REMITTANCE ADVICE VENDOR MOUNTAIN EMPIRE OLDER … Documents/AUGUST... · 2019-08-26 · remittance...
Transcript of REMITTANCE ADVICE VENDOR MOUNTAIN EMPIRE OLDER … Documents/AUGUST... · 2019-08-26 · remittance...
REMITTANCE ADVICE VENDOR 046408 FFY 2019ID # 0000072602 551
RMT 1 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 60,017.00 60,017.00 60,017.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 19,226.00 19,226.00 19,226.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 34,360.00 34,360.00 34,360.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 10,411.00 10,411.00 10,411.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 23,565.00 23,565.00 23,565.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 332.00 332.00 332.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 6,881.00 6,881.00 6,881.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 294,914.00 262,551.00 29,578.00 292,129.00 2,785.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 160,468.00 128,963.00 14,975.00 143,938.00 16,530.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 190,220.00 154,300.00 18,715.00 173,015.00 17,205.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 14,551.00 6,701.00 1,539.00 8,240.00 6,311.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 104,991.00 93,107.00 10,713.00 103,820.00 1,171.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 2,867.00 2,403.00 267.00 2,670.00 197.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 10,645.00 8,583.00 1,461.00 10,044.00 601.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 4,891.00 4,891.00 4,891.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 61,386.00 49,626.00 5,523.00 55,149.00 6,237.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 1,580.00 1,185.00 132.00 1,317.00 263.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 135,124.00 20,446.00 119,063.00 119,063.00 16,061.00DOL 17235 0000115740 7/1/19 - 6/30/20 98,526.00 12,344.00 12,344.00 86,182.00
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 20,954.00 20,954.00 20,954.00 20,954.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 21,373.00 1,754.00 21,373.00 21,373.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 21,384.00 21,384.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 8,637.00 8,637.00 8,637.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19
MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
MOUNTAIN EMPIRE OLDER CITIZENS INC.1501 3rd. Ave East - P. O Box 888
Big Stone Gap, VA 24219
Page 1 PSA 1
REMITTANCE ADVICE VENDOR 046408 FFY 2019ID # 0000072602 551
RMT 1 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
MOUNTAIN EMPIRE OLDER CITIZENS INC.1501 3rd. Ave East - P. O Box 888
Big Stone Gap, VA 24219
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18 52,394.00 52,394.00 52,394.0075082 SFY'19 - 10/01/18 81,197.00 81,197.00 81,197.0075081 SFY'19 - 10/01/18 29,314.00 29,314.00 29,314.0075084 SFY'19 - 10/01/18 103,233.00 103,233.00 103,233.0075875 SFY'19 - 10/01/18 62,470.00 62,470.00 62,470.0075200 SFY'19 - 10/01/18 41,250.00 41,250.00 41,250.0075083 SFY'19 - 10/01/18 7,561.00 7,561.00 7,561.0075086 SFY'19 - 10/01/18 22,538.00 22,538.00 22,538.00
75080 SFY'20 - 07/01/19 17,465.00 5,738.00 5,738.00 11,476.00 5,989.0075082 SFY'20 - 07/01/19 27,072.00 9,022.00 9,022.00 18,044.00 9,028.0075081 SFY'20 - 07/01/19 9,771.00 3,257.00 3,257.00 6,514.00 3,257.0075084 SFY'20 - 07/01/19 34,411.00 11,470.00 11,470.00 22,940.00 11,471.0075875 SFY'20 - 07/01/19 20,823.00 6,858.00 6,858.00 13,716.00 7,107.0075200 SFY'20 - 07/01/19 13,750.00 4,583.00 4,583.00 9,166.00 4,584.0075083 SFY'20 - 07/01/19 2,520.00 840.00 840.00 1,680.00 840.0075086 SFY'20 - 07/01/19 7,513.00 2,504.00 2,504.00 5,008.00 2,505.00
75097 SFY'19 (7/1/18-6/30/19) 156,970.00 156,970.00 156,970.0075090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19) 250,000.00 250,000.00 250,000.0075150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20) 152,726.00 25,454.00 25,454.00 127,272.0075090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
SUPPLEMENTAL NUTR T-III C1&2 (GF)
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
BIRMINGHAM GREEN-RESIDENTIAL SERV
GF OMBUDSMAN
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
OAA GENERAL
GF COM BASE
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
Page 2 PSA 1
REMITTANCE ADVICE VENDOR 046408 FFY 2019ID # 0000072602 551
RMT 1 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
MOUNTAIN EMPIRE OLDER CITIZENS INC.1501 3rd. Ave East - P. O Box 888
Big Stone Gap, VA 24219
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 19,862.50 19,862.50 19,862.50 (19,862.50)
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 6,300.00 6,300.00 6,300.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274) 3,000.00 3,000.00 3,000.00FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 7,680.00 1,920.00 9,600.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 26,950.00 23,100.00 26,950.00 26,950.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 3,500.00 3,500.00 3,500.00 3,500.00
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 7,600.00 7,600.00 7,600.00 7,600.00SENIOR COOL CARE (FAN CARE) 71001 2019 7,500.00 7,500.00 7,500.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 420.00 420.00 420.00 420.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 500.00 500.00 500.00
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18 5,686.81 580.00 580.00 580.00 5,106.81SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 2,476,437.81 98,216.50 1,978,037.50 161,076.00 2,139,113.50 337,324.31
79.87% 86.38%
Page 3 PSA 1
REMITTANCE ADVICE VENDOR 047350 FFY 2019ID # 0000036162 552
RMT 2 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 41,066.00 41,066.00 41,066.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 20,000.00 20,000.00 20,000.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 32,021.00 32,021.00 32,021.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 7,930.00 7,930.00 7,930.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 28,900.00 28,900.00 28,900.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 661.00 661.00 661.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 7,088.00 7,088.00 7,088.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 349,069.00 299,972.00 16,400.00 316,372.00 32,697.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 189,680.00 154,241.00 16,819.00 171,060.00 18,620.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 224,572.00 180,665.00 20,909.00 201,574.00 22,998.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 17,461.00 13,187.00 1,892.00 15,079.00 2,382.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 124,676.00 103,217.00 8,329.00 111,546.00 13,130.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 3,362.00 2,662.00 305.00 2,967.00 395.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 10,651.00 6,867.00 1,065.00 7,932.00 2,719.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 12,912.00 12,912.00 12,912.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 79,015.00 47,635.00 12,400.00 60,035.00 18,980.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 3,054.00 1,302.00 115.00 1,417.00 1,637.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19
DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 21,809.00 21,809.00 21,809.00 21,809.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 22,347.00 5,127.00 22,347.00 22,347.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 22,327.00 6,155.00 4,163.00 10,318.00 12,009.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 11,079.00 11,079.00 11,079.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19
MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
APPALACHIAN AGENCY FOR SENIOR CITIZENSBox 765
Cedar Bluff, VA 24609
Page 4 PSA 2
REMITTANCE ADVICE VENDOR 047350 FFY 2019ID # 0000036162 552
RMT 2 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
APPALACHIAN AGENCY FOR SENIOR CITIZENSBox 765
Cedar Bluff, VA 24609
75080 SFY'19 - 07/01/18 7,617.00 7,617.00 7,617.0075082 SFY'19 - 07/01/18 7,496.00 7,496.00 7,496.0075081 SFY'19 - 07/01/18 2,591.00 2,591.00 2,591.0075084 SFY'19 - 07/01/18 6,765.00 6,765.00 6,765.0075875 SFY'19 - 07/01/18 3,000.00 3,000.00 3,000.0075200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18 842.00 842.00 842.0075086 SFY'19 - 07/01/18 6,904.00 6,904.00 6,904.00
75080 SFY'19 - 10/01/18 63,747.00 63,747.00 63,747.0075082 SFY'19 - 10/01/18 95,812.00 95,812.00 95,812.0075081 SFY'19 - 10/01/18 34,636.00 34,636.00 34,636.0075084 SFY'19 - 10/01/18 122,024.00 122,024.00 122,024.0075875 SFY'19 - 10/01/18 93,658.00 93,658.00 93,658.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18 7,566.00 7,566.00 7,566.0075086 SFY'19 - 10/01/18 27,763.00 27,763.00 27,763.00
75080 SFY'20 - 07/01/19 21,249.00 7,080.00 5,669.00 12,749.00 8,500.0075082 SFY'20 - 07/01/19 31,946.00 10,207.00 8,964.00 19,171.00 12,775.0075081 SFY'20 - 07/01/19 11,546.00 3,680.00 3,248.00 6,928.00 4,618.0075084 SFY'20 - 07/01/19 40,675.00 12,764.00 9,042.00 21,806.00 18,869.0075875 SFY'20 - 07/01/19 31,219.00 10,407.00 11,811.00 22,218.00 9,001.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19 2,522.00 823.00 402.00 1,225.00 1,297.0075086 SFY'20 - 07/01/19 9,254.00 3,352.00 296.00 3,648.00 5,606.00
75097 SFY'19 (7/1/18-6/30/19) 119,868.00 119,868.00 119,868.0075090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20) 115,624.00 19,270.00 19,270.00 96,354.0075090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
BIRMINGHAM GREEN-RESIDENTIAL SERV
PHARMACY CONNECT
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
GUARDIANSHIP-DBDHS MENTAL ILLNESS
BIRMINGHAM GREEN-RESIDENTIAL SERV
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
OAA GENERAL
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
Page 5 PSA 2
REMITTANCE ADVICE VENDOR 047350 FFY 2019ID # 0000036162 552
RMT 2 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
APPALACHIAN AGENCY FOR SENIOR CITIZENSBox 765
Cedar Bluff, VA 24609
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15
DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16
DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16
DEMENTIA ADI SSS 93763 45918 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18
NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17
ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18
FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)
FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 4,800.00 4,800.00 4,800.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 270.00 270.00 (270.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 27,186.79 25,850.00 26,950.00 236.79 27,186.79CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 5,900.00 5,796.00 5,796.00 5,796.00 104.00SENIOR COOL CARE (FAN CARE) 71001 2019 5,700.00 5,661.00 5,661.00 39.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 300.00 300.00 300.00 300.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 400.00 400.00 400.00
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18 22,672.00 22,672.00SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19 19,825.80 19,825.80
TOTAL 2,185,888.59 58,882.00 1,727,704.00 128,126.79 1,855,830.79 330,057.8079.05% 84.90%
Page 6 PSA 2
REMITTANCE ADVICE VENDOR 244435 FFY 2019ID # 0000111301 553
RMT 3 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 115,743.00 115,743.00 115,743.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 55,623.00 55,623.00 55,623.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 84,478.00 84,478.00 84,478.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 8,970.00 8,970.00 8,970.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 55,832.00 55,832.00 55,832.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 3,236.00 3,236.00 3,236.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 9,779.00 9,779.00 9,779.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 531,092.00 400,517.00 71,137.00 471,654.00 59,438.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 288,490.00 225,478.00 30,851.00 256,329.00 32,161.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 341,453.00 192,366.00 20,806.00 213,172.00 128,281.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 25,756.00 18,378.00 2,478.00 20,856.00 4,900.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 189,844.00 85,931.00 37,850.00 123,781.00 66,063.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 5,103.00 2,550.00 347.00 2,897.00 2,206.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 16,378.00 2,468.00 4,855.00 7,323.00 9,055.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 459.00 459.00 459.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 114,407.00 66,858.00 23,352.00 90,210.00 24,197.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 4,660.00 4,660.00 4,660.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 156,213.00 42,612.00 152,604.00 (2,299.00) 150,305.00 5,908.00DOL 17235 0000115740 7/1/19 - 6/30/20 170,181.00 24,290.00 24,290.00 145,891.00
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 24,162.00 24,162.00 24,162.00 24,162.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 25,088.00 13,772.00 25,088.00 25,088.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 25,158.00 10,382.00 1,194.00 11,576.00 13,582.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 18,256.00 18,256.00 18,256.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
DISTRICT III GOVERNMENTAL COOPERATIVE4453 Lee Highway
Marion VA 24354-4270
Page 7 PSA 3
REMITTANCE ADVICE VENDOR 244435 FFY 2019ID # 0000111301 553
RMT 3 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
DISTRICT III GOVERNMENTAL COOPERATIVE4453 Lee Highway
Marion VA 24354-4270
75080 SFY'19 - 07/01/18 26,932.00 26,932.00 26,932.0075082 SFY'19 - 07/01/18 48,723.00 48,723.00 48,723.0075081 SFY'19 - 07/01/18 17,616.00 17,616.00 17,616.0075084 SFY'19 - 07/01/18 62,073.00 62,073.00 62,073.0075875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18 4,021.00 4,021.00 4,021.0075086 SFY'19 - 07/01/18 14,321.00 14,321.00 14,321.00
75080 SFY'19 - 10/01/18 97,656.00 97,656.00 97,656.0075082 SFY'19 - 10/01/18 145,660.00 145,660.00 145,660.0075081 SFY'19 - 10/01/18 52,673.00 52,673.00 52,673.0075084 SFY'19 - 10/01/18 185,590.00 185,590.00 185,590.0075875 SFY'19 - 10/01/18 78,068.00 78,068.00 78,068.0075200 SFY'19 - 10/01/18 33,750.00 33,750.00 33,750.0075083 SFY'19 - 10/01/18 11,633.00 11,633.00 11,633.0075086 SFY'19 - 10/01/18 42,659.00 42,659.00 42,659.00
75080 SFY'20 - 07/01/19 32,552.00 32,552.0075082 SFY'20 - 07/01/19 48,566.00 48,566.0075081 SFY'20 - 07/01/19 17,558.00 17,558.0075084 SFY'20 - 07/01/19 61,863.00 61,863.0075875 SFY'20 - 07/01/19 26,023.00 12,475.00 12,475.00 13,548.0075200 SFY'20 - 07/01/19 11,250.00 9,899.00 9,899.00 1,351.0075083 SFY'20 - 07/01/19 3,878.00 3,878.0075086 SFY'20 - 07/01/19 14,220.00 14,220.00
75097 SFY'19 (7/1/18-6/30/19) 246,330.00 246,330.00 246,330.0075090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19) 118,000.00 118,000.00 118,000.0075094 (0000109732) SFY'19 (7/1/18-6/30/19) 177,000.00 177,000.00 177,000.00
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20) 242,086.00 40,348.00 40,348.00 201,738.0075090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20) 118,000.00 19,666.00 19,666.00 98,334.0075094 (0000109732) SFY'20 (7/1/19-6/30/20) 177,000.00 29,500.00 29,500.00 147,500.00
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF COM BASE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
CARE COORDINATION
GF RESPITE CARE
GF TRANSPORTATION
GF H D MEALS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
OAA GENERAL
GF COM BASE
GF H D MEALS
CARE COORDINATION
GF TRANSPORTATION
GF H D MEALS
GUARDIANSHIP
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
CARE COORDINATION
GF RESPITE CARE
GF TRANSPORTATION
GF RESPITE CARE
OAA GENERAL
GF COM BASE
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 8 PSA 3
REMITTANCE ADVICE VENDOR 244435 FFY 2019ID # 0000111301 553
RMT 3 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
DISTRICT III GOVERNMENTAL COOPERATIVE4453 Lee Highway
Marion VA 24354-4270
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 950.00 950.00 950.00 (950.00)
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 3,450.00 3,450.00 3,450.00 3,450.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 2,080.00 2,080.00 7,520.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 1,585.00 2,330.00 2,330.00 (2,330.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 26,950.00 26,950.00 26,950.00 26,950.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 3,500.00 3,500.00 3,500.00 3,500.00
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19 20,000.00 20,000.00 20,000.00 20,000.00
SENIOR COOL CARE (FAN CARE) 71001 2018 12,000.00 12,000.00 12,000.00 12,000.00SENIOR COOL CARE (FAN CARE) 71001 2019 11,900.00 11,900.00 11,900.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 3,820.00 3,820.00 3,820.00 3,820.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 4,000.00 4,000.00 4,000.00
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18 35,862.82 1,697.00 1,926.00 1,926.00 33,936.82SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19 36,214.12 1,424.00 134.00 1,558.00 34,656.12
TOTAL 4,558,458.94 154,498.00 3,110,367.00 237,369.00 3,347,736.00 1,210,722.9468.23% 73.44%
DOL 43519 Closeout Refund Rec'd
DC 82621231 8/19/19 - $ 2,299
Page 9 PSA 3
REMITTANCE ADVICE VENDOR 218017 FFY 2019ID # 0000111209 554
RMT 4 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 73,236.00 73,236.00 73,236.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 12,214.00 12,214.00 12,214.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 36,259.00 36,259.00 36,259.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 5,397.00 5,397.00 5,397.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 17,439.00 17,439.00 17,439.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 394.00 394.00 394.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 8,081.00 8,081.00 8,081.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 242,495.00 164,363.00 10,920.00 175,283.00 67,212.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 131,722.00 128,313.00 128,313.00 3,409.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 155,901.00 118,565.00 24,586.00 143,151.00 12,750.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 12,852.00 4,541.00 1,162.00 5,703.00 7,149.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 86,686.00 32,529.00 9,007.00 41,536.00 45,150.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 2,330.00 1,848.00 126.00 1,974.00 356.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 12,044.00 3,181.00 2,039.00 5,220.00 6,824.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 1,437.00 1,437.00 1,437.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 25,478.00 24,041.00 24,041.00 1,437.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 2,332.00 2,332.00 2,332.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 21,906.00 21,906.00 21,906.00 21,906.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 22,529.00 17,322.00 22,529.00 22,529.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 22,606.00 9,417.00 2,300.00 11,717.00 10,889.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 11,730.00 11,730.00 11,730.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
