Grantee recommends a reduction of $6,800 out of category based on the availability of other funding streams and the lack of any waiting list for covered services.
1
Fiscal:
This category is significantly under-expending funds.
Program:
Expending the funds proved difficult due to the limitation of utilizing the MADAP formulary for what can be paid. There is a greater demand for assistance with ongoing co-pays for drugs not on the formulary for which Ryan White funds cannot be used.
Program:
Other funding streams are available and clients are not utilizing this service as projected.
Fiscal:
Grantee recommendation to decrease the category by $4,000.
2
Fiscal:
This category received a reduction of $6,800 at the five-month reprogramming but has continued to underspend.
Program:
There is a greater demand for assistance with ongoing co-pays for drugs not on the formulary for which Ryan White funds cannot be used. Grantee will summarize drugs requested that are not on current formulary and submit to ADAP advisory board for review.
Program:
At the current rate, this category will not spend $4,118 of its allocation.
Fiscal:
This category expended 78.11 percent of its funds at the 12-month period.
3
Fiscal:
This category has a variance of 22 percent at the 12-month period. Should there have been more funding reprogrammed out during the year?
Program:
Services consisted of payment for on-going medication co-pays; usually over a three month period while client applications for other entitlement programs are pending. On average, clients are supported with twelve prescriptions monthly.
Program:
Client actuals were low while units provided exceeded projections.
Were projections adjusted in the year?
Funding Adjustments
Reprogramming
Date
Amount
September 15, 2009 November 17, 2009
$-6,800 $-1,000
*
This is the difference between the current expenditures and where the current expenditures should be at this point in the year based upon
the total allocation (plus carryover) and the assumption that expenditures are spread evenly over the year.
As of the last (2010) consumer survey
32 percent of the
426 respondents reporting a need for
Health Insurance Premiums & Cost-sharing Asst. said they could not get it.
Clients survey year (FY 2009):
63
Est. percent of need met:
68%
Est. clients needing service:
92
Clients served (2009):
63
Est. clients not served (2009):
29
Cost per client (2009):
$89
Cost to meet need:
$2,581
Other Funding Streams
RW
Part A
Counties
$7,200
(RW
Part A
EMA)
$80,000
RW
Part A
Counties
Other Funding
Final Analysis
Unspent (including carryover/adjust.): $1,577
Performance Summary:
The category unperformed, only expending 78.11 percent of its total FY 2009 allocation and serving 63 of its anticipated 71 clients.
Compared to Last Year:
Category received a decrease in total allocation from FY 2008. Funds were reprogrammed out during this year. Category under-projected and did not met client projections, still.
Unmet Need:
Questions:
What happened that category is unable to met client and expenditure projections?
Comments:
This category historically underspends. Can the category sustain a decrease in allocation and meet client needs? Will projections be adjusted and more accurately reflect utilization in future FY?
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