Amendment 003
AMENDMENT #003
CLERK'S ORIGINAL
Spending Authority Contract #KS0012 Page 1
THIS AMENDMENT, entered into between the Alliance for Aging,
hereafter referred to as the "Alliance", and Monroe County Board of
Commissioners, hereinafter referred to as the "case management agency",
amends spending authority contract #KS0012.
The purpose of this amendment is to increase the Home and Community Based
Medicaid Waiver spending authority by $ 57,731, for the State Fiscal Year 1999-
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Spending Authority ;i ~ ;.. ~
The Alliance authorizes payment in accordance with Attachme'rit 1 to fWls C
agreement in the amount of $ 172,334 for the Home and Community
Based Medicaid Waiver for SFY 99-00. Authorized spending authority
contract allocation to date are as follows:
Quarter Dates HCBS
First 6/01 - 9/30/99 25,467.33
Second 10/1 - 12/31/99 50,934.67
Third 1/01 - 3/31/00 38,201
Fourth 4/01 - 6/30/00 57,731
TOTAL 172,334
The Case Management agency must not exceed allocated spending
authority limits without first obtaining written authorization from the
Alliance. The Alliance is responsible for continued monitoring of Case
Management agencies to facilitate compliance with this requirement.
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.
AMENDMENT #003 Spending Authority Contract #KS0012
Page 2
IN WITNESS THEREOF, the parties hereto have caused this 2....page
AMENDMENT to be executed by their undersigned officials as duly authorized.
CASE MANAGEMENT AGENCY:
MONROE COUNTY BOARD OF
COMMISSIONERS
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NAME: 5 hiY'/c.y FYGGv'vJ4.Vl
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AREA AGENCY ON AGING:
ALLIANCE FOR AGING, Inc.
SIGNED
BY:
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NAME:
Martin Urra
TITLE:
Board President
DATE:
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