NEW RIVER VALLEY AGENCY ON AGING141 E Main Street Suite 500
Pulaski VA 24301
Page 10 PSA 4
REMITTANCE ADVICE VENDOR 218017 FFY 2019ID # 0000111209 554
RMT 4 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
NEW RIVER VALLEY AGENCY ON AGING141 E Main Street Suite 500
Pulaski VA 24301
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18 7,770.00 7,770.00 7,770.0075081 SFY'19 - 07/01/18 2,702.00 2,702.00 2,702.0075084 SFY'19 - 07/01/18 6,616.00 6,616.00 6,616.0075875 SFY'19 - 07/01/18 4,853.00 4,853.00 4,853.0075200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18 1,055.00 1,055.00 1,055.0075086 SFY'19 - 07/01/18 4,431.00 4,431.00 4,431.00
75080 SFY'19 - 10/01/18 80,906.00 80,906.00 80,906.0075082 SFY'19 - 10/01/18 66,506.00 66,506.00 66,506.0075081 SFY'19 - 10/01/18 24,050.00 24,050.00 24,050.0075084 SFY'19 - 10/01/18 84,739.00 84,739.00 84,739.0075875 SFY'19 - 10/01/18 47,738.00 47,738.00 47,738.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18 8,555.00 8,555.00 8,555.0075086 SFY'19 - 10/01/18 19,487.00 19,487.00 19,487.00
75080 SFY'20 - 07/01/19 14,869.00 7,981.00 1,454.00 9,435.00 5,434.0075082 SFY'20 - 07/01/19 22,175.00 7,390.00 3,911.00 11,301.00 10,874.0075081 SFY'20 - 07/01/19 8,017.00 2,672.00 2,672.00 5,344.00 2,673.0075084 SFY'20 - 07/01/19 28,246.00 9,415.00 9,381.00 18,796.00 9,450.0075875 SFY'20 - 07/01/19 15,913.00 5,304.00 4,546.00 9,850.00 6,063.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19 2,852.00 951.00 951.00 1,902.00 950.0075086 SFY'20 - 07/01/19 6,496.00 2,165.00 2,461.00 4,626.00 1,870.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
CARE COORDINATION
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
GF TRANSPORTATION
GF H D MEALS
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF RESPITE CARE
OAA GENERAL
GF COM BASE
OAA GENERAL
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF OMBUDSMAN
GF RESPITE CARE
GF OMBUDSMAN
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 T-III C1&2 (GF)
GUARDIANSHIP
Page 11 PSA 4
REMITTANCE ADVICE VENDOR 218017 FFY 2019ID # 0000111209 554
RMT 4 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
NEW RIVER VALLEY AGENCY ON AGING141 E Main Street Suite 500
Pulaski VA 24301
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 1,350.00 1,350.00 1,350.00 (1,350.00)
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 350.00 350.00 350.00 (350.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 25,025.00 23,650.00 25,025.00 25,025.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19 20,000.00 20,000.00 20,000.00
SENIOR COOL CARE (FAN CARE) 71001 2018 6,400.00 6,360.00 6,360.00 6,360.00 40.00SENIOR COOL CARE (FAN CARE) 71001 2019 6,200.00 5,340.00 5,340.00 860.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 1,420,669.00 70,938.00 1,153,463.00 75,516.00 1,228,979.00 191,690.0081.08% 86.51%
Page 12 PSA 4
REMITTANCE ADVICE VENDOR 217418 FFY 2019ID # 0000087691 555
RMT 5 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 88,145.00 88,145.00 88,145.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 22,930.00 22,930.00 22,930.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 46,874.00 46,874.00 46,874.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 8,319.00 8,319.00 8,319.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 34,234.00 34,234.00 34,234.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 391.00 391.00 391.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 20,423.00 5,605.00 5,605.00 14,818.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 507,325.00 451,402.00 33,579.00 484,981.00 22,344.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 213,432.00 193,029.00 193,029.00 20,403.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 299,505.00 275,303.00 275,303.00 24,202.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 23,899.00 853.00 8,882.00 9,735.00 14,164.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 167,717.00 132,442.00 12,184.00 144,626.00 23,091.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 4,439.00 657.00 657.00 3,782.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 22,066.00 22,066.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (1,940.00) (1,940.00) (1,940.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 100,876.00 100,876.00 100,876.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 8,349.00 6,450.00 6,450.00 1,899.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 25,816.00 25,816.00 25,816.00 25,816.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 27,108.00 20,946.00 27,108.00 27,108.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 27,333.00 8,788.00 1,949.00 10,737.00 16,596.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 23,725.00 23,725.00 23,725.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
LOCAL OFFICE ON AGINGP. O. Box 14205
Roanoke VA 24038
Page 13 PSA 5
REMITTANCE ADVICE VENDOR 217418 FFY 2019ID # 0000087691 555
RMT 5 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
LOCAL OFFICE ON AGINGP. O. Box 14205
Roanoke VA 24038
75080 SFY'19 - 07/01/18 24,013.00 24,013.00 24,013.0075082 SFY'19 - 07/01/18 42,314.00 42,314.00 42,314.0075081 SFY'19 - 07/01/18 15,319.00 15,319.00 15,319.0075084 SFY'19 - 07/01/18 53,998.00 53,998.00 53,998.0075875 SFY'19 - 07/01/18 15,358.00 15,358.00 15,358.0075200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18 4,969.00 4,969.00 4,969.0075086 SFY'19 - 07/01/18 12,940.00 12,940.00 12,940.00
75080 SFY'19 - 10/01/18 88,778.00 88,778.00 88,778.0075082 SFY'19 - 10/01/18 127,686.00 127,686.00 127,686.0075081 SFY'19 - 10/01/18 46,248.00 46,248.00 46,248.0075084 SFY'19 - 10/01/18 163,035.00 163,035.00 163,035.0075875 SFY'19 - 10/01/18 46,074.00 46,074.00 46,074.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18 15,673.00 15,673.00 15,673.0075086 SFY'19 - 10/01/18 39,323.00 39,323.00 39,323.00
75080 SFY'20 - 07/01/19 29,592.00 29,592.0075082 SFY'20 - 07/01/19 42,573.00 42,573.0075081 SFY'20 - 07/01/19 15,416.00 15,416.0075084 SFY'20 - 07/01/19 54,345.00 54,345.0075875 SFY'20 - 07/01/19 15,358.00 15,358.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19 5,224.00 5,224.0075086 SFY'20 - 07/01/19 13,108.00 13,108.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
OAA GENERAL
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 14 PSA 5
REMITTANCE ADVICE VENDOR 217418 FFY 2019ID # 0000087691 555
RMT 5 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
LOCAL OFFICE ON AGINGP. O. Box 14205
Roanoke VA 24038
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 2,238.00 2,238.00 2,238.00 (2,238.00)
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 2,400.00 2,400.00 2,400.00 2,400.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 4,640.00 2,880.00 7,520.00 2,080.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 1,050.00 1,050.00 1,050.00 (1,050.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 27,259.65 26,950.00 26,950.00 26,950.00 309.65CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 3,500.00 3,500.00 3,500.00 3,500.00
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 1,900.00 1,900.00 1,900.00 1,900.00SENIOR COOL CARE (FAN CARE) 71001 2019 1,900.00 1,875.00 1,875.00 25.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 2,593,969.65 84,800.00 2,191,288.00 59,474.00 2,250,762.00 343,207.6584.49% 86.77%
Note: NSIP - Obligation Adj FY'18
Inv SFY 2019-06Check #060850 rec'd/deposited 11/20/18
Page 15 PSA 5
REMITTANCE ADVICE VENDOR 211665 FFY 2019ID # 0000111302 556
RMT 6 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 74,302.00 74,302.00 74,302.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 20,280.00 20,280.00 20,280.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 42,713.00 42,713.00 42,713.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 5,313.00 5,313.00 5,313.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 31,510.00 31,510.00 31,510.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 406.00 406.00 406.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 9,761.00 9,761.00 9,761.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 482,741.00 338,005.00 42,197.00 380,202.00 102,539.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 262,520.00 217,124.00 21,599.00 238,723.00 23,797.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 311,033.00 238,271.00 25,471.00 263,742.00 47,291.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 22,896.00 17,425.00 2,309.00 19,734.00 3,162.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 172,093.00 53,838.00 12,157.00 65,995.00 106,098.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 4,674.00 3,775.00 378.00 4,153.00 521.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 17,837.00 3,257.00 3,584.00 6,841.00 10,996.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (1,572.00) (1,572.00) (1,572.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 90,097.00 80,562.00 7,283.00 87,845.00 2,252.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 5,444.00 4,083.00 454.00 4,537.00 907.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 25,296.00 25,296.00 25,296.00 25,296.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 26,535.00 26,535.00 26,535.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 26,785.00 4,377.00 4,377.00 22,408.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 22,277.00 22,277.00 22,277.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
VALLEY PROGRAM FOR AGING SERVICES, INCP. O. Box 817
Waynesboro VA 22980-0603
Page 16 PSA 6
REMITTANCE ADVICE VENDOR 211665 FFY 2019ID # 0000111302 556
RMT 6 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
VALLEY PROGRAM FOR AGING SERVICES, INCP. O. Box 817
Waynesboro VA 22980-0603
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18 1,810.00 1,810.00 1,810.0075200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18 86,770.00 86,770.00 86,770.0075082 SFY'19 - 10/01/18 132,738.00 132,738.00 132,738.0075081 SFY'19 - 10/01/18 47,948.00 47,948.00 47,948.0075084 SFY'19 - 10/01/18 168,885.00 168,885.00 168,885.0075875 SFY'19 - 10/01/18 49,478.00 49,478.00 49,478.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18 12,670.00 12,670.00 12,670.0075086 SFY'19 - 10/01/18 37,523.00 37,523.00 37,523.00
75080 SFY'20 - 07/01/19 28,923.00 9,641.00 6,749.00 16,390.00 12,533.0075082 SFY'20 - 07/01/19 44,257.00 10,767.00 3,983.00 14,750.00 29,507.0075081 SFY'20 - 07/01/19 15,982.00 5,328.00 3,729.00 9,057.00 6,925.0075084 SFY'20 - 07/01/19 56,295.00 18,765.00 13,136.00 31,901.00 24,394.0075875 SFY'20 - 07/01/19 16,493.00 5,498.00 2,615.00 8,113.00 8,380.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19 4,223.00 1,408.00 1,408.00 2,815.0075086 SFY'20 - 07/01/19 12,508.00 4,169.00 6,962.00 11,131.00 1,377.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
OAA GENERAL
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 17 PSA 6
REMITTANCE ADVICE VENDOR 211665 FFY 2019ID # 0000111302 556
RMT 6 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
VALLEY PROGRAM FOR AGING SERVICES, INCP. O. Box 817
Waynesboro VA 22980-0603
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 5,550.00 5,550.00 5,550.00 5,550.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274) 3,700.00 3,700.00 3,700.00FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 9,600.00 9,600.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 4,175.00 4,625.00 4,625.00 (4,625.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 38,288.65 26,950.00 26,950.00 11,338.65 38,288.65CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 7,000.00 7,000.00 7,000.00 7,000.00
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 2,000.00 1,867.00 1,867.00 1,867.00 133.00SENIOR COOL CARE (FAN CARE) 71001 2019 1,800.00 919.00 867.00 1,786.00 14.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 160.00 160.00 160.00 160.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 175.00 175.00 175.00
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 2,442,817.65 70,998.00 1,867,105.00 169,188.65 2,036,293.65 406,524.0076.79% 83.36%
Note: NSIP - Obligation Adj FY'18
Inv SFY 2019-07Check #001347 rec'd/deposited 12/05/18
Page 18 PSA 6
REMITTANCE ADVICE VENDOR 211661 FFY 2019ID # 0000060506 557
RMT 7 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 110,397.00 110,397.00 110,397.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 50,000.00 50,000.00 50,000.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 60,000.00 60,000.00 60,000.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 69.00 69.00 69.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 11,569.00 11,569.00 11,569.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 7,027.00 7,027.00 7,027.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 341,157.00 200,157.00 35,000.00 235,157.00 106,000.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 184,877.00 120,877.00 21,000.00 141,877.00 43,000.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 218,341.00 193,341.00 193,341.00 25,000.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 18,305.00 11,605.00 2,700.00 14,305.00 4,000.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 122,651.00 55,651.00 32,000.00 87,651.00 35,000.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 3,224.00 3,224.00 3,224.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 14,972.00 3,572.00 1,800.00 5,372.00 9,600.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (806.00) (806.00) (806.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 41,849.00 10,849.00 10,849.00 31,000.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 3,905.00 3,905.00 3,905.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 23,544.00 23,544.00 23,544.00 23,544.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 24,562.00 24,562.00 24,562.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 24,805.00 24,805.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 17,198.00 9,198.00 1,900.00 11,098.00 6,100.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
SHENANDOAH AREA AGENCY ON AGING207 Mosby Lane
Front Royal VA 22630-2611
Page 19 PSA 7
REMITTANCE ADVICE VENDOR 211661 FFY 2019ID # 0000060506 557
RMT 7 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
SHENANDOAH AREA AGENCY ON AGING207 Mosby Lane
Front Royal VA 22630-2611
75080 SFY'19 - 07/01/18 12,903.00 12,903.00 12,903.0075082 SFY'19 - 07/01/18 31,008.00 31,008.00 31,008.0075081 SFY'19 - 07/01/18 11,236.00 11,236.00 11,236.0075084 SFY'19 - 07/01/18 4,362.00 4,362.00 4,362.0075875 SFY'19 - 07/01/18 7,527.00 7,527.00 7,527.0075200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18 3,698.00 3,698.00 3,698.0075086 SFY'19 - 07/01/18 9,747.00 9,747.00 9,747.00
75080 SFY'19 - 10/01/18 65,721.00 65,721.00 65,721.0075082 SFY'19 - 10/01/18 93,058.00 93,058.00 93,058.0075081 SFY'19 - 10/01/18 33,730.00 33,730.00 33,730.0075084 SFY'19 - 10/01/18 118,935.00 118,935.00 118,935.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18 10,635.00 10,635.00 10,635.0075086 SFY'19 - 10/01/18 29,278.00 29,278.00 29,278.00
75080 SFY'20 - 07/01/19 21,907.00 1,930.00 1,930.00 19,977.0075082 SFY'20 - 07/01/19 31,028.00 977.00 977.00 30,051.0075081 SFY'20 - 07/01/19 11,243.00 10,543.00 10,543.00 700.0075084 SFY'20 - 07/01/19 39,645.00 23,692.00 23,692.00 15,953.0075875 SFY'20 - 07/01/19 14,456.00 272.00 272.00 14,184.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19 3,545.00 29.00 29.00 3,516.0075086 SFY'20 - 07/01/19 9,759.00 9,759.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF COM BASE
GF H D MEALS
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
BIRMINGHAM GREEN-RESIDENTIAL SERV
GF RESPITE CARE
GF COM BASE
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
GF H D MEALS
CARE COORDINATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
CARE COORDINATION
GUARDIANSHIP
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GF OMBUDSMAN
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
Page 20 PSA 7
REMITTANCE ADVICE VENDOR 211661 FFY 2019ID # 0000060506 557
RMT 7 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
SHENANDOAH AREA AGENCY ON AGING207 Mosby Lane
Front Royal VA 22630-2611
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 4,800.00 4,800.00 4,800.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 2,415.00 2,445.00 2,445.00 (2,445.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 26,950.00 22,825.00 26,950.00 26,950.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 3,500.00 3,500.00 3,500.00 3,500.00
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19 18,764.00 925.00 3,506.00 3,506.00 15,258.00
SENIOR COOL CARE (FAN CARE) 71001 2018 1,000.00 833.00 833.00 833.00 167.00SENIOR COOL CARE (FAN CARE) 71001 2019 700.00 700.00 700.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 1,945,248.00 54,042.00 1,405,131.00 143,392.00 1,548,523.00 396,725.0072.23% 79.61%
Note: NSIP - Obligation Adj FY'18
Inv SFY 2019-08Check #013193 rec'd/deposited 12/12/18
Page 21 PSA 7
REMITTANCE ADVICE VENDOR 211664 FFY 2019ID # 0000054945 562
RMT 8A 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 16,716.00 16,716.00 16,716.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18
T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 9,335.00 9,335.00 9,335.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 2,503.00 990.00 990.00 1,513.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 3,438.00 3,438.00 3,438.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18
T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 135,631.00 108,625.00 14,181.00 122,806.00 12,825.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 73,667.00 73,667.00 73,667.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 87,183.00 87,183.00 87,183.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 2,000.00 2,000.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 48,495.00 48,495.00 48,495.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 1,303.00 1,303.00 1,303.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (517.00) (517.00) (517.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 32,928.00 32,928.00 32,928.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19
DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 20,041.00 20,041.00 20,041.00 20,041.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 20,456.00 18,779.00 20,456.00 20,456.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 20,608.00 20,608.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 6,545.00 6,545.00 6,545.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19
MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
CITY OF ALEXANDRIA - Office on Aging4401 Ford Ave., Suite 103
Alexandria, VA 22302
Page 22 PSA 8A
REMITTANCE ADVICE VENDOR 211664 FFY 2019ID # 0000054945 562
RMT 8A 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
CITY OF ALEXANDRIA - Office on Aging4401 Ford Ave., Suite 103
Alexandria, VA 22302
75080 SFY'19 - 07/01/18 6,823.00 6,823.00 6,823.0075082 SFY'19 - 07/01/18 12,370.00 12,370.00 12,370.0075081 SFY'19 - 07/01/18 4,473.00 4,473.00 4,473.0075084 SFY'19 - 07/01/18 15,795.00 15,795.00 15,795.0075875 SFY'19 - 07/01/18 14,456.00 14,456.00 14,456.0075200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18 3,623.00 3,623.00 3,623.00
75080 SFY'19 - 10/01/18 24,993.00 24,993.00 24,993.0075082 SFY'19 - 10/01/18 37,190.00 37,190.00 37,190.0075081 SFY'19 - 10/01/18 13,450.00 13,450.00 13,450.0075084 SFY'19 - 10/01/18 47,503.00 47,503.00 47,503.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18 10,927.00 10,927.00 10,927.00
75080 SFY'20 - 07/01/19 8,331.00 8,331.00 8,331.0075082 SFY'20 - 07/01/19 12,399.00 12,399.00 12,399.0075081 SFY'20 - 07/01/19 4,484.00 4,484.00 4,484.0075084 SFY'20 - 07/01/19 15,834.00 15,834.00 15,834.0075875 SFY'20 - 07/01/19 14,456.00 14,456.00 14,456.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19 3,642.00 3,642.00 3,642.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
CARE COORDINATION
OAA GENERAL
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
CARE COORDINATION
GF RESPITE CARE
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
Page 23 PSA 8A
REMITTANCE ADVICE VENDOR 211664 FFY 2019ID # 0000054945 562
RMT 8A 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
CITY OF ALEXANDRIA - Office on Aging4401 Ford Ave., Suite 103
Alexandria, VA 22302
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15
DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16
DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16
DEMENTIA ADI SSS 93763 45918 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18
NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17
ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 275.00 275.00 275.00 (275.00)
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18
FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)
FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19
FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18
CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 1,000.00 613.00 613.00 613.00 387.00SENIOR COOL CARE (FAN CARE) 71001 2019 600.00 600.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 776,048.00 39,708.00 724,209.00 14,181.00 738,390.00 37,658.0093.32% 95.15%
Note: NSIP - Obligation Adj FY'18
Inv SFY 2019-03Check #00736820 rec'd/deposited 10/23/18
Page 24 PSA 8A
REMITTANCE ADVICE VENDOR 219370 FFY 2019ID # 0000055179 558
RMT 8B 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 64,818.00 64,818.00 64,818.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 45,218.00 31,083.00 31,083.00 14,135.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 110,720.00 110,720.00 110,720.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 2,443.00 1,429.00 374.00 1,803.00 640.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 14,028.00 14,028.00 14,028.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 222.00 222.00 222.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 218,254.00 150,831.00 970.00 151,801.00 66,453.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 83,871.00 83,871.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 93,320.00 45,182.00 45,182.00 48,138.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 2,000.00 2,000.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 65,160.00 27,003.00 27,003.00 38,157.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 1,713.00 1,491.00 1,491.00 222.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 6,588.00 6,588.00 6,588.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 38,342.00 18,943.00 1,030.00 19,973.00 18,369.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 20,768.00 20,768.00 20,768.00 20,768.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 21,280.00 11,144.00 20,552.00 20,552.00 728.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 21,440.00 2,803.00 2,803.00 18,637.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 8,667.00 8,667.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
ARLINGTON AREA AGENCY ON AGING2100 Washington Blvd. 4th Floor
Arlington VA 22201
Page 25 PSA 8B
REMITTANCE ADVICE VENDOR 219370 FFY 2019ID # 0000055179 558
RMT 8B 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
ARLINGTON AREA AGENCY ON AGING2100 Washington Blvd. 4th Floor
Arlington VA 22201
75080 SFY'19 - 07/01/18 10,030.00 10,030.00 10,030.0075082 SFY'19 - 07/01/18 16,984.00 16,984.00 16,984.0075081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18 21,730.00 21,730.00 21,730.0075875 SFY'19 - 07/01/18 14,456.00 14,456.00 14,456.0075200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18 5,510.00 5,510.00 5,510.00
75080 SFY'19 - 10/01/18 34,923.00 34,923.00 34,923.0075082 SFY'19 - 10/01/18 49,436.00 49,436.00 49,436.0075081 SFY'19 - 10/01/18 17,919.00 17,919.00 17,919.0075084 SFY'19 - 10/01/18 63,181.00 63,181.00 63,181.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18 15,559.00 15,559.00 15,559.00
75080 SFY'20 - 07/01/19 11,641.00 11,641.0075082 SFY'20 - 07/01/19 16,483.00 16,483.0075081 SFY'20 - 07/01/19 5,973.00 2,311.00 2,311.00 3,662.0075084 SFY'20 - 07/01/19 21,060.00 3,390.00 3,390.00 17,670.0075875 SFY'20 - 07/01/19 14,456.00 14,456.00 14,456.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19 5,186.00 5,186.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF COM BASE
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF TRANSPORTATION
CARE COORDINATION
GF RESPITE CARE
GF H D MEALS
GF TRANSPORTATION
GUARDIANSHIP-DBHDS ID/DDS
GF RESPITE CARE
GF OMBUDSMAN
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF OMBUDSMAN
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GF H D MEALS
CARE COORDINATION
OAA GENERAL
GF TRANSPORTATION
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR T-III C1&2 (GF)
Page 26 PSA 8B
REMITTANCE ADVICE VENDOR 219370 FFY 2019ID # 0000055179 558
RMT 8B 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
ARLINGTON AREA AGENCY ON AGING2100 Washington Blvd. 4th Floor
Arlington VA 22201
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 640.00 640.00 640.00 640.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 1,020.00 1,020.00
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 1,188,406.00 32,552.00 810,196.00 22,531.00 832,727.00 355,679.0068.18% 70.07%
Page 27 PSA 8B
REMITTANCE ADVICE VENDOR 209964 FFY 2019ID # 0000056645 559
RMT 8C 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 137,694.00 137,694.00 137,694.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 41,389.00 41,389.00 41,389.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 77,938.00 77,938.00 77,938.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 487.00 487.00 487.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 56,974.00 56,974.00 56,974.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 643.00 643.00 643.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 22,910.00 22,910.00 22,910.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 793,164.00 635,167.00 72,106.00 707,273.00 85,891.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 427,274.00 349,587.00 38,843.00 388,430.00 38,844.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 501,849.00 410,607.00 45,623.00 456,230.00 45,619.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 2,000.00 1,636.00 182.00 1,818.00 182.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 289,208.00 236,628.00 26,292.00 262,920.00 26,288.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 7,184.00 5,877.00 653.00 6,530.00 654.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 46,968.00 38,430.00 4,270.00 42,700.00 4,268.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 311,227.00 254,637.00 28,293.00 282,930.00 28,297.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 18,335.00 15,003.00 1,667.00 16,670.00 1,665.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 35,590.00 35,590.00 35,590.00 35,590.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 43,928.00 43,928.00 43,928.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 55,266.00 55,266.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
FAIRFAX CO DEPT. OF FAMILY SERIVCES - Agency on Aging12011 Government Center Parkway - Suite 708
Fairfax, VA 22035-1104
Page 28 PSA 8C
REMITTANCE ADVICE VENDOR 209964 FFY 2019ID # 0000056645 559
RMT 8C 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
FAIRFAX CO DEPT. OF FAMILY SERIVCES - Agency on Aging12011 Government Center Parkway - Suite 708
Fairfax, VA 22035-1104
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18 170,104.00 170,104.00 170,104.0075082 SFY'19 - 10/01/18 213,408.00 213,408.00 213,408.0075081 SFY'19 - 10/01/18 77,808.00 77,808.00 77,808.0075084 SFY'19 - 10/01/18 274,852.00 274,852.00 274,852.0075875 SFY'19 - 10/01/18 208,642.00 208,642.00 208,642.0075200 SFY'19 - 10/01/18 22,500.00 22,500.00 22,500.0075083 SFY'19 - 10/01/18 33,361.00 33,361.00 33,361.0075086 SFY'19 - 10/01/18 78,926.00 78,926.00 78,926.00
75080 SFY'20 - 07/01/19 56,701.00 18,898.00 18,898.00 37,803.0075082 SFY'20 - 07/01/19 71,159.00 23,719.00 23,719.00 47,440.0075081 SFY'20 - 07/01/19 25,936.00 8,645.00 8,645.00 17,291.0075084 SFY'20 - 07/01/19 91,618.00 30,539.00 30,539.00 61,079.0075875 SFY'20 - 07/01/19 69,547.00 23,182.00 23,182.00 46,365.0075200 SFY'20 - 07/01/19 7,500.00 7,500.0075083 SFY'20 - 07/01/19 11,121.00 3,708.00 3,708.00 7,413.0075086 SFY'20 - 07/01/19 26,309.00 8,770.00 8,770.00 17,539.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF COM BASE
GF H D MEALS
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
BIRMINGHAM GREEN-RESIDENTIAL SERV
GF RESPITE CARE
GF COM BASE
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
GF H D MEALS
CARE COORDINATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
CARE COORDINATION
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GF OMBUDSMAN
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP
Page 29 PSA 8C
REMITTANCE ADVICE VENDOR 209964 FFY 2019ID # 0000056645 559
RMT 8C 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
FAIRFAX CO DEPT. OF FAMILY SERIVCES - Agency on Aging12011 Government Center Parkway - Suite 708
Fairfax, VA 22035-1104
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 28,480.03 26,950.00 26,950.00 26,950.00 1,530.03CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 7,000.00 7,000.00 7,000.00 7,000.00
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018SENIOR COOL CARE (FAN CARE) 71001 2019 1,000.00 1,000.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 4,346,000.03 69,540.00 3,478,676.00 335,390.00 3,814,066.00 531,934.0380.07% 87.76%
Page 30 PSA 8C
REMITTANCE ADVICE VENDOR 220346 FFY 2019ID # 0000053614 560
RMT 8D 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 21,083.00 21,083.00 21,083.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 6,347.00 6,347.00 6,347.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 12,068.00 12,068.00 12,068.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 2,332.00 2,332.00 2,332.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 8,828.00 8,828.00 8,828.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 99.00 99.00 99.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 130,348.00 115,481.00 115,481.00 14,867.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 69,782.00 69,782.00 69,782.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 81,486.00 81,486.00 81,486.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 10,257.00 10,257.00 10,257.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 48,222.00 43,024.00 43,024.00 5,198.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 1,127.00 1,127.00 1,127.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (1,593.00) (1,593.00) (1,593.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 96,137.00 96,137.00 96,137.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 21,942.00 21,942.00 21,942.00 21,942.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 22,845.00 22,845.00 22,845.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 23,234.00 23,234.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 13,083.00 13,083.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
LOUDOUN COUNTY AREA AGENCY ON AGING
Leesburg, VA 20177P. O. Box 7000
Page 31 PSA 8D
REMITTANCE ADVICE VENDOR 220346 FFY 2019ID # 0000053614 560
RMT 8D 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
LOUDOUN COUNTY AREA AGENCY ON AGING
Leesburg, VA 20177P. O. Box 7000
75080 SFY'19 - 07/01/18 7,622.00 7,622.00 7,622.0075082 SFY'19 - 07/01/18 10,844.00 10,844.00 10,844.0075081 SFY'19 - 07/01/18 3,971.00 3,971.00 3,971.0075084 SFY'19 - 07/01/18 14,049.00 14,049.00 14,049.0075875 SFY'19 - 07/01/18 14,456.00 14,456.00 14,456.0075200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18 4,501.00 4,501.00 4,501.00
75080 SFY'19 - 10/01/18 30,914.00 30,914.00 30,914.0075082 SFY'19 - 10/01/18 34,568.00 34,568.00 34,568.0075081 SFY'19 - 10/01/18 12,682.00 12,682.00 12,682.0075084 SFY'19 - 10/01/18 44,886.00 44,886.00 44,886.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18 14,827.00 14,827.00 14,827.00
75080 SFY'20 - 07/01/19 10,305.00 10,305.0075082 SFY'20 - 07/01/19 11,527.00 11,527.0075081 SFY'20 - 07/01/19 4,227.00 4,227.0075084 SFY'20 - 07/01/19 14,962.00 14,962.0075875 SFY'20 - 07/01/19 14,456.00 14,456.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19 4,942.00 4,942.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF H D MEALS
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
OAA GENERAL
GF H D MEALS
CARE COORDINATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF RESPITE CARE
GF RESPITE CARE
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
GUARDIANSHIP
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF COM BASE
GF TRANSPORTATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF H D MEALS
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF TRANSPORTATION
CARE COORDINATION
GF COM BASE
OAA GENERAL
GF OMBUDSMAN
Page 32 PSA 8D
REMITTANCE ADVICE VENDOR 220346 FFY 2019ID # 0000053614 560
RMT 8D 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
LOUDOUN COUNTY AREA AGENCY ON AGING
Leesburg, VA 20177P. O. Box 7000
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 400.00 400.00 400.00 (400.00)
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 640.00 820.00 820.00 (820.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 22,073.00 20,350.00 20,350.00 1,723.00 22,073.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018SENIOR COOL CARE (FAN CARE) 71001 2019 1,000.00 1,000.00 1,000.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 887,806.00 43,332.00 770,502.00 1,723.00 772,225.00 115,581.0086.79% 86.98%
Note: NSIP - Obligation Adj FY'18
Inv SFY 2019-05Check #41835356 rec'd/deposited 2/20/19
Page 33 PSA 8D
REMITTANCE ADVICE VENDOR 217939 FFY 2019ID # 0000055571 5 County Complex Ct.# 240 1 County Complex Ct. #220 561
RMT 8E 08/31/19 Woodbridge, VA 22192 Prince William, VA 22192PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 (364.00) (364.00) (364.00)T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 25,114.00 25,114.00 25,114.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 7,134.00 7,134.00 7,134.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 8.00 8.00 8.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 21,162.00 21,162.00 21,162.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 462.00 462.00 462.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 227,682.00 180,679.00 11,119.00 191,798.00 35,884.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 106,166.00 54,473.00 8,843.00 63,316.00 42,850.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 94,341.00 63,624.00 7,862.00 71,486.00 22,855.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 2,000.00 2,000.00 2,000.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 72,597.00 45,182.00 1,283.00 46,465.00 26,132.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 1,751.00 1,751.00 1,751.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 13,736.00 13,736.00 13,736.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (606.00) (606.00) (606.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 36,440.00 26,727.00 3,643.00 30,370.00 6,070.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 3,241.00 3,241.00 3,241.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 23,943.00 23,943.00 23,943.00 23,943.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 25,247.00 10,211.00 25,247.00 25,247.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 25,749.00 6,438.00 2,146.00 8,584.00 17,165.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 19,447.00 14,589.00 1,621.00 16,210.00 3,237.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
PRINCE WILLIAM CO AREA AGENCY ON AGING
Page 34 PSA 8E
REMITTANCE ADVICE VENDOR 217939 FFY 2019ID # 0000055571 5 County Complex Ct.# 240 1 County Complex Ct. #220 561
RMT 8E 08/31/19 Woodbridge, VA 22192 Prince William, VA 22192PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
PRINCE WILLIAM CO AREA AGENCY ON AGING
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18 4,874.00 4,874.00 4,874.0075084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18 9,592.00 9,592.00 9,592.0075200 SFY'19 - 07/01/18 11,250.00 11,250.00 11,250.0075083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18 6,698.00 6,698.00 6,698.00
75080 SFY'19 - 10/01/18 44,602.00 44,602.00 44,602.0075082 SFY'19 - 10/01/18 52,813.00 52,813.00 52,813.0075081 SFY'19 - 10/01/18 19,315.00 19,315.00 19,315.0075084 SFY'19 - 10/01/18 68,291.00 68,291.00 68,291.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18 33,750.00 33,750.00 33,750.0075083 SFY'19 - 10/01/18 9,757.00 9,757.00 9,757.0075086 SFY'19 - 10/01/18 21,055.00 21,055.00 21,055.00
75080 SFY'20 - 07/01/19 14,867.00 4,958.00 4,958.00 9,909.0075082 SFY'20 - 07/01/19 17,611.00 5,877.00 5,877.00 11,734.0075081 SFY'20 - 07/01/19 6,439.00 3,074.00 3,074.00 3,365.0075084 SFY'20 - 07/01/19 22,764.00 7,589.00 7,589.00 15,175.0075875 SFY'20 - 07/01/19 14,456.00 14,456.0075200 SFY'20 - 07/01/19 11,250.00 11,250.0075083 SFY'20 - 07/01/19 3,252.00 3,252.00 3,252.0075086 SFY'20 - 07/01/19 7,018.00 7,018.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF H D MEALS
