Amendment 001
AMENDMENT #001
Spending Authority Contract KS 212
Page 1
THIS AMENDMENT, entered into between the Alliance for Aging, Inc., hereafter
referred to as the "Alliance" and the Monroe County Board of Commissioners, hereafter referred to as
the "recipient", amends spending authority contract KS 212.
The purpose of this amendment is to amend Section II of the Medicaid Waiver Spending Authority
adding the schedule of funds awarded to the recipient and increasing the Home and Community
Based Medicaid Waiver spending authority by $63,715.50, and increasing the Assisted Living
Medicaid Waiver spending authority by $0.00, for the State Fiscal Year 2001-2002.
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 $127,431.00 for the Home and Community Based Medicaid Waiver (HCBW) for SFY 01-02
and $0.00 for the Assisted Living Medicaid Waiver (ALW) for SFY 01-02. Authorized spending
authority contract allocations to date are as follows:
QUARTER DATES HCBW ALW TOTAL
ALLOCATED
First 7/1-9/30/01 $63.715.50 0.00 $63,715.50
Second 10/1-12/31/01 $63,715.50 0.00 $63,715.50
Third 1/1-3/31/02
The Alliance is responsible for allocating these spending authority amounts down to the service
provider level. The recipient must not exceed allocated spending authority limits without first
obtaining written authorization from the Alliance and/or the Department of Elder Affairs. The
Alliance is responsible for continued monitoring of recipients providers to facilitate compliance
with this requirement.
Contract Amount
To pay for contracted services according to the conditions of Attachment I in an amount not to
exceed $127,431.00, subject to the availability of funds. The Alliance's performance and obligation
to pay under this contract is contingent upon an annual appropriation by the Legislature passed
through the Department of Elder Affairs. The costs of services paid under any other contract or
from any other source are not eligible for reimbursement under this contract. The schedule of
funds awarded to the recipient pursuant to this contract is not in a state grants and aids
appropriations and consists of the following:
AMENDMENT #001
Spending Authority Contract KS 212
Page 2
Program Title Year Funding Source CFDA# Fund Amounts
Medical 2001 CMS 93.778 $72,030.00
Assistance
2001 General Revenue NA $55,401.00
TOTAL FUNDS CONTAINED IN THIS CONTRACT: $127,431.00
2. 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 pag~_~MJ:::NDMENT to be executed by
their undersigned officials as duly authorized. /.,,~~'),;>,
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RECIPIENT: MONROE COUNTY BOARD
OF COMMISSIONERS
BOARD PRESIDENT OR AUTHORIZED
DESIGNEE
TITLE:
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NAME: C !-I-1112J-f5 f'1 c COY
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FEDERAL EMPLOYER ID NUMBER
SIGNED
BY:
SIGNED
BY:
NAME: KATE CALLAHAN. PH.D.
TITLE: PRESIDENT
DATE:
DATE:
59-6000749
PROVIDER FISCAL YEAR END DATE
APPROVED AS TO F RM
AND LEGAL SUFFI
09/30