Amendment 003
CLERK'S QRIGINAI:
, .
AMENDMENT 003
Spending Authority Contract KS-0112
Page1
THIS AMENDMENT, entered into between the Alliance for Aging, Inc., hereafter referred to
as the "Alliance," and Monroe County Board of Commissioners, hereafter referred to as
the "provider," amends spending authority contract KS-0112.
The purpose of this amendment is to increase the Home and Community Based Medicaid Waiver
spending authority by $48,515.50 for the State Fiscal Year 2000-2001.
1. Section II. is hereby amended to read:
II. The Alliance Agrees:
Spending Authority
The Alliance authorizes payment in accordance with Attachment I to this agreement in
the amount of $194,062.00 for the Home and Community Based Medicaid Waiver
(HCBW) for SFY 00-01. Authorized spending authority contract allocations to date are
as follows:
QUARTER D~TES HCBW ALW TOTAL CDC
ALLOCATED (CONTROL)
First 6/1-9/30/00 $70,152.00 0.00 $70,152.00 0.00
Second 10/1-12/31/00 $26,879.00 0.00 $26,879.00 0.00
Third 1/1-3/31/01 $48,515.50 0.00 $48,515.50 0.00
Fourth 4/1-6/30/01 $48,515.50 0.00 $48,515.50 0.00
TOTALS $194,062.00 0.00 $194,062.00 0.00
Service providers must not exceed allocated spending authority limits without first obtaining
written authorization from the Alliance and the Department of Elder Affairs. The provider is
responsible for continued monitoring of service providers to facilitate compliance with this
requirement.
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AMENDMENT 003
Spending Authority Contract KS-0112
Page2
This amendment shall begin on the date on which the amendment has been signed by both
parties.
All provisions in the spending authority contract and any of its attachments which may be in
conflict with this AMENDMENT are hereby changed to conform with this AMENDMENT.
All provisions not in conflict with this AMENDMENT are still in effect, and are to be performed at
the level specified in the contract.
This AMENDMENT and all its attachment are hereby a part of the contract.
IN WITNESS THEREOF, the parties hereto have caused this 2 page AMENDMENT to be
executed by their undersigned officials as duly authorized.
PROVIDER: MONROE COUNTY BOARD
OF COMMISSIONERS
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NAME: 6,(~e4t-- /,j<C.-{){-,tJlI
TITLE: ;vi 4y&e~
DATE: 5/1qlv/
, /
FEDERAL 10
PROVIDER FISCAL YEAR END DATE
ALLIANCE FOR AGING, INC.
FOR DADE AND MONROE COUNTIES
NAME: KATE CALLAHAN, PH.D.
TITLE: PRESIDENT
DATE: ~b-d;/q/