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
LOW INCOME SENIORS - TRAUMA
GF RESPITE CARE
GF OMBUDSMAN
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 35 PSA 8E
REMITTANCE ADVICE VENDOR 217939 FFY 2019ID # 0000055571 5 County Complex Ct.# 240 1 County Complex Ct. #220 561
RMT 8E 08/31/19 Woodbridge, VA 22192 Prince William, VA 22192PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
PRINCE WILLIAM CO AREA AGENCY ON AGING
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 19,627.50 19,627.50 19,627.50 (19,627.50)
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 4,800.00 4,800.00 4,800.00 4,800.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274) 3,000.00 3,000.00 3,000.00FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 4,160.00 1,760.00 5,920.00 3,680.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 545.00 605.00 605.00 (605.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 27,523.76 26,950.00 26,950.00 26,950.00 573.76CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 3,500.00 3,500.00 3,500.00 3,500.00
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 1,500.00 1,500.00 1,500.00 1,500.00SENIOR COOL CARE (FAN CARE) 71001 2019 1,500.00 1,500.00 1,500.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 1,184,794.76 91,076.50 904,120.50 64,453.00 968,573.50 216,221.2676.35% 81.75%
Note: NSIP & T-III B - Obligation Adj
Inv SFY 2019-09Check #708531 rec'd/deposited 12/26/18
Page 36 PSA 8E
REMITTANCE ADVICE VENDOR 217942 FFY 2019ID # 0000054837 563
RMT 9 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 45,961.00 45,961.00 45,961.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 13,792.00 13,792.00 13,792.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 15,968.00 15,968.00 15,968.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 3,402.00 3,402.00 3,402.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 214.00 214.00 214.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 7,364.00 7,364.00 7,364.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 256,475.00 221,791.00 31,255.00 253,046.00 3,429.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 199,063.00 199,063.00 199,063.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 104,318.00 104,318.00 104,318.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 14,076.00 10,732.00 1,248.00 11,980.00 2,096.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 92,084.00 84,411.00 7,673.00 92,084.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 2,434.00 2,419.00 15.00 2,434.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 12,054.00 12,054.00 12,054.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 36,754.00 36,754.00 36,754.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 2,337.00 2,123.00 214.00 2,337.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 22,025.00 22,025.00 22,025.00 22,025.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 22,771.00 15,611.00 22,771.00 22,771.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 22,967.00 14,223.00 8,322.00 22,545.00 422.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 2,836.00 2,836.00 2,836.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 9,726.00 9,726.00 9,726.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
RAPPAHANNOCK-RAPIDAN AREA AGENCY ON AGING15361 Bradford Rd - P. O. Box 1568
Culpeper VA 22701
Page 37 PSA 9
REMITTANCE ADVICE VENDOR 217942 FFY 2019ID # 0000054837 563
RMT 9 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
RAPPAHANNOCK-RAPIDAN AREA AGENCY ON AGING15361 Bradford Rd - P. O. Box 1568
Culpeper VA 22701
75080 SFY'19 - 07/01/18 13,181.00 13,181.00 13,181.0075082 SFY'19 - 07/01/18 13,175.00 13,175.00 13,175.0075081 SFY'19 - 07/01/18 11,391.00 11,391.00 11,391.0075084 SFY'19 - 07/01/18 36,578.00 36,578.00 36,578.0075875 SFY'19 - 07/01/18 16,353.00 16,353.00 16,353.0075200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18 3,201.00 3,201.00 3,201.0075086 SFY'19 - 07/01/18 7,111.00 7,111.00 7,111.00
75080 SFY'19 - 10/01/18 48,888.00 48,888.00 48,888.0075082 SFY'19 - 10/01/18 42,348.00 42,348.00 42,348.0075081 SFY'19 - 10/01/18 35,376.00 35,376.00 35,376.0075084 SFY'19 - 10/01/18 107,160.00 107,160.00 107,160.0075875 SFY'19 - 10/01/18 49,058.00 49,058.00 49,058.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18 8,562.00 8,562.00 8,562.0075086 SFY'19 - 10/01/18 21,684.00 21,684.00 21,684.00
75080 SFY'20 - 07/01/19 16,296.00 16,296.0075082 SFY'20 - 07/01/19 14,056.00 14,056.0075081 SFY'20 - 07/01/19 11,459.00 11,459.0075084 SFY'20 - 07/01/19 36,120.00 36,120.0075875 SFY'20 - 07/01/19 16,353.00 16,353.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19 2,854.00 2,854.0075086 SFY'20 - 07/01/19 7,228.00 7,228.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
OAA GENERAL
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
Page 38 PSA 9
REMITTANCE ADVICE VENDOR 217942 FFY 2019ID # 0000054837 563
RMT 9 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
RAPPAHANNOCK-RAPIDAN AREA AGENCY ON AGING15361 Bradford Rd - P. O. Box 1568
Culpeper VA 22701
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 4,100.00 4,100.00 4,100.00 (4,100.00)
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 470.00 1,055.00 1,055.00 (1,055.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 19,277.32 17,875.00 19,250.00 27.32 19,277.32CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 5,100.00 5,100.00 5,100.00 5,100.00SENIOR COOL CARE (FAN CARE) 71001 2019 5,000.00 5,000.00 5,000.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 1,434,430.32 65,181.00 1,275,518.00 53,754.32 1,329,272.32 105,158.0088.92% 92.67%
Page 39 PSA 9
REMITTANCE ADVICE VENDOR 003808 FFY 2019ID # 0000086816 564
RMT 10 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 31,623.00 31,623.00 31,623.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 7,867.00 7,867.00 7,867.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 22,405.00 22,405.00 22,405.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 2,191.00 2,191.00 2,191.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 11,511.00 11,511.00 11,511.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 1,677.00 1,677.00 1,677.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 313,453.00 254,806.00 27,000.00 281,806.00 31,647.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 169,273.00 159,283.00 159,283.00 9,990.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 199,271.00 162,375.00 12,288.00 174,663.00 24,608.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 18,383.00 15,170.00 1,700.00 16,870.00 1,513.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 113,631.00 93,093.00 10,000.00 103,093.00 10,538.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 2,890.00 2,253.00 225.00 2,478.00 412.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 14,988.00 12,292.00 1,200.00 13,492.00 1,496.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 33,646.00 28,036.00 2,500.00 30,536.00 3,110.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 3,914.00 2,935.00 500.00 3,435.00 479.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 23,526.00 23,526.00 23,526.00 23,526.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 24,575.00 24,575.00 24,575.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 24,875.00 6,129.00 6,129.00 18,746.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 17,376.00 17,376.00 17,376.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
JEFFERSON AREA BOARD FOR AGING
Charlottesville VA 22901674 Hillsdale Drive, Suite 9
Page 40 PSA 10
REMITTANCE ADVICE VENDOR 003808 FFY 2019ID # 0000086816 564
RMT 10 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
JEFFERSON AREA BOARD FOR AGING
Charlottesville VA 22901674 Hillsdale Drive, Suite 9
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18 4,129.00 4,129.00 4,129.0075083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18 64,398.00 64,398.00 64,398.0075082 SFY'19 - 10/01/18 84,819.00 84,819.00 84,819.0075081 SFY'19 - 10/01/18 30,849.00 30,849.00 30,849.0075084 SFY'19 - 10/01/18 108,890.00 108,890.00 108,890.0075875 SFY'19 - 10/01/18 46,661.00 46,661.00 46,661.0075200 SFY'19 - 10/01/18 37,500.00 37,500.00 37,500.0075083 SFY'19 - 10/01/18 10,646.00 10,646.00 10,646.0075086 SFY'19 - 10/01/18 29,419.00 29,419.00 29,419.00
75080 SFY'20 - 07/01/19 21,466.00 7,155.00 7,142.00 14,297.00 7,169.0075082 SFY'20 - 07/01/19 28,281.00 9,425.00 9,425.00 18,850.00 9,431.0075081 SFY'20 - 07/01/19 10,283.00 3,428.00 3,428.00 6,856.00 3,427.0075084 SFY'20 - 07/01/19 36,297.00 12,099.00 12,099.00 24,198.00 12,099.0075875 SFY'20 - 07/01/19 15,554.00 5,185.00 5,185.00 10,370.00 5,184.0075200 SFY'20 - 07/01/19 12,500.00 12,500.0075083 SFY'20 - 07/01/19 3,549.00 1,183.00 1,183.00 2,366.00 1,183.0075086 SFY'20 - 07/01/19 9,806.00 3,269.00 3,269.00 6,538.00 3,268.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF COM BASE
GF H D MEALS
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
BIRMINGHAM GREEN-RESIDENTIAL SERV
GF RESPITE CARE
GF COM BASE
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
GF H D MEALS
CARE COORDINATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
CARE COORDINATION
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GF OMBUDSMAN
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP
Page 41 PSA 10
REMITTANCE ADVICE VENDOR 003808 FFY 2019ID # 0000086816 564
RMT 10 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
JEFFERSON AREA BOARD FOR AGING
Charlottesville VA 22901674 Hillsdale Drive, Suite 9
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16 54,288.58 54,565.41 54,565.41 54,565.41 (276.83)DEMENTIA ADI SSS 93763 45918 09/16 - 08/17 137,219.42 141,957.03 141,957.03 141,957.03 (4,737.61)DEMENTIA ADI SSS 93763 45918 09/17 - 08/18 98,456.00 93,441.56 93,441.56 93,441.56 5,014.44
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 28,637.50 28,637.50 28,637.50 (28,637.50)
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 355.00 1,040.00 1,040.00 (1,040.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 26,950.00 26,400.00 26,950.00 26,950.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 3,500.00 3,500.00 3,500.00 3,500.00
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 2,500.00 2,500.00 2,500.00 2,500.00SENIOR COOL CARE (FAN CARE) 71001 2019 2,400.00 2,400.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18 17,998.49 4,855.00 4,855.00 4,855.00 13,143.49SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19 10,315.71 10,315.71
TOTAL 1,945,750.20 379,737.50 1,695,624.50 97,144.00 1,792,768.50 152,981.7087.15% 92.14%
Page 42 PSA 10
REMITTANCE ADVICE VENDOR 217419 FFY 2019ID # 0000111210 565
RMT 11 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 81,630.00 81,630.00 81,630.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 2,903.00 2,903.00 2,903.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 122,778.00 122,778.00 122,778.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 82.00 82.00 82.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 64,058.00 64,058.00 64,058.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 646.00 646.00 646.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 16,466.00 16,466.00 16,466.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 431,557.00 286,051.00 48,695.00 334,746.00 96,811.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 234,527.00 194,854.00 16,956.00 211,810.00 22,717.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 277,695.00 155,950.00 59,271.00 215,221.00 62,474.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 21,058.00 17,659.00 1,040.00 18,699.00 2,359.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 154,099.00 17,678.00 13,387.00 31,065.00 123,034.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 4,159.00 225.00 393.00 618.00 3,541.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 20,845.00 12,053.00 5,119.00 17,172.00 3,673.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 10,178.00 10,178.00 10,178.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 64,005.00 53,126.00 53,126.00 10,879.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 7,060.00 7,060.00 7,060.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 24,903.00 24,903.00 24,903.00 24,903.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 26,014.00 26,014.00 26,014.00 26,014.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 26,204.00 19,451.00 5,016.00 24,467.00 1,737.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 4,100.00 4,100.00 4,100.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 20,855.00 20,855.00 20,855.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING501 12th Street - P O Box 1390
Lynchburg, VA 24505
Page 43 PSA 11
REMITTANCE ADVICE VENDOR 217419 FFY 2019ID # 0000111210 565
RMT 11 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING501 12th Street - P O Box 1390
Lynchburg, VA 24505
75080 SFY'19 - 07/01/18 22,045.00 22,045.00 22,045.0075082 SFY'19 - 07/01/18 39,971.00 39,971.00 39,971.0075081 SFY'19 - 07/01/18 14,450.00 14,450.00 14,450.0075084 SFY'19 - 07/01/18 50,916.00 50,916.00 50,916.0075875 SFY'19 - 07/01/18 14,456.00 14,456.00 14,456.0075200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18 2,816.00 2,816.00 2,816.0075086 SFY'19 - 07/01/18 11,708.00 11,708.00 11,708.00
75080 SFY'19 - 10/01/18 78,648.00 78,648.00 78,648.0075082 SFY'19 - 10/01/18 73,482.00 73,482.00 73,482.0075081 SFY'19 - 10/01/18 87,826.00 87,826.00 87,826.0075084 SFY'19 - 10/01/18 150,875.00 150,875.00 150,875.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18 14,806.00 14,806.00 14,806.0075086 SFY'19 - 10/01/18 34,221.00 34,221.00 34,221.00
75080 SFY'20 - 07/01/19 26,216.00 10,577.00 10,577.00 15,639.0075082 SFY'20 - 07/01/19 39,504.00 17,248.00 17,248.00 22,256.0075081 SFY'20 - 07/01/19 14,275.00 9,857.00 9,857.00 4,418.0075084 SFY'20 - 07/01/19 50,291.00 18,443.00 18,443.00 31,848.0075875 SFY'20 - 07/01/19 14,456.00 11,678.00 11,678.00 2,778.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19 4,936.00 2,047.00 2,047.00 2,889.0075086 SFY'20 - 07/01/19 11,407.00 4,763.00 4,763.00 6,644.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GF COM BASE
GF TRANSPORTATION
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
PHARMACY CONNECT
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP-DBDHS MENTAL ILLNESS
CARE COORDINATION
GF RESPITE CARE
GF TRANSPORTATION
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
GF H D MEALS
GF OMBUDSMAN
GF RESPITE CARE
GF OMBUDSMAN
GF COM BASE
GF H D MEALS
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF H D MEALS
CARE COORDINATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
Page 44 PSA 11
REMITTANCE ADVICE VENDOR 217419 FFY 2019ID # 0000111210 565
RMT 11 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING501 12th Street - P O Box 1390
Lynchburg, VA 24505
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18 25,000.00 25,000.00 25,000.00 25,000.00NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17 25,000.00 25,000.00 25,000.00 25,000.00ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 53,687.50 53,687.50 53,687.50 (53,687.50)
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 4,800.00 4,800.00 4,800.00 4,800.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274) 3,000.00 3,000.00 3,000.00FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 9,600.00 9,600.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 765.00 1,705.00 1,705.00 (1,705.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 27,141.25 23,100.00 26,950.00 26,950.00 191.25CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19 19,000.00 19,000.00 19,000.00 19,000.00
SENIOR COOL CARE (FAN CARE) 71001 2018SENIOR COOL CARE (FAN CARE) 71001 2019 1,000.00 1,000.00 1,000.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 2,536,135.25 202,269.50 1,947,049.50 225,490.00 2,172,539.50 363,595.7576.78% 85.66%
Page 45 PSA 11
REMITTANCE ADVICE VENDOR 217950 FFY 2019ID # 0000111311 566
RMT 12 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 141,884.00 141,884.00 141,884.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 43,487.00 43,487.00 43,487.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 97,823.00 97,823.00 97,823.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 8,774.00 8,774.00 8,774.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 72,984.00 72,984.00 72,984.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 596.00 596.00 596.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 9,165.00 9,165.00 9,165.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 699,421.00 494,895.00 43,159.00 538,054.00 161,367.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 304,249.00 224,889.00 7,401.00 232,290.00 71,959.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 523,140.00 417,181.00 417,181.00 105,959.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 34,893.00 34,893.00 34,893.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 251,092.00 168,842.00 10,406.00 179,248.00 71,844.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 6,637.00 6,637.00 6,637.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 16,585.00 11,379.00 11,379.00 5,206.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 98,166.00 58,964.00 26,464.00 85,428.00 12,738.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 4,771.00 4,771.00 4,771.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 237,291.00 40,356.00 237,291.00 237,291.00DOL 17235 0000115740 7/1/19 - 6/30/20 232,879.00 31,167.00 31,167.00 201,712.00
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 25,825.00 25,825.00 25,825.00 25,825.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 26,965.00 6,177.00 26,965.00 26,965.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 27,038.00 4,494.00 4,494.00 22,544.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 23,035.00 18,268.00 4,767.00 23,035.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
SOUTHERN AREA AGENCY ON AGING204 Cleveland AvenueMartinsville VA 24112
Page 46 PSA 12
REMITTANCE ADVICE VENDOR 217950 FFY 2019ID # 0000111311 566
RMT 12 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
SOUTHERN AREA AGENCY ON AGING204 Cleveland AvenueMartinsville VA 24112
75080 SFY'19 - 07/01/18 12,583.00 12,583.00 12,583.0075082 SFY'19 - 07/01/18 64,513.00 64,513.00 64,513.0075081 SFY'19 - 07/01/18 23,373.00 23,373.00 23,373.0075084 SFY'19 - 07/01/18 82,413.00 82,413.00 82,413.0075875 SFY'19 - 07/01/18 14,456.00 14,456.00 14,456.0075200 SFY'19 - 07/01/18 4,332.00 4,332.00 4,332.0075083 SFY'19 - 07/01/18 3,987.00 3,987.00 3,987.0075086 SFY'19 - 07/01/18 20,213.00 20,213.00 20,213.00
