4542 A - Program Budget Page - Maryland Department of Health

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|TABLE OF CONTENTS |
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|PAGES |
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|Overview and |
|Format...................................................... |
|3 |
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|Administrative Specific - General Instructions..................... |
|4 |
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|Workmen's Compensation Premiums.......................... |
|5 |
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|Section I - Local Health Department Budget Package............ |
|6 |
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|Overview............................................................|
|7 |
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|General Instructions................................................|
|8 - 15 |
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|DHMH 4542 Forms A-M (DHMH 440 - 440A)............... |
|(Insert) |
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|Section II - Administrative Specific - Categorical Grant |
|Instructions... 16 |
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|Alcohol and Drug Abuse Administration ..............................|
|17 - 27 |
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|Developmental Disabilities Administration...........................|
|28 - 30 |
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|Family Health |
|Administration............................................ |
|31 - 70 |
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|Infectious Disease and Environmental health Administration... |
|71 - 91 |
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|Mental Hygiene |
|Administration.......................................... |
|92 |
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|Office of Health Services - Health Choice & Acute Care............. |
|93 - 109 |
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|Office of Health Services -Adult Day Care................ . . . . . |
|. . . . . 110 - 117 |
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|Office of Health Services - Long Term Care Services ............... |
|118 - 120 |
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|Office of Health Services - Medicaid Transportation |
|Grants |
|Program........................................................ |
|121- 133 |
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|Office of Eligibility |
|Services............................................... 134|
|- 143 |
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|Office of Preparedness & Response . . . . . . . . . . . . . . . . . |
|. . . . . . . . 144 - 151 |
FY 2013 LOCAL HEALTH DEPARTMENT PLANNING
AND BUDGET INSTRUCTIONS
OVERVIEW AND FORMAT
The FY 2013 Local Health Department (LHD) Planning and Budget
Instructions continue with the structure and format used last year.
The 2013 instructions are contained in the following two sections.
Section I Local Health Department Budget Package
Section II Administration Specific - Categorical Grant Instructions
A brief explanation of each section follows.
Section I includes the LHD Budget Package, DHMH Form 4542 A-M,
with specific line item budget instructions. The DHMH Form
4542 budget format is to be used for all categorical grant funding
included on the Unified Funding Document (UFD).
Section II includes the individual funding administration's specific
categorical grant planning and budget instructions. This section
contains submission dates, program goals and objectives, performance
measures, etc., as determined by the funding administration for each
type of grant. This section does not look that different from prior
year submissions. ADMINISTRATION SPECIFIC - CATEGORICAL GRANT BUDGET PREPARATION GENERAL INSTRUCTIONS
Budgets for categorical grants for all DHMH Program Administrations are
to be
prepared electronically using the DHMH 4542, Local Health Department
Budget
Package. Important items to note are: The completed budget package is to be submitted to the appropriate
Program
Administration by the due date specified later in the relevant section
of these
instructions. Requests to post a locally funded program to FMIS should be directed to
the DHMH
Division of General Accounting. Fringe rates to be used in the preparation of the FY 2013 budget requests
are (revised) as follows: Merit System Positions: FICA 7.33% to $114,842 + 1.45% of excess
Retirement 13.98% of regular earnings
Unemployment 28 cents/$100 payroll
Health Insurance (per employee) Actual cost (7/12/11) PPE ÷
number of
eligible employees on PPE dated 7/12/11
x 24.07pays
Retiree's Health insurance (per employee) 56% of employee health
insurance
Retiree's Health Insurance Liability Do not budget Special Payments Positions: FICA 7.65% to $110,025 + 1.45% of excess
Unemployment 28 cents/$100 payroll * For further information and formula go to the Dept. of Budget Management
website (www.dbm.state.md.us); then go to FY 2012 Operating Budget
Instructions, Fringe Benefits, page 24-27. The above rates are subject to
change based on the Governor's FY 2013 Budget allowance |ADDENDUM TO FY 2013 WORKMEN'S |
|COMPENSATION PREMIUMS |
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| | |REG | |Cost | |Total |
|COUNTY | |FY2013 | |per PIN| | |
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|Allegan| |218.50 | |301.585| |65,896 |
|y | | | | | | |
|Anne Arundel |260.90 | |301.585| |78,684 |
|Balto | |1.00 | |301.585| |302 |
|Co | | | | | | |
|Calvert| |94.50 | |301.585| |28,500 |
|Carolin| |72.15 | |301.585| |21,759 |
|e | | | | | | |