2014-2015 Medicaid Annual Report

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SUMMARY OF EXPENDITURES

Total of funds
expended for 2014-15
$0.00

ADMINISTRATIVE EXPENDITURE REPORT

Total Administrative Expenditures (2014-15):
$0.00

HEALTH SERVICES EXPENDITURES (by CDE Category)

Assistance/Emergency Funds (Vouchers)

Assistive Technology (Pieces of Equipment)

Audiology (Pieces of Equipment)

Case Management/Care Coordination (List FTE # ONLY - do not list hours)

Dental (list number of visits)

Health Assistant/Clinic Aide (list number of FTEs only)

Health Education (list FTEs)

Intensive Health Tech (Delegated Services, list FTEs)

Insurance Outreach - CHP+ and Medicaid (list FTES)

Materials/Equipment/Supplies (List number of pieces)

Mental Health (list FTEs)

Motor Therapy (list FTEs)

Nursing (list FTEs)

Nutrition (list number of classes)

Occupational Therapy (list FTEs)

Orientation and Mobility (list FTEs)

Parent/Family Support Services (list FTEs)

Physical Therapy (list FTEs)

Physician Services (list number of visits)

Screenings and Assessments (list number of screenings and assessments performed)

Speech Language (list FTEs)

Training/Professional Development (list number of trainings or PD classes paid for with Medicaid funds.

Transportation (list number of items purchased)

Vision (list number of items purchased)

Total Health Services Expenditures (2014-15):
$0.00
Total Health Service # of Unduplicated Students (2014-15):
0.00

SUBCONTRACTOR REPORT

Please describe below how the subcontractor was chosen, the services contracted, and how the subcontractor's performance was monitored. Describe and problems, corrective actions taken and results of those actions.

Subcontractor Total:
$0.00