75080 SFY'19 - 10/01/18 133,208.00 133,208.00 133,208.0075082 SFY'19 - 10/01/18 131,043.00 131,043.00 131,043.0075081 SFY'19 - 10/01/18 119,204.00 119,204.00 119,204.0075084 SFY'19 - 10/01/18 253,973.00 253,973.00 253,973.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18 12,996.00 12,996.00 12,996.0075083 SFY'19 - 10/01/18 11,780.00 11,780.00 11,780.0075086 SFY'19 - 10/01/18 59,065.00 59,065.00 59,065.00
75080 SFY'20 - 07/01/19 44,402.00 44,402.0075082 SFY'20 - 07/01/19 63,699.00 63,699.0075081 SFY'20 - 07/01/19 23,068.00 23,068.0075084 SFY'20 - 07/01/19 81,325.00 81,325.0075875 SFY'20 - 07/01/19 14,456.00 14,456.0075200 SFY'20 - 07/01/19 4,332.00 4,332.0075083 SFY'20 - 07/01/19 3,927.00 3,927.0075086 SFY'20 - 07/01/19 19,688.00 19,688.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GF COM BASE
GF TRANSPORTATION
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
PHARMACY CONNECT
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP-DBDHS MENTAL ILLNESS
CARE COORDINATION
GF RESPITE CARE
GF TRANSPORTATION
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
GF H D MEALS
GF OMBUDSMAN
GF RESPITE CARE
GF OMBUDSMAN
GF COM BASE
GF H D MEALS
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF H D MEALS
CARE COORDINATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
Page 47 PSA 12
REMITTANCE ADVICE VENDOR 217950 FFY 2019ID # 0000111311 566
RMT 12 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
SOUTHERN AREA AGENCY ON AGING204 Cleveland AvenueMartinsville VA 24112
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 9,600.00 9,600.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 1,315.00 1,560.00 1,560.00 (1,560.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 22,000.00 18,425.00 22,000.00 22,000.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 7,300.00 7,300.00 7,300.00 7,300.00SENIOR COOL CARE (FAN CARE) 71001 2019 7,200.00 7,200.00 7,200.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 1,915.00 1,915.00 1,915.00 1,915.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 2,100.00 2,100.00 2,100.00
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 4,187,318.00 101,313.00 3,147,694.00 127,858.00 3,275,552.00 911,766.0074.78% 78.23%
Page 48 PSA 12
REMITTANCE ADVICE VENDOR 074176 FFY 2019ID # 0000111375 567
RMT 13 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 4,412.00 4,412.00 4,412.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 45,339.00 45,339.00 45,339.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 1,019.00 1,019.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 25,116.00 25,116.00 25,116.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 350,335.00 313,866.00 30,047.00 343,913.00 6,422.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 190,498.00 151,695.00 13,589.00 165,284.00 25,214.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 225,682.00 86,499.00 41,124.00 127,623.00 98,059.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 17,208.00 17,208.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 124,920.00 67,189.00 8,069.00 75,258.00 49,662.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 3,390.00 3,390.00 3,390.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 5,112.00 5,112.00 5,112.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 61,346.00 32,315.00 6,870.00 39,185.00 22,161.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 20,678.00 20,678.00 20,678.00 20,678.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 21,054.00 11,207.00 21,054.00 21,054.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 21,073.00 7,403.00 1,258.00 8,661.00 12,412.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 7,850.00 3,776.00 930.00 4,706.00 3,144.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
LAKE COUNTRY AREA AGENCY ON AGING1105 W. Danville Street
South Hill VA 23970-3501
Page 49 PSA 13
REMITTANCE ADVICE VENDOR 074176 FFY 2019ID # 0000111375 567
RMT 13 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
LAKE COUNTRY AREA AGENCY ON AGING1105 W. Danville Street
South Hill VA 23970-3501
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18 7,839.00 7,839.00 7,839.0075084 SFY'19 - 07/01/18 26,024.00 26,024.00 26,024.0075875 SFY'19 - 07/01/18 8,433.00 8,433.00 8,433.0075200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18 5,471.00 5,471.00 5,471.00
75080 SFY'19 - 10/01/18 63,093.00 63,093.00 63,093.0075082 SFY'19 - 10/01/18 96,310.00 96,310.00 96,310.0075081 SFY'19 - 10/01/18 34,792.00 34,792.00 34,792.0075084 SFY'19 - 10/01/18 122,551.00 122,551.00 122,551.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18 27,308.00 27,308.00 27,308.00
75080 SFY'20 - 07/01/19 21,031.00 7,010.00 1,687.00 8,697.00 12,334.0075082 SFY'20 - 07/01/19 32,111.00 10,702.00 8,764.00 19,466.00 12,645.0075081 SFY'20 - 07/01/19 11,597.00 4,075.00 7,430.00 11,505.00 92.0075084 SFY'20 - 07/01/19 40,850.00 17,069.00 17,069.00 23,781.0075875 SFY'20 - 07/01/19 14,456.00 6,023.00 6,023.00 8,433.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19 9,103.00 3,816.00 3,816.00 5,287.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF COM BASE
GF H D MEALS
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
BIRMINGHAM GREEN-RESIDENTIAL SERV
GF RESPITE CARE
GF COM BASE
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
GF H D MEALS
CARE COORDINATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
CARE COORDINATION
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GF OMBUDSMAN
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP
Page 50 PSA 13
REMITTANCE ADVICE VENDOR 074176 FFY 2019ID # 0000111375 567
RMT 13 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
LAKE COUNTRY AREA AGENCY ON AGING1105 W. Danville Street
South Hill VA 23970-3501
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 4,200.00 4,200.00 4,200.00 4,200.00SENIOR COOL CARE (FAN CARE) 71001 2019 4,200.00 2,205.00 2,205.00 1,995.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 415.00 415.00 415.00 415.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 450.00 450.00
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 1,698,633.00 36,500.00 1,276,342.00 121,973.00 1,398,315.00 300,318.0074.57% 82.32%
Page 51 PSA 13
REMITTANCE ADVICE VENDOR 217948 FFY 2019ID # 0000140956 568
RMT 14 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 90,721.00 90,721.00 90,721.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 6,535.00 6,535.00 6,535.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 61,584.00 61,584.00 61,584.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 65.00 65.00 65.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 57,683.00 57,683.00 57,683.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 6,053.00 6,053.00 6,053.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 354,848.00 332,033.00 332,033.00 22,815.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 176,009.00 159,717.00 159,717.00 16,292.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 245,461.00 138,937.00 32,982.00 171,919.00 73,542.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 17,455.00 13,981.00 110.00 14,091.00 3,364.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 126,564.00 65,661.00 23,665.00 89,326.00 37,238.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 3,431.00 3,258.00 3,258.00 173.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 11,298.00 6,231.00 1,938.00 8,169.00 3,129.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 48,153.00 45,750.00 238.00 45,988.00 2,165.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 1,955.00 1,466.00 1,466.00 489.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 20,801.00 20,801.00 20,801.00 20,801.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 21,230.00 6,996.00 21,230.00 21,230.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 21,262.00 8,387.00 8,387.00 12,875.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 4,100.00 434.00 434.00 3,666.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 8,321.00 8,321.00 8,321.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
PIEDMONT SENIOR RESOURCESP. O. Box 398
Burkeville VA 23922-0398
Page 52 PSA 14
REMITTANCE ADVICE VENDOR 217948 FFY 2019ID # 0000140956 568
RMT 14 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
PIEDMONT SENIOR RESOURCESP. O. Box 398
Burkeville VA 23922-0398
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18 64,054.00 64,054.00 64,054.0075082 SFY'19 - 10/01/18 97,525.00 97,525.00 97,525.0075081 SFY'19 - 10/01/18 35,235.00 35,235.00 35,235.0075084 SFY'19 - 10/01/18 124,116.00 124,116.00 124,116.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18 8,025.00 8,025.00 8,025.0075086 SFY'19 - 10/01/18 27,753.00 27,753.00 27,753.00
75080 SFY'20 - 07/01/19 21,351.00 14,235.00 14,235.00 7,116.0075082 SFY'20 - 07/01/19 32,517.00 21,680.00 21,680.00 10,837.0075081 SFY'20 - 07/01/19 11,745.00 11,745.00 11,745.0075084 SFY'20 - 07/01/19 41,372.00 27,582.00 27,582.00 13,790.0075875 SFY'20 - 07/01/19 14,456.00 11,243.00 11,243.00 3,213.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19 2,675.00 1,088.00 1,088.00 1,587.0075086 SFY'20 - 07/01/19 9,251.00 6,333.00 6,333.00 2,918.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF COM BASE
GF H D MEALS
CARE COORDINATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF H D MEALS
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
OAA GENERAL
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 53 PSA 14
REMITTANCE ADVICE VENDOR 217948 FFY 2019ID # 0000140956 568
RMT 14 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
PIEDMONT SENIOR RESOURCESP. O. Box 398
Burkeville VA 23922-0398
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18 7,500.00 7,500.00 7,500.00 7,500.00NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17 13,125.00 13,125.00 13,125.00 13,125.00ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 1,300.00 1,300.00 1,300.00 (1,300.00)
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 4,800.00 1,120.00 1,760.00 2,880.00 1,920.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 4,700.00 4,693.00 4,693.00 4,693.00 7.00SENIOR COOL CARE (FAN CARE) 71001 2019 4,500.00 4,500.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 290.00 290.00 290.00 290.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 300.00 300.00
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 1,857,286.00 54,705.00 1,476,951.00 154,599.00 1,631,550.00 225,736.0079.52% 87.85%
Page 54 PSA 14
REMITTANCE ADVICE VENDOR 171200 FFY 2019ID # 0000086798 569
RMT 15 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 70,905.00 70,905.00 70,905.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 56,545.00 56,545.00 56,545.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 170,516.00 170,516.00 170,516.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 11,800.00 11,800.00 11,800.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 37,375.00 37,375.00 37,375.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 480.00 480.00 480.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 6,426.00 6,426.00 6,426.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 1,329,834.00 898,981.00 30,000.00 928,981.00 400,853.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 611,531.00 501,800.00 32,500.00 534,300.00 77,231.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 521,420.00 236,226.00 236,226.00 285,194.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 57,749.00 42,139.00 6,000.00 48,139.00 9,610.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 407,364.00 273,645.00 18,000.00 291,645.00 115,719.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 10,586.00 8,726.00 8,726.00 1,860.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 41,673.00 29,084.00 4,000.00 33,084.00 8,589.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (1,874.00) (1,874.00) (1,874.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 116,413.00 111,000.00 111,000.00 5,413.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 19,810.00 10,060.00 3,500.00 13,560.00 6,250.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 355,427.00 89,200.00 354,627.00 354,627.00 800.00DOL 17235 0000115740 7/1/19 - 6/30/20 349,318.00 63,200.00 63,200.00 286,118.00
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 39,257.00 39,257.00 39,257.00 39,257.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 43,245.00 43,245.00 43,245.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 44,315.00 44,315.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 4,100.00 4,100.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 66,454.00 53,700.00 10,900.00 64,600.00 1,854.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
SENIOR CONNECTIONS - CAPITAL AAA24 E. Cary Street
Richmond VA 23219-1496
Page 55 PSA 15
REMITTANCE ADVICE VENDOR 171200 FFY 2019ID # 0000086798 569
RMT 15 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
SENIOR CONNECTIONS - CAPITAL AAA24 E. Cary Street
Richmond VA 23219-1496
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18 222,668.00 222,668.00 222,668.0075082 SFY'19 - 10/01/18 237,335.00 237,335.00 237,335.0075081 SFY'19 - 10/01/18 261,528.00 261,528.00 261,528.0075084 SFY'19 - 10/01/18 313,395.00 313,395.00 313,395.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18 36,661.00 36,661.00 36,661.0075083 SFY'19 - 10/01/18 29,600.00 29,600.00 29,600.0075086 SFY'19 - 10/01/18 100,108.00 100,108.00 100,108.00
75080 SFY'20 - 07/01/19 74,223.00 24,000.00 50,223.00 74,223.0075082 SFY'20 - 07/01/19 92,474.00 22,000.00 28,000.00 50,000.00 42,474.0075081 SFY'20 - 07/01/19 92,176.00 29,000.00 33,600.00 62,600.00 29,576.0075084 SFY'20 - 07/01/19 86,131.00 33,000.00 53,131.00 86,131.0075875 SFY'20 - 07/01/19 14,456.00 4,000.00 5,600.00 9,600.00 4,856.0075200 SFY'20 - 07/01/19 12,220.00 4,000.00 3,200.00 7,200.00 5,020.0075083 SFY'20 - 07/01/19 9,867.00 3,000.00 3,000.00 6,000.00 3,867.0075086 SFY'20 - 07/01/19 33,369.00 11,000.00 22,369.00 33,369.00
75097 SFY'19 (7/1/18-6/30/19) 54,244.00 54,244.00 54,244.0075090 SFY'19 (7/1/18-6/30/19) 57,521.00 57,521.00 57,521.0075095 SFY'19 (7/1/18-6/30/19) 50,000.00 50,000.00 50,000.00
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20) 50,000.00 8,334.00 8,334.00 41,666.0075090 SFY'20 (7/1/19-6/30/20) 57,521.00 9,586.00 9,586.00 47,935.0075095 SFY'20 (7/1/19-6/30/20) 50,000.00 8,334.00 8,334.00 41,666.00
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
OAA GENERAL
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GUARDIANSHIP-DBDHS MENTAL ILLNESS
SENIORNAVIGATOR (GF)
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
OAA GENERAL
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
PHARMACY CONNECT
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 56 PSA 15
REMITTANCE ADVICE VENDOR 171200 FFY 2019ID # 0000086798 569
RMT 15 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
SENIOR CONNECTIONS - CAPITAL AAA24 E. Cary Street
Richmond VA 23219-1496
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15
DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16
DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16
DEMENTIA ADI SSS 93763 45918 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 02/28/19 - 08/31/19 25,000.00 25,000.00 25,000.00NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18
NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17
ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 1,100.00 1,100.00 1,100.00 (1,100.00)
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19 10,000.00 10,000.00
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 4,000.00 4,000.00 4,000.00 4,000.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)
FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 9,600.00 9,600.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 7,705.00 8,925.00 8,925.00 (8,925.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 84,074.00 46,475.00 80,850.00 80,850.00 3,224.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 7,000.00 7,000.00 7,000.00 7,000.00
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 13,000.00 12,992.00 12,992.00 12,992.00 8.00SENIOR COOL CARE (FAN CARE) 71001 2019 12,800.00 1,460.00 11,340.00 12,800.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018
SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18 5,220.55 5,220.55 5,220.55 5,220.55SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19 5,206.48 5,206.48
TOTAL 6,530,534.03 212,949.55 4,673,491.55 378,563.00 5,052,054.55 1,478,479.4871.60% 77.36%
Inv SFY 2019-10
Title V Closeout Payment $590 (Check #064226 rec'd 8/23/18)
Note: NSIP - Obligation Adj FY'18Check #064981 rec'd/deposited 12/05/18
CDSME: PSA 15 26,950; Piedmont 3,575; Crater 15,950
Page 57 PSA 15
REMITTANCE ADVICE VENDOR 199615 FFY 2019ID # 0000085640 570
RMT 16 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 14,399.00 14,399.00 14,399.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 4,345.00 4,345.00 4,345.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 12,247.00 12,247.00 12,247.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 2,203.00 2,203.00 2,203.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 12,175.00 12,175.00 12,175.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 175.00 175.00 175.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 2,569.00 2,569.00 2,569.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 286,558.00 234,869.00 10,000.00 244,869.00 41,689.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 192,006.00 160,193.00 10,000.00 170,193.00 21,813.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 105,679.00 88,948.00 10,000.00 98,948.00 6,731.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 16,089.00 14,682.00 1,407.00 16,089.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 97,391.00 91,831.00 91,831.00 5,560.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 2,474.00 2,474.00 2,474.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 13,844.00 13,844.00 13,844.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (77.00) (77.00) (77.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 18,950.00 18,950.00 18,950.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 3,299.00 3,299.00 3,299.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 190,225.00 43,083.00 190,225.00 190,225.00DOL 17235 0000115740 7/1/19 - 6/30/20 179,138.00 14,928.00 14,928.00 164,210.00
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 23,629.00 23,629.00 23,629.00 23,629.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 24,821.00 24,821.00 24,821.00 24,821.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 25,296.00 4,216.00 5,870.00 10,086.00 15,210.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 4,100.00 4,100.00 4,100.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 16,273.00 16,273.00 16,273.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19 2,018.00 2,018.00 2,018.00
RAPPAHANNOCK AREA AGENCY ON AGING460 Lendall Lane
Fredericksburg VA 22405
Page 58 PSA 16
REMITTANCE ADVICE VENDOR 199615 FFY 2019ID # 0000085640 570
