DSHS Contact specified for this contract for review and approval. Exhibit A Exhibit B Program Agreement Budget X Original Budget Budget Revision REVENUES Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2024 2020 State only Medicaid 138,723 Waiver 135,256 Total Rev. $ $273,979 $ $ $ Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2025 2021 State only Medicaid Waiver Total Rev. $ $ $ $ Job Foundation Funds PASRR Funds State Funds Medicaid Funds TOTAL ADMINISTRATION (CMIS/AWA BARS 11, 12, 13, 14) 0 9,858 8,066 17,924 OTHER CONSUMER SUPPORTS (CMIS/AWA Code 31, 32, 41, 92, 93, 94, 97) 0 9,213 7,538 16,751 CONSUMER SUPPORT STATE-ONLY (62, 64, 65, 67, 69) 0 0 0 Child Development (61) 0 0 MEDICAID CLIENTS (62, 64, 67, 69, 95, 96) 0 119,652 119,652 239,304 ROADS to COMMUNITY LIVING (62, 64, 65, 67, 69)0 0 0
Appears in 1 contract
Samples: County Program Agreement
Data shared with Subcontractors. If DSHS Data provided under this Contract is to be shared with a subcontractor, the Contract with the subcontractor must include all of the data security provisions within this Contract and within any amendments, attachments, or exhibits within this Contract. If the Contractor cannot protect the Data as articulated within this Contract, then the contract with the sub- Contractor must be submitted to the DSHS Contact specified for this contract for review and approval. Exhibit B Program Agreement Budget X Original Budget Budget Revision REVENUES Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2024 2022 State only Funds 518,532 Medicaid Funds 496,810 Total Rev. $ $1,015,342 $ $ $ Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2025 2023 State only Funds Medicaid Funds Total Rev. $ $ $ $ Job Foundation Funds PASRR Funds State Funds Medicaid Funds TOTAL ADMINISTRATION (CMIS/AWA BARS 11, 12, 13, 14) 36533 29891 66,424 OTHER CONSUMER SUPPORTS (CMIS/AWA Code 31, 32, 41, 92, 93, 94, 97) 34144 27935 62,079 CONSUMER SUPPORT STATE-ONLY (62, 64, 65, 67, 69) Child Development (61) 8871 8,871 MEDICAID CLIENTS (62, 64, 67, 69, 95, 96) 438984 438984 877,968 ROADS to COMMUNITY LIVING (62, 64, 65, 67, 69)LIVING
Appears in 1 contract
Samples: files4.1.revize.com
Data shared with Subcontractors. If DSHS Data provided under this Contract is to be shared with a subcontractor, the Contract with the subcontractor must include all of the data security provisions within this Contract and within any amendments, attachments, or exhibits within this Contract. If the Contractor cannot protect the Data as articulated within this Contract, then the contract with the sub- Contractor must be submitted to the DSHS Contact specified for this contract for review and approval. Exhibit B Program Agreement Budget X Original Budget Budget Revision REVENUES Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2024 State only 573,866 Medicaid 554,741 Total Rev. $ $ $1,128,607 $ $ Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2025 State only Medicaid Total Rev. $ $ $ $ FY24 Account Title / BARS Job Foundation Funds PASRR Funds State Funds Medicaid Funds TOTAL ADMINISTRATION (11, 12, 13, 14) 11,12,13,14 1075 55801 45656 102,532 OTHER CONSUMER SUPPORTS (31, 32, 41, 92, 93, 94, 97) 97 36920 30207 67,127 CONSUMER SUPPORT STATE-ONLY (62, 64, 65, 67, 69 Child Development 61 2160 2,160 MEDICAID CLIENTS 62, 64, 65, 67, 69 95, 96 10752 473018 473018 956,788 ROADS to COMMUNITY LIVING 62, 64, 65, 67, 69) Child Development (61) MEDICAID CLIENTS (62, 64, 67, 69, 95, 96) ROADS to COMMUNITY LIVING (62, 64, 65, 67, 69)
Appears in 1 contract
Samples: County Program Agreement