Step 2: Fiscal Needs Assessment

Orientation to the Tools

1. Fund Matrix

Federal Fund Sources

State Fund Sources andLocal Fund Sources

Non Government Sources

Identification

Eligibility

Child Services

System Components

2. Fund Revenue

Fund Source

Federal Funds

State Funds Match

Local Funds Match

Total Revenue

Accessed at what level?

Medicaid

$3M 900,000

$3.9 M Providers bill Medicaid directly

Medicaid

$3M 900,000

$3.9 M Providers bill Medicaid directly

Section 2 Questions

3. At what level are providers reimbursed for services? (Check all that apply)

4. How are IDEA Part C funds for system components distributed to the local/regional level?

5. How are IDEA Part C funds for direct services distributed to the local/regional level?

Section 2 Questions

6. How are general funds allocated by the state lead agency?

7. Does your state have a system of payments for families?

8. If yes, how is the system of payment established? (check all that apply)

9. What family resources are included in the system of payments? (Check all that apply)

Section 2 Questions

10. How are these resources collected? (Check all that apply)

11. Where are the family cost participation revenues retained?

12. How is this revenue utilized? 13. What is the average direct service cost

per child for a twelve month period?

Section 2 Questions

14. What is the average cost per child for the total system costs including both direct services and system components?

15. Check if you have any concerns regarding that status of your state as it relates to your obligations for:

1. 303.121 Prohibition against supplanting2. 303.527 Payor of last resort3. Edgar

Section 2 Questions

16. Check what type of data you collect and how it is collected?

1. Demographic2. Family Income3. Service Authorization4. Service Utilization5. Fund Resources6. Other Program Eligibility7. Other

• Paper or Electronic