RMT 16 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
RAPPAHANNOCK AREA AGENCY ON AGING460 Lendall Lane
Fredericksburg VA 22405
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18 55,324.00 55,324.00 55,324.0075082 SFY'19 - 10/01/18 72,645.00 72,645.00 72,645.0075081 SFY'19 - 10/01/18 26,425.00 26,425.00 26,425.0075084 SFY'19 - 10/01/18 93,280.00 93,280.00 93,280.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18 9,834.00 9,834.00 9,834.0075086 SFY'19 - 10/01/18 25,299.00 25,299.00 25,299.00
75080 SFY'20 - 07/01/19 18,441.00 3,725.00 3,725.00 14,716.0075082 SFY'20 - 07/01/19 24,223.00 4,850.00 4,850.00 19,373.0075081 SFY'20 - 07/01/19 8,808.00 1,750.00 1,750.00 7,058.0075084 SFY'20 - 07/01/19 31,094.00 6,200.00 6,200.00 24,894.0075875 SFY'20 - 07/01/19 14,456.00 2,885.00 2,885.00 11,571.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19 3,278.00 660.00 660.00 2,618.0075086 SFY'20 - 07/01/19 8,433.00 1,700.00 1,700.00 6,733.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF OMBUDSMAN
GF RESPITE CARE
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF TRANSPORTATION
OAA GENERAL
GF COM BASE
GF RESPITE CARE
GF OMBUDSMAN
GF H D MEALS
GUARDIANSHIP-DBHDS ID/DDS
GF RESPITE CARE
GF TRANSPORTATION
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBDHS MENTAL ILLNESS
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
PHARMACY CONNECT
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
GF H D MEALS
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
CARE COORDINATION
GF OMBUDSMAN
CARE COORDINATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 59 PSA 16
REMITTANCE ADVICE VENDOR 199615 FFY 2019ID # 0000085640 570
RMT 16 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE
RAPPAHANNOCK AREA AGENCY ON AGING460 Lendall Lane
Fredericksburg VA 22405
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 585.00 585.00 585.00 (585.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 20,625.00 20,625.00 20,625.00 20,625.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 1,600.00 795.00 795.00 805.00SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 1,706,958.00 112,743.00 1,290,587.00 73,975.00 1,364,562.00 342,396.0075.61% 79.94%
Note: NSIP - Obligation Adj FY'18
Inv SFY 2019-11Check #31448 rec'd/deposited 02/05/19
Page 60 PSA 16
REMITTANCE ADVICE VENDOR 128946 FFY 2019ID # 0000111324 571
RMT 17/18 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 60,671.00 60,671.00 60,671.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 48,263.00 48,263.00 48,263.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 77,929.00 77,929.00 77,929.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 8,120.00 8,120.00 8,120.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 (7,424.00) (7,424.00) (7,424.00)T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 30,155.00 30,155.00 30,155.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 404,309.00 336,182.00 27,152.00 363,334.00 40,975.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 210,778.00 150,564.00 26,657.00 177,221.00 33,557.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 233,112.00 163,893.00 1,508.00 165,401.00 67,711.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 19,098.00 19,098.00 19,098.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 138,468.00 138,468.00 138,468.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 3,739.00 463.00 1,000.00 1,463.00 2,276.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 64,257.00 16,884.00 12,073.00 28,957.00 35,300.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 9,786.00 9,786.00 9,786.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 105,930.00 86,149.00 8,932.00 95,081.00 10,849.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 25,114.00 15,129.00 15,129.00 9,985.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 148,259.00 37,781.00 145,343.00 145,343.00 2,916.00DOL 17235 0000115740 7/1/19 - 6/30/20 206,008.00 32,586.00 32,586.00 173,422.00
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 50,826.00 50,826.00 50,826.00 50,826.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 53,424.00 21,834.00 53,424.00 53,424.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 54,073.00 9,012.00 2,700.00 11,712.00 42,361.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 4,100.00 4,100.00 4,100.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19 45,706.00 45,706.00 45,706.00
BAY AGINGP. O. Box 610
Urbanna VA 23175-0610
Page 61 PSA 17-18
REMITTANCE ADVICE VENDOR 128946 FFY 2019ID # 0000111324 571
RMT 17/18 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
BAY AGINGP. O. Box 610
Urbanna VA 23175-0610
75080 SFY'19 - 07/01/18 19,712.00 19,712.00 19,712.0075082 SFY'19 - 07/01/18 35,845.00 35,845.00 35,845.0075081 SFY'19 - 07/01/18 12,958.00 12,958.00 12,958.0075084 SFY'19 - 07/01/18 45,653.00 45,653.00 45,653.0075875 SFY'19 - 07/01/18 30,800.00 30,800.00 30,800.0075200 SFY'19 - 07/01/18 13,750.00 13,750.00 13,750.0075083 SFY'19 - 07/01/18 14,075.00 14,075.00 14,075.0075086 SFY'19 - 07/01/18 10,453.00 10,453.00 10,453.00
75080 SFY'19 - 10/01/18 70,598.00 70,598.00 70,598.0075082 SFY'19 - 10/01/18 106,491.00 106,491.00 106,491.0075081 SFY'19 - 10/01/18 38,490.00 38,490.00 38,490.0075084 SFY'19 - 10/01/18 135,598.00 135,598.00 135,598.0075875 SFY'19 - 10/01/18 92,399.00 92,399.00 92,399.0075200 SFY'19 - 10/01/18 41,250.00 41,250.00 41,250.0075083 SFY'19 - 10/01/18 45,642.00 45,642.00 45,642.0075086 SFY'19 - 10/01/18 30,703.00 30,703.00 30,703.00
75080 SFY'20 - 07/01/19 23,533.00 23,533.0075082 SFY'20 - 07/01/19 35,506.00 35,506.0075081 SFY'20 - 07/01/19 12,830.00 12,830.0075084 SFY'20 - 07/01/19 45,200.00 45,200.0075875 SFY'20 - 07/01/19 30,800.00 30,800.0075200 SFY'20 - 07/01/19 13,750.00 13,750.0075083 SFY'20 - 07/01/19 15,214.00 15,214.0075086 SFY'20 - 07/01/19 10,234.00 10,234.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF OMBUDSMAN
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF RESPITE CARE
GUARDIANSHIP
CARE COORDINATION
GUARDIANSHIP-DBHDS ID/DDS
GF TRANSPORTATION
GF H D MEALS
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
CARE COORDINATION
OAA GENERAL
GF COM BASE
Page 62 PSA 17-18
REMITTANCE ADVICE VENDOR 128946 FFY 2019ID # 0000111324 571
RMT 17/18 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
BAY AGINGP. O. Box 610
Urbanna VA 23175-0610
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 4,800.00 3,360.00 3,360.00 1,440.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018SENIOR COOL CARE (FAN CARE) 71001 2019 1,000.00 1,000.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 2,937,085.00 110,441.00 2,207,158.00 115,968.00 2,323,126.00 613,959.0075.15% 79.10%
Note: T-III E - Obligation Adj FY'18
Inv SFY 2019-12
CDSME: PSA 21 26,950; Bay Aging 4,675
Check #128219 rec'd/deposited 11/19/18
Page 63 PSA 17-18
REMITTANCE ADVICE VENDOR 169520 FFY 2019ID # 0000140950 572
RMT 19 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 92,431.00 92,431.00 92,431.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 47,213.00 47,213.00 47,213.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 75,934.00 75,934.00 75,934.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 29,257.00 17,249.00 462.00 17,711.00 11,546.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 135,796.00 127,561.00 8,235.00 135,796.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 2,094.00 2,094.00 2,094.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 552.00 552.00 552.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 378,523.00 267,368.00 19,429.00 286,797.00 91,726.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 205,480.00 158,257.00 15,355.00 173,612.00 31,868.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 243,058.00 151,864.00 15,519.00 167,383.00 75,675.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 19,250.00 19,250.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 135,520.00 3,471.00 3,471.00 132,049.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 3,621.00 1,898.00 148.00 2,046.00 1,575.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 13,816.00 13,343.00 473.00 13,816.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 46,040.00 42,191.00 3,849.00 46,040.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 3,284.00 2,735.00 275.00 3,010.00 274.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 22,166.00 9,655.00 9,655.00 9,655.00 12,511.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 22,840.00 12,121.00 22,840.00 22,840.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 23,003.00 7,080.00 1,523.00 8,603.00 14,400.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19 12,661.00 9,255.00 1,576.00 10,831.00 1,830.00
CRATER DISTRICT AREA AGENCY ON AGING23 Seyler Dr
Petersburg VA 23806-9243
Page 64 PSA 19
REMITTANCE ADVICE VENDOR 169520 FFY 2019ID # 0000140950 572
RMT 19 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
CRATER DISTRICT AREA AGENCY ON AGING23 Seyler Dr
Petersburg VA 23806-9243
75080 SFY'19 - 07/01/18 9,759.00 9,759.00 9,759.0075082 SFY'19 - 07/01/18 28,092.00 28,092.00 28,092.0075081 SFY'19 - 07/01/18 420.00 420.00 420.0075084 SFY'19 - 07/01/18 43,179.00 43,179.00 43,179.0075875 SFY'19 - 07/01/18 14,456.00 14,456.00 14,456.0075200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18 5,254.00 5,254.00 5,254.00
75080 SFY'19 - 10/01/18 70,513.00 70,513.00 70,513.0075082 SFY'19 - 10/01/18 103,660.00 103,660.00 103,660.0075081 SFY'19 - 10/01/18 37,509.00 37,509.00 37,509.0075084 SFY'19 - 10/01/18 132,188.00 132,188.00 132,188.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18 9,813.00 9,813.00 9,813.0075086 SFY'19 - 10/01/18 30,976.00 30,976.00 30,976.00
75080 SFY'20 - 07/01/19 23,504.00 18,221.00 18,221.00 5,283.0075082 SFY'20 - 07/01/19 34,562.00 34,562.0075081 SFY'20 - 07/01/19 12,503.00 12,410.00 12,410.00 93.0075084 SFY'20 - 07/01/19 44,063.00 44,063.0075875 SFY'20 - 07/01/19 14,456.00 14,456.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19 3,271.00 3,271.00 3,271.0075086 SFY'20 - 07/01/19 10,325.00 5,290.00 5,290.00 5,035.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GUARDIANSHIP-DBHDS ID/DDS
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP
BIRMINGHAM GREEN-RESIDENTIAL SERV
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF COM BASE
OAA GENERAL
GF TRANSPORTATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF RESPITE CARE
GF OMBUDSMAN
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF H D MEALS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF COM BASE
GF TRANSPORTATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF H D MEALS
GF OMBUDSMAN
OAA GENERAL
GF RESPITE CARE
CARE COORDINATION
GF H D MEALS
CARE COORDINATION
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
PHARMACY CONNECT
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 65 PSA 19
REMITTANCE ADVICE VENDOR 169520 FFY 2019ID # 0000140950 572
RMT 19 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
CRATER DISTRICT AREA AGENCY ON AGING23 Seyler Dr
Petersburg VA 23806-9243
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 1,900.00 1,900.00 1,900.00 1,900.00SENIOR COOL CARE (FAN CARE) 71001 2019 1,700.00 1,700.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18 8,795.00 3,871.00 4,781.00 4,781.00 4,014.00SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19 9,929.33 3,815.00 525.00 4,340.00 5,589.33
TOTAL 2,206,733.33 27,547.00 1,589,202.00 110,032.00 1,699,234.00 507,499.3372.02% 77.00%
Title V Closeout - $2,112 refunded (Ck #161478 rec'd 8/29)
Page 66 PSA 19
REMITTANCE ADVICE VENDOR 185906 FFY 2019ID # 0000086038 573
RMT 20 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 332,406.00 332,406.00 332,406.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 143,927.00 143,927.00 143,927.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 273,514.00 273,514.00 273,514.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 22,245.00 22,245.00 22,245.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 101,263.00 101,263.00 101,263.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 1,158.00 1,158.00 1,158.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 1,459,105.00 1,057,089.00 250,161.00 1,307,250.00 151,855.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 961,027.00 702,554.00 182,077.00 884,631.00 76,396.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 571,240.00 215,385.00 118,618.00 334,003.00 237,237.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 64,912.00 64,912.00 64,912.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 490,612.00 357,286.00 30,382.00 387,668.00 102,944.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 13,072.00 11,805.00 1,267.00 13,072.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (2,201.00) (2,201.00) (2,201.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 124,214.00 124,214.00 124,214.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 39,447.00 39,447.00 39,447.00 39,447.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 43,411.00 43,411.00 43,411.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 44,448.00 44,448.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 4,100.00 4,100.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19 66,830.00 66,830.00 66,830.00
SENIOR SERVICES of SOUTHEASTERN VIRGINIA 6350 Center Drive, Suite 101
Norfolk VA 23502
Page 67 PSA 20
REMITTANCE ADVICE VENDOR 185906 FFY 2019ID # 0000086038 573
RMT 20 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
SENIOR SERVICES of SOUTHEASTERN VIRGINIA 6350 Center Drive, Suite 101
Norfolk VA 23502
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18 19,999.00 19,999.00 19,999.0075081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18 9,369.00 9,369.00 9,369.0075875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18 7,500.00 7,500.00 7,500.0075083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18 256,545.00 256,545.00 256,545.0075082 SFY'19 - 10/01/18 224,860.00 224,860.00 224,860.0075081 SFY'19 - 10/01/18 476,784.00 476,784.00 476,784.0075084 SFY'19 - 10/01/18 286,847.00 286,847.00 286,847.0075875 SFY'19 - 10/01/18 90,634.00 90,634.00 90,634.0075200 SFY'19 - 10/01/18 22,500.00 22,500.00 22,500.0075083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18 112,970.00 112,970.00 112,970.00
75080 SFY'20 - 07/01/19 85,515.00 85,515.00 85,515.0075082 SFY'20 - 07/01/19 74,974.00 74,974.0075081 SFY'20 - 07/01/19 158,941.00 68,121.00 68,121.00 90,820.0075084 SFY'20 - 07/01/19 95,615.00 76,838.00 18,777.00 95,615.0075875 SFY'20 - 07/01/19 30,211.00 25,927.00 4,284.00 30,211.0075200 SFY'20 - 07/01/19 7,500.00 7,500.0075083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19 37,657.00 37,657.00 37,657.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP
GUARDIANSHIP-DBDHS MENTAL ILLNESS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 68 PSA 20
REMITTANCE ADVICE VENDOR 185906 FFY 2019ID # 0000086038 573
RMT 20 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
SENIOR SERVICES of SOUTHEASTERN VIRGINIA 6350 Center Drive, Suite 101
Norfolk VA 23502
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 5/30/18 - 06/30/19 25,000.00 4,845.00 25,000.00 25,000.00NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 13,252.50 13,252.50 13,252.50 (13,252.50)
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19 10,000.00 7,457.00 7,457.00 2,543.00
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 5,300.00 5,300.00 5,300.00 5,300.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274) 3,700.00 3,700.00 3,700.00FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 9,600.00 9,600.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 20,215.00 24,800.00 24,800.00 (24,800.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 30,747.76 26,950.00 26,950.00 26,950.00 3,797.76CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 7,000.00 7,000.00 7,000.00 7,000.00
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19 20,000.00 4,085.00 20,000.00 20,000.00
SENIOR COOL CARE (FAN CARE) 71001 2018 1,200.00 1,200.00 1,200.00 1,200.00SENIOR COOL CARE (FAN CARE) 71001 2019 1,200.00 1,200.00 1,200.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 840.00 840.00 840.00 840.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 900.00 900.00 900.00
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 6,873,738.76 123,134.50 5,502,410.50 607,666.00 6,110,076.50 763,662.2680.09% 88.89%
De-obligation TIII-B (-5,162)
Inv SFY 2019-13
Note: NSIP - Obligation Adj FY'18
Check #145603 rec'd/deposited 12/05/18
Page 69 PSA 20
REMITTANCE ADVICE VENDOR 217949 FFY 2019ID # 0000111208 574
RMT 21 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 32,638.00 32,638.00 32,638.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 49,625.00 49,625.00 49,625.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 11,798.00 11,798.00 11,798.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 1,039.00 1,039.00 1,039.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 39,105.00 39,105.00 39,105.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 4,840.00 4,840.00 4,840.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 602,730.00 409,163.00 75,885.00 485,048.00 117,682.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 228,309.00 167,171.00 25,912.00 193,083.00 35,226.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 393,531.00 307,664.00 13,292.00 320,956.00 72,575.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 28,720.00 22,511.00 3,339.00 25,850.00 2,870.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 201,683.00 133,530.00 18,044.00 151,574.00 50,109.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 5,309.00 1,802.00 359.00 2,161.00 3,148.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (1,959.00) (1,959.00) (1,959.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 96,607.00 71,728.00 4,723.00 76,451.00 20,156.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
PENINSULA AREA AGENCY ON AGING739 Thimble Shoals Boulevard, Suite 1006
Newport News VA 23606-3562
Page 70 PSA 21
REMITTANCE ADVICE VENDOR 217949 FFY 2019ID # 0000111208 574
RMT 21 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
PENINSULA AREA AGENCY ON AGING739 Thimble Shoals Boulevard, Suite 1006
Newport News VA 23606-3562
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18 24,991.00 24,991.00 24,991.0075875 SFY'19 - 07/01/18 25,688.00 25,688.00 25,688.0075200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18 107,820.00 107,820.00 107,820.0075082 SFY'19 - 10/01/18 153,122.00 153,122.00 153,122.0075081 SFY'19 - 10/01/18 55,493.00 55,493.00 55,493.0075084 SFY'19 - 10/01/18 195,659.00 195,659.00 195,659.0075875 SFY'19 - 10/01/18 77,063.00 77,063.00 77,063.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18 47,981.00 47,981.00 47,981.00
