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Type of Grant Appropriation being requested: (New <br />or an additional appropriation) <br />❑ Additional appropriation (to an existing grant); <br />Has the original grant notification been transmitted to <br />Council? ❑ Yes ❑ No <br />OR <br />1 New (for this fiscal year period). <br />Is a draft agreement attached? <br />Yes ❑ No <br />Name of Grant Program: Hospital Discharge Planning Model and ADRC Expansion Grant <br />Grantor: State Department of Health, Executive Office onAging <br />County Grantee Department or Agency: Hawai'i County Office of Aging (HCOA) <br />County Grantee Contact Person: Alan Parker <br />Amount of Grant: $267,922.00 <br />Grant Period (Commencement & Completion): Effective from STATE's Notice to Proceed to September <br />29, 2012 <br />Purpose of Grant: To award funds to HCOA to demonstrate a patient and caregiver centered <br />discharge planning process and to enable a fully functioning ADRC. <br />County Match required ?: ❑ Yes ® No <br />If yes, Matching Amount? <br />In -kind? Explain: <br />Explanation: <br />County's personnel requirements: Amount of new position(s)? <br />Qty: Permanent: ❑ Temporary: ❑, Duration: <br />Full -time: ❑ Part-time: ❑, Time Element: <br />Qty: Contractual: ❑ Explain: <br />Explanation: State pilot project still in demonstration phase. <br />Additional Comments about Grant: <br />GRANT SUMMARY <br />Supplement to B -52, Request for Council Action <br />Budgeted in account# : <br />Phone Number: 961 -8600 <br />B -52 Grant Summary Form <br />