75080 SFY'20 - 07/01/19 35,940.00 10,132.00 16,218.00 26,350.00 9,590.0075082 SFY'20 - 07/01/19 51,054.00 14,076.00 23,187.00 37,263.00 13,791.0075081 SFY'20 - 07/01/19 18,498.00 582.00 582.00 17,916.0075084 SFY'20 - 07/01/19 65,220.00 21,740.00 21,740.00 43,480.0075875 SFY'20 - 07/01/19 25,688.00 3,464.00 3,464.00 22,224.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19 15,994.00 561.00 8,041.00 8,602.00 7,392.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF COM BASE
GF H D MEALS
CARE COORDINATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF H D MEALS
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF H D MEALS
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
OAA GENERAL
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 71 PSA 21
REMITTANCE ADVICE VENDOR 217949 FFY 2019ID # 0000111208 574
RMT 21 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
PENINSULA AREA AGENCY ON AGING739 Thimble Shoals Boulevard, Suite 1006
Newport News VA 23606-3562
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 06/03/19 - 08/31/19 5,000.00 5,000.00 5,000.00NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 6,300.00 6,300.00 6,300.00 6,300.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274) 3,700.00 3,700.00 3,700.00FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 9,600.00 9,600.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 6,030.00 8,280.00 8,280.00 (8,280.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 55,029.31 41,525.00 53,900.00 53,900.00 1,129.31CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 3,500.00 3,500.00 3,500.00 3,500.00
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018 4,200.00 3,953.00 4,200.00 4,200.00SENIOR COOL CARE (FAN CARE) 71001 2019 4,200.00 3,734.00 3,734.00 466.00
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 2,690,815.31 61,308.00 2,058,303.00 217,938.00 2,276,241.00 414,574.3176.53% 84.59%
Note: NSIP - Obligation Adj FY'18
Inv SFY 2019-04Check #025327 rec'd/deposited 11/02/18
CDSME: PSA 21 26,950; Bay Aging 14,575
Page 72 PSA 21
REMITTANCE ADVICE VENDOR 211687 FFY 2019ID # 0000140944 575
RMT 22 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18
T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 660.00 660.00 660.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 55,138.00 55,138.00 55,138.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 12,045.00 12,045.00 12,045.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 (4,116.00) (4,116.00) (4,116.00)T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18
T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 360.00 360.00 360.00
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 206,959.00 199,395.00 7,564.00 206,959.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 112,567.00 103,814.00 6,000.00 109,814.00 2,753.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 133,391.00 30,587.00 24,839.00 55,426.00 77,965.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 10,911.00 2,011.00 8,311.00 10,322.00 589.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 73,747.00 73,747.00 73,747.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 2,007.00 1,808.00 199.00 2,007.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 9,284.00 9,284.00 9,284.00
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (410.00) (410.00) (410.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 21,594.00 21,594.00 21,594.00
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 849.00 700.00 149.00 849.00
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 153,168.00 31,974.00 153,168.00 153,168.00DOL 17235 0000115740 7/1/19 - 6/30/20 134,353.00 25,672.00 25,672.00 108,681.00
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 19,436.00 19,436.00 19,436.00 19,436.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 19,668.00 13,066.00 19,668.00 19,668.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 19,693.00 6,886.00 2,202.00 9,088.00 10,605.00
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19
MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19
MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19 4,303.00 2,179.00 633.00 2,812.00 1,491.00
EASTERN SHORE AREA AGENCY ON AGINGP. O. Box 415 5432 Bayside Rd. Belle Haven, VA 23306 Exmore, VA 23350 B
Page 73 PSA 22
REMITTANCE ADVICE VENDOR 211687 FFY 2019ID # 0000140944 575
RMT 22 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
EASTERN SHORE AREA AGENCY ON AGINGP. O. Box 415 5432 Bayside Rd. Belle Haven, VA 23306 Exmore, VA 23350 B
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18 14,456.00 14,456.00 14,456.0075200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18 37,062.00 37,062.00 37,062.0075082 SFY'19 - 10/01/18 56,930.00 56,930.00 56,930.0075081 SFY'19 - 10/01/18 20,561.00 20,561.00 20,561.0075084 SFY'19 - 10/01/18 72,417.00 72,417.00 72,417.0075875 SFY'19 - 10/01/18 43,369.00 43,369.00 43,369.0075200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18 6,595.00 6,595.00 6,595.0075086 SFY'19 - 10/01/18 16,001.00 16,001.00 16,001.00
75080 SFY'20 - 07/01/19 12,354.00 4,118.00 4,118.00 8,236.00 4,118.0075082 SFY'20 - 07/01/19 18,981.00 5,825.00 6,326.00 12,151.00 6,830.0075081 SFY'20 - 07/01/19 6,854.00 2,034.00 2,285.00 4,319.00 2,535.0075084 SFY'20 - 07/01/19 24,139.00 7,359.00 7,359.00 16,780.0075875 SFY'20 - 07/01/19 14,456.00 14,456.0075200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19 2,198.00 500.00 500.00 1,698.0075086 SFY'20 - 07/01/19 5,334.00 1,179.00 1,179.00 4,155.00
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
CARE COORDINATION
GF H D MEALS
GF H D MEALS
CARE COORDINATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF COM BASE
GF TRANSPORTATION
OAA GENERAL
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP
GF COM BASE
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
LOW INCOME SENIORS - TRAUMA
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
PHARMACY CONNECT
GUARDIANSHIP MENTAL HEALTH
GF H D MEALS
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
SENIORNAVIGATOR (GF)
Page 74 PSA 22
REMITTANCE ADVICE VENDOR 211687 FFY 2019ID # 0000140944 575
RMT 22 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
EASTERN SHORE AREA AGENCY ON AGINGP. O. Box 415 5432 Bayside Rd. Belle Haven, VA 23306 Exmore, VA 23350 B
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15
DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16
DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16
DEMENTIA ADI SSS 93763 45918 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18
NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17
ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 45,050.00 45,050.00 45,050.00 (45,050.00)
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18
FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)
FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 4,800.00 3,040.00 3,040.00 1,760.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 2,530.00 2,785.00 2,785.00 (2,785.00)
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 26,950.00 26,950.00 26,950.00 26,950.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 820.00 820.00 820.00 820.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 820.00 820.00
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 1,375,804.00 139,826.00 1,074,505.00 88,798.00 1,163,303.00 212,501.0078.10% 84.55%
Inv SFY 2019-14Check #154788 rec'd/deposited 12/04/18
Note: NSIP & T-III E - Obligation Adj FY'18
Page 75 PSA 22
REMITTANCE ADVICE VENDOR 217162 FFY 2019ID # 0000172506 539
RMT ADULT CARE SHEN 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
ADULT CARE CENTER OF THE NO SHENANDOAH VALLEY411 North Cameron St., Ste. 100
Winchester, VA 22601
Page 76 ADULT CARE SHENANDOAH
REMITTANCE ADVICE VENDOR 217162 FFY 2019ID # 0000172506 539
RMT ADULT CARE SHEN 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
ADULT CARE CENTER OF THE NO SHENANDOAH VALLEY411 North Cameron St., Ste. 100
Winchester, VA 22601
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18 11,250.00 9,422.00 11,250.00 11,250.0075083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18 33,750.00 33,750.00 33,750.0075083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19 11,250.00 1,117.00 1,117.00 10,133.0075083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
OAA GENERAL
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF RESPITE CARE
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
SENIORNAVIGATOR (GF)
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GF OMBUDSMAN
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
Page 77 ADULT CARE SHENANDOAH
REMITTANCE ADVICE VENDOR 217162 FFY 2019ID # 0000172506 539
RMT ADULT CARE SHEN 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
ADULT CARE CENTER OF THE NO SHENANDOAH VALLEY411 North Cameron St., Ste. 100
Winchester, VA 22601
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 56,250.00 9,422.00 45,000.00 1,117.00 46,117.00 10,133.0080.00% 81.99%
Page 78 ADULT CARE SHENANDOAH
REMITTANCE ADVICE VENDOR 237905 FFY 2019ID # 0000216979 582
RMT ADULT CARE 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
ADULT CARE CENTER OF CENTRAL VIRGINIAP O Box 568
Lynchburg, VA 24505
Page 79 ADULT CARE CTR OF CENTRAL VA
REMITTANCE ADVICE VENDOR 237905 FFY 2019ID # 0000216979 582
RMT ADULT CARE 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
ADULT CARE CENTER OF CENTRAL VIRGINIAP O Box 568
Lynchburg, VA 24505
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18 8,750.00 8,277.00 8,750.00 8,750.0075083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18 26,250.00 26,250.00 26,250.0075083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19 8,750.00 2,008.00 2,646.00 4,654.00 4,096.0075083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF H D MEALS
CARE COORDINATION
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF H D MEALS
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
Page 80 ADULT CARE CTR OF CENTRAL VA
REMITTANCE ADVICE VENDOR 237905 FFY 2019ID # 0000216979 582
RMT ADULT CARE 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
ADULT CARE CENTER OF CENTRAL VIRGINIAP O Box 568
Lynchburg, VA 24505
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 43,750.00 8,277.00 37,008.00 2,646.00 39,654.00 4,096.0084.59% 90.64%
Page 81 ADULT CARE CTR OF CENTRAL VA
REMITTANCE ADVICE VENDOR 226287 FFY 2019ID # 0000028977 532
RMT Alleghany 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
ALLEGHANY HIGHLAND COMMUNITY SERVICES205 E. Hawthorne Street
Covington ,VA 24426
Page 82 ALLEGHANY HIGHLANDS
REMITTANCE ADVICE VENDOR 226287 FFY 2019ID # 0000028977 532
RMT Alleghany 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
ALLEGHANY HIGHLAND COMMUNITY SERVICES205 E. Hawthorne Street
Covington ,VA 24426
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19) 61,511.00 61,511.00 61,511.0075090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20) 57,267.00 4,772.00 4,772.00 9,544.00 47,723.0075090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
SUPPLEMENTAL NUTR T-III C1&2 (GF)
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
CARE COORDINATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF COM BASE
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF RESPITE CARE
GF OMBUDSMAN
OAA GENERAL
GUARDIANSHIP
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF TRANSPORTATION
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF OMBUDSMAN
GF OMBUDSMAN
GF COM BASE
GF TRANSPORTATION
OAA GENERAL
GUARDIANSHIP
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
Page 83 ALLEGHANY HIGHLANDS
REMITTANCE ADVICE VENDOR 226287 FFY 2019ID # 0000028977 532
RMT Alleghany 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
ALLEGHANY HIGHLAND COMMUNITY SERVICES205 E. Hawthorne Street
Covington ,VA 24426
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 118,778.00 66,283.00 4,772.00 71,055.00 47,723.0055.80% 59.82%
Page 84 ALLEGHANY HIGHLANDS
REMITTANCE ADVICE VENDOR 178018 FFY 2019ID # 0000170366 584
RMT ARC 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
THE ARC OF NORTHERN VA2755 Hartland Road - Suite 200
Falls Church, VA 22043
Page 85 ARC NORTH VA
REMITTANCE ADVICE VENDOR 178018 FFY 2019ID # 0000170366 584
RMT ARC 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
THE ARC OF NORTHERN VA2755 Hartland Road - Suite 200
Falls Church, VA 22043
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19) 84,583.00 84,583.00 84,583.0075090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19) 167,500.00 167,500.00 167,500.0075094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20) 80,339.00 6,695.00 6,695.00 13,390.00 66,949.0075090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20) 167,500.00 13,958.00 13,958.00 27,916.00 139,584.0075094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP
GF RESPITE CARE
GF OMBUDSMAN
GF H D MEALS
CARE COORDINATION
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF TRANSPORTATION
GF RESPITE CARE
OAA GENERAL
GF COM BASE
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP
CARE COORDINATION
GF H D MEALS
CARE COORDINATION
GF COM BASE
GF TRANSPORTATION
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF RESPITE CARE
GF H D MEALS
OAA GENERAL
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
Page 86 ARC NORTH VA
REMITTANCE ADVICE VENDOR 178018 FFY 2019ID # 0000170366 584
RMT ARC 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
THE ARC OF NORTHERN VA2755 Hartland Road - Suite 200
Falls Church, VA 22043
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 499,922.00 272,736.00 20,653.00 293,389.00 206,533.0054.56% 58.69%
Page 87 ARC NORTH VA
REMITTANCE ADVICE VENDOR 217940 FFY 2019ID # 0000160803 550
RMT AUTUMN 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
AUTUMN VALLEY GUARDIANSHIP INCP O Box 1201
Harrisonburg, VA 22803
Page 88 Autumn Valley
REMITTANCE ADVICE VENDOR 217940 FFY 2019ID # 0000160803 550
RMT AUTUMN 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
AUTUMN VALLEY GUARDIANSHIP INCP O Box 1201
Harrisonburg, VA 22803
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19) 36,244.00 36,244.00 36,244.0075090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19) 63,888.00 63,888.00 63,888.0075094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20) 32,000.00 2,667.00 2,667.00 5,334.00 26,666.0075090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20) 63,888.00 5,324.00 5,324.00 10,648.00 53,240.0075094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
CARE COORDINATION
GF TRANSPORTATION
GF OMBUDSMAN
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF RESPITE CARE
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF OMBUDSMAN
CARE COORDINATION
GF RESPITE CARE
SUPPLEMENTAL NUTR T-III C1&2 (GF)
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF H D MEALS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP-DBHDS ID/DDS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 89 Autumn Valley
REMITTANCE ADVICE VENDOR 217940 FFY 2019ID # 0000160803 550
RMT AUTUMN 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
AUTUMN VALLEY GUARDIANSHIP INCP O Box 1201
Harrisonburg, VA 22803
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 196,020.00 108,123.00 7,991.00 116,114.00 79,906.0055.16% 59.24%
Page 90 Autumn Valley
REMITTANCE ADVICE VENDOR 238196 FFY 2019ID # 0000014436 548
RMT BIRMINGHAM GREEN 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
BIRMINGHAM GREEN ADULT CARE RESIDENCE8605 Centreville RoadManassas, VA 20110
Page 91 BIRMINGHAM GREEN
REMITTANCE ADVICE VENDOR 238196 FFY 2019ID # 0000014436 548
RMT BIRMINGHAM GREEN 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
BIRMINGHAM GREEN ADULT CARE RESIDENCE8605 Centreville RoadManassas, VA 20110
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19) 250,000.00 250,000.00 250,000.00
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
OAA GENERAL
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
PHARMACY CONNECT
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GF RESPITE CARE
GF H D MEALS
CARE COORDINATION
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBDHS MENTAL ILLNESS
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP
SUPPLEMENTAL NUTR T-III C1&2 (GF)
CARE COORDINATION
GF COM BASE
GUARDIANSHIP
GF TRANSPORTATION
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF RESPITE CARE
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
CARE COORDINATION
GF OMBUDSMAN
Page 92 BIRMINGHAM GREEN
REMITTANCE ADVICE VENDOR 238196 FFY 2019ID # 0000014436 548
RMT BIRMINGHAM GREEN 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
BIRMINGHAM GREEN ADULT CARE RESIDENCE8605 Centreville RoadManassas, VA 20110
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 250,000.00 250,000.00 250,000.00100.00% 100.00%
Page 93 BIRMINGHAM GREEN
REMITTANCE ADVICE VENDOR 211666 FFY 2019ID # 0000141218 580
RMT BRIDGES 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
BRIDGES SENIOR CARE SOLUTIONS INCP O Box 1310
Fredericksburg VA 22402
Page 94 BRIDGES-SR CARE
REMITTANCE ADVICE VENDOR 211666 FFY 2019ID # 0000141218 580
RMT BRIDGES 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
BRIDGES SENIOR CARE SOLUTIONS INCP O Box 1310
Fredericksburg VA 22402
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19) 260,684.00 260,684.00 260,684.0075090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19) 447,843.00 447,843.00 447,843.0075094 (0000109732) SFY'19 (7/1/18-6/30/19) 247,000.00 247,000.00 247,000.00
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20) 256,440.00 21,370.00 21,370.00 42,740.00 213,700.0075090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20) 447,843.00 37,320.00 37,320.00 74,640.00 373,203.0075094 (0000109732) SFY'20 (7/1/19-6/30/20) 247,000.00 20,584.00 20,584.00 41,168.00 205,832.00
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF RESPITE CARE
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR T-III C1&2 (GF)
CARE COORDINATION
GF RESPITE CARE
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
OAA GENERAL
GF OMBUDSMAN
GF H D MEALS
CARE COORDINATION
CARE COORDINATION
GF COM BASE
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
GF COM BASE
GF TRANSPORTATION
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GF OMBUDSMAN
GF H D MEALS
PHARMACY CONNECT
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GUARDIANSHIP
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 95 BRIDGES-SR CARE
REMITTANCE ADVICE VENDOR 211666 FFY 2019ID # 0000141218 580
RMT BRIDGES 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
BRIDGES SENIOR CARE SOLUTIONS INCP O Box 1310
Fredericksburg VA 22402
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 1,906,810.00 1,034,801.00 79,274.00 1,114,075.00 792,735.0054.27% 58.43%
Page 96 BRIDGES-SR CARE
REMITTANCE ADVICE VENDOR 084019 FFY 2019ID # 0000036881 583
RMT CATHOLIC RICH 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
COMMONWEALTH CATHOLIC CHARITIES OF GREATER RICH1601 Rolling Hills Dr.
Richmond, VA 23229
Page 97 CATHOLIC RICH
REMITTANCE ADVICE VENDOR 084019 FFY 2019ID # 0000036881 583
RMT CATHOLIC RICH 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
COMMONWEALTH CATHOLIC CHARITIES OF GREATER RICH1601 Rolling Hills Dr.
Richmond, VA 23229
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19) 87,244.00 87,244.00 87,244.0075090 SFY'19 (7/1/18-6/30/19) 67,979.00 67,979.00 67,979.0075095 SFY'19 (7/1/18-6/30/19) 392,268.00 392,268.00 392,268.00
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20) 83,000.00 6,917.00 6,917.00 13,834.00 69,166.0075090 SFY'20 (7/1/19-6/30/20) 67,979.00 5,665.00 5,665.00 11,330.00 56,649.0075095 SFY'20 (7/1/19-6/30/20) 392,268.00 32,689.00 32,689.00 65,378.00 326,890.00
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF TRANSPORTATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP-DBHDS ID/DDS
GF H D MEALS
CARE COORDINATION
GF OMBUDSMAN
GUARDIANSHIP-DBDHS MENTAL ILLNESS
BIRMINGHAM GREEN-RESIDENTIAL SERV
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF RESPITE CARE
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
PHARMACY CONNECT
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
Page 98 CATHOLIC RICH
REMITTANCE ADVICE VENDOR 084019 FFY 2019ID # 0000036881 583
RMT CATHOLIC RICH 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
COMMONWEALTH CATHOLIC CHARITIES OF GREATER RICH1601 Rolling Hills Dr.
Richmond, VA 23229
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 1,090,738.00 592,762.00 45,271.00 638,033.00 452,705.0054.35% 58.50%
Page 99 CATHOLIC RICH
REMITTANCE ADVICE VENDOR 219444 FFY 2019ID # 0000036882 543
RMT CATHOLIC EASTERN 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
CATHOLIC CHARITIES OF EASTERN VIRGINIA INC5361-A Virginia Beach BlvdVirginia Beach, VA 23462
Page 100 CATHOLIC EASTERN
REMITTANCE ADVICE VENDOR 219444 FFY 2019ID # 0000036882 543
RMT CATHOLIC EASTERN 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
CATHOLIC CHARITIES OF EASTERN VIRGINIA INC5361-A Virginia Beach BlvdVirginia Beach, VA 23462
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19) 209,631.00 209,631.00 209,631.0075090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19) 138,500.00 138,500.00 138,500.0075094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20) 205,387.00 17,115.00 17,115.00 34,230.00 171,157.0075090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20) 138,500.00 11,542.00 11,542.00 23,084.00 115,416.0075094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
BIRMINGHAM GREEN-RESIDENTIAL SERV
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF H D MEALS
GUARDIANSHIP-DBHDS ID/DDS
GF RESPITE CARE
GF TRANSPORTATION
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
OAA GENERAL
GF COM BASE
OAA GENERAL
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
CARE COORDINATION
GF RESPITE CARE
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF COM BASE
OAA GENERAL
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
CARE COORDINATION
GF OMBUDSMAN
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF TRANSPORTATION
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 101 CATHOLIC EASTERN
REMITTANCE ADVICE VENDOR 219444 FFY 2019ID # 0000036882 543
RMT CATHOLIC EASTERN 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
CATHOLIC CHARITIES OF EASTERN VIRGINIA INC5361-A Virginia Beach BlvdVirginia Beach, VA 23462
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 692,018.00 376,788.00 28,657.00 405,445.00 286,573.0054.45% 58.59%
Page 102 CATHOLIC EASTERN
REMITTANCE ADVICE VENDOR 017522 FFY 2019ID # 0000086638 500
RMT FAMILY SER 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
FAMILY SERVICES OF ROANOKE VALLEY360 Campbell Ave, SWRoanoke, VA 24016
Page 103 FAMILY SER ROANOKE VALLEY
REMITTANCE ADVICE VENDOR 017522 FFY 2019ID # 0000086638 500
RMT FAMILY SER 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
FAMILY SERVICES OF ROANOKE VALLEY360 Campbell Ave, SWRoanoke, VA 24016
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19) 101,790.00 101,790.00 101,790.0075090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19) 173,192.00 173,192.00 173,192.0075094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20) 97,546.00 8,129.00 8,129.00 16,258.00 81,288.0075090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20) 173,192.00 14,433.00 14,433.00 28,866.00 144,326.0075094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF RESPITE CARE
GF H D MEALS
CARE COORDINATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF OMBUDSMAN
GF COM BASE
GF TRANSPORTATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
GF H D MEALS
CARE COORDINATION
GUARDIANSHIP
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
Page 104 FAMILY SER ROANOKE VALLEY
REMITTANCE ADVICE VENDOR 017522 FFY 2019ID # 0000086638 500
RMT FAMILY SER 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
FAMILY SERVICES OF ROANOKE VALLEY360 Campbell Ave, SWRoanoke, VA 24016
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 545,720.00 297,544.00 22,562.00 320,106.00 225,614.0054.52% 58.66%
Page 105 FAMILY SER ROANOKE VALLEY
REMITTANCE ADVICE VENDOR 044563 FFY 2019ID # 0000036915 542
RMT JEWISH RICH 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
JEWISH FAMILY SERVICES - RICHMOND6718 Patterson AvenueRichmond, VA 23226
Page 106 JEWISH FAMILY - RICH
REMITTANCE ADVICE VENDOR 044563 FFY 2019ID # 0000036915 542
RMT JEWISH RICH 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
JEWISH FAMILY SERVICES - RICHMOND6718 Patterson AvenueRichmond, VA 23226
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19) 97,080.00 97,080.00 97,080.0075090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19) 85,659.00 85,659.00 85,659.0075094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20) 92,836.00 7,737.00 7,737.00 15,474.00 77,362.0075090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20) 85,659.00 7,138.00 7,138.00 14,276.00 71,383.0075094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP-DBHDS ID/DDS
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
GF H D MEALS
GF RESPITE CARE
GF OMBUDSMAN
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
GF H D MEALS
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP MENTAL HEALTH
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
Page 107 JEWISH FAMILY - RICH
REMITTANCE ADVICE VENDOR 044563 FFY 2019ID # 0000036915 542
RMT JEWISH RICH 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
JEWISH FAMILY SERVICES - RICHMOND6718 Patterson AvenueRichmond, VA 23226
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 361,234.00 197,614.00 14,875.00 212,489.00 148,745.0054.71% 58.82%
Page 108 JEWISH FAMILY - RICH
REMITTANCE ADVICE VENDOR 121774 FFY 2019ID # 0000140924 581
RMT JEWISH TIDEWATER 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
JEWISH FAMILY SERVICES OF TIDEWATER260 Grayson Rd
Virginia Beach VA 23462
Page 109 JEWISH FAMILY - TIDEWATER
REMITTANCE ADVICE VENDOR 121774 FFY 2019ID # 0000140924 581
RMT JEWISH TIDEWATER 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
JEWISH FAMILY SERVICES OF TIDEWATER260 Grayson Rd
Virginia Beach VA 23462
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19) 222,162.00 222,162.00 222,162.0075090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19) 333,750.00 333,750.00 333,750.0075094 (0000109732) SFY'19 (7/1/18-6/30/19) 250,000.00 250,000.00 250,000.00
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20) 217,918.00 18,160.00 18,160.00 36,320.00 181,598.0075090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20) 333,750.00 27,813.00 27,813.00 55,626.00 278,124.0075094 (0000109732) SFY'20 (7/1/19-6/30/20) 250,000.00 20,833.00 20,833.00 41,666.00 208,334.00
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
GF OMBUDSMAN
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF RESPITE CARE
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
CARE COORDINATION
OAA GENERAL
GF TRANSPORTATION
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
Page 110 JEWISH FAMILY - TIDEWATER
REMITTANCE ADVICE VENDOR 121774 FFY 2019ID # 0000140924 581
RMT JEWISH TIDEWATER 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
JEWISH FAMILY SERVICES OF TIDEWATER260 Grayson Rd
Virginia Beach VA 23462
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 1,607,580.00 872,718.00 66,806.00 939,524.00 668,056.0054.29% 58.44%
Page 111 JEWISH FAMILY - TIDEWATER
REMITTANCE ADVICE VENDOR 236260 FFY 2019ID # 0000170084 593
RMT JEWISH SOCIAL SERV 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18
T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18
T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18
T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18
T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18
T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18
T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19
T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19
T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19
T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19
T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19
T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19
T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18
NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19
DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18
VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19
VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19
MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19
MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
JEWISH SOCIAL SERVICE AGENCY6123 Montrose RoadRockville, MD 20852
Page 112 JEWISH SOCIAL SERVICE AGENCY
REMITTANCE ADVICE VENDOR 236260 FFY 2019ID # 0000170084 593
RMT JEWISH SOCIAL SERV 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
JEWISH SOCIAL SERVICE AGENCY6123 Montrose RoadRockville, MD 20852
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19) 100,000.00 100,000.00 100,000.0075810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20) 100,000.00 15,849.00 15,849.00 84,151.0075810 (0000110116) SFY'20 (7/1/19-6/30/20)
CARE COORDINATION
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF RESPITE CARE
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
CARE COORDINATION
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP MENTAL HEALTH
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
Page 113 JEWISH SOCIAL SERVICE AGENCY
REMITTANCE ADVICE VENDOR 236260 FFY 2019ID # 0000170084 593
RMT JEWISH SOCIAL SERV 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
JEWISH SOCIAL SERVICE AGENCY6123 Montrose RoadRockville, MD 20852
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15
DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16
DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16
DEMENTIA ADI SSS 93763 45918 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19
NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18
NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17
ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 200,000.00 100,000.00 15,849.00 115,849.00 84,151.00100.00% 57.92%
Deobligated Funds
Page 114 JEWISH SOCIAL SERVICE AGENCY
REMITTANCE ADVICE VENDOR 191478 FFY 2019ID # 0000046565 511
RMT SENIOR NAVIG 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
VIRGINIANAVIGATOR (formerly known as Senior Navigator)7501 Boulders View Dr - Suite 201
Richmond VA 23225
Page 115 SENIORNAVIGATOR
REMITTANCE ADVICE VENDOR 191478 FFY 2019ID # 0000046565 511
RMT SENIOR NAVIG 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
VIRGINIANAVIGATOR (formerly known as Senior Navigator)7501 Boulders View Dr - Suite 201
Richmond VA 23225
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19) 201,875.00 201,875.00 201,875.0075120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20) 201,875.00 50,468.00 50,468.00 151,407.0075120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
GUARDIANSHIP
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF RESPITE CARE
GF COM BASE
GF TRANSPORTATION
CARE COORDINATION
OAA GENERAL
GF COM BASE
PHARMACY CONNECT
GF RESPITE CARE
GF OMBUDSMAN
GF TRANSPORTATION
SUPPLEMENTAL NUTR T-III C1&2 (GF)
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP MENTAL HEALTH
GF H D MEALS
CARE COORDINATION
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
OAA GENERAL
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GF OMBUDSMAN
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
Page 116 SENIORNAVIGATOR
REMITTANCE ADVICE VENDOR 191478 FFY 2019ID # 0000046565 511
RMT SENIOR NAVIG 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
VIRGINIANAVIGATOR (formerly known as Senior Navigator)7501 Boulders View Dr - Suite 201
Richmond VA 23225
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 50,000.00 50,000.00 50,000.00 50,000.00
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 453,750.00 50,000.00 251,875.00 50,468.00 302,343.00 151,407.0055.51% 66.63%
Sr. Navigator - $50,000 DBHDS - To be paid fund 0200
Page 117 SENIORNAVIGATOR
REMITTANCE ADVICE VENDOR 004433 FFY 2019ID # 0000028915 590
RMT STEPS 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18
T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19
NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19
DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18
DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 219,281.00 11,104.00 203,517.00 203,517.00 15,764.00DOL 17235 0000115740 7/1/19 - 6/30/20 223,923.00 18,257.00 18,257.00 205,666.00
VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20
MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19
SOUTHSIDE TRAINING EMPLOYMENT & PLACEMENT SERVICES INC225 Industrial Park Road
Farmville, VA 23901
Page 118 STEPS
REMITTANCE ADVICE VENDOR 004433 FFY 2019ID # 0000028915 590
RMT STEPS 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
SOUTHSIDE TRAINING EMPLOYMENT & PLACEMENT SERVICES INC225 Industrial Park Road
Farmville, VA 23901
75080 SFY'19 - 07/01/18
75082 SFY'19 - 07/01/18
75081 SFY'19 - 07/01/18
75084 SFY'19 - 07/01/18
75875 SFY'19 - 07/01/18
75200 SFY'19 - 07/01/18
75083 SFY'19 - 07/01/18
75086 SFY'19 - 07/01/18
75080 SFY'19 - 10/01/18
75082 SFY'19 - 10/01/18
75081 SFY'19 - 10/01/18
75084 SFY'19 - 10/01/18
75875 SFY'19 - 10/01/18
75200 SFY'19 - 10/01/18
75083 SFY'19 - 10/01/18
75086 SFY'19 - 10/01/18
75080 SFY'20 - 07/01/19
75082 SFY'20 - 07/01/19
75081 SFY'20 - 07/01/19
75084 SFY'20 - 07/01/19
75875 SFY'20 - 07/01/19
75200 SFY'20 - 07/01/19
75083 SFY'20 - 07/01/19
75086 SFY'20 - 07/01/19
75097 SFY'19 (7/1/18-6/30/19)
75090 SFY'19 (7/1/18-6/30/19)
75095 SFY'19 (7/1/18-6/30/19)
75094 (0000109732) SFY'19 (7/1/18-6/30/19)
75800 SFY'19 (7/1/18-6/30/19)
75150 SFY'19 (7/1/18-6/30/19)
75120 (0000109734) SFY'19 (7/1/18-6/30/19)
75810 (0000110116) SFY'19 (7/1/18-6/30/19)
75097 SFY'20 (7/1/19-6/30/20)
75090 SFY'20 (7/1/19-6/30/20)
75095 SFY'20 (7/1/19-6/30/20)
75094 (0000109732) SFY'20 (7/1/19-6/30/20)
75800 SFY'20 (7/1/19-6/30/20)
75150 SFY'20 (7/1/19-6/30/20)
75120 (0000109734) SFY'20 (7/1/19-6/30/20)
75810 (0000110116) SFY'20 (7/1/19-6/30/20)
SUPPLEMENTAL NUTR T-III C1&2 (GF)
BIRMINGHAM GREEN-RESIDENTIAL SERV
GUARDIANSHIP-DBHDS ID/DDS
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
CARE COORDINATION
GF H D MEALS
CARE COORDINATION
GF RESPITE CARE
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
GF RESPITE CARE
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
OAA GENERAL
OAA GENERAL
GF OMBUDSMAN
SUPPLEMENTAL NUTR T-III C1&2 (GF)
OAA GENERAL
GF COM BASE
GF TRANSPORTATION
GF COM BASE
GF TRANSPORTATION
GF H D MEALS
GF OMBUDSMAN
CARE COORDINATION
GF RESPITE CARE
GUARDIANSHIP-DBHDS ID/DDS
GUARDIANSHIP-DBDHS MENTAL ILLNESS
GUARDIANSHIP
GUARDIANSHIP MENTAL HEALTH
PHARMACY CONNECT
SENIORNAVIGATOR (GF)
LOW INCOME SENIORS - TRAUMA
BIRMINGHAM GREEN-RESIDENTIAL SERV
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REMITTANCE ADVICE VENDOR 004433 FFY 2019ID # 0000028915 590
RMT STEPS 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE
CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE
SOUTHSIDE TRAINING EMPLOYMENT & PLACEMENT SERVICES INC225 Industrial Park Road
Farmville, VA 23901
Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18
DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17
DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18
NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18
NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19
Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19
FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20
VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19
CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18
TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19
SENIOR COOL CARE (FAN CARE) 71001 2018
SENIOR COOL CARE (FAN CARE) 71001 2019
SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019
SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18
SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19
TOTAL 443,204.00 11,104.00 203,517.00 18,257.00 221,774.00 221,430.0045.92% 50.04%
Page 120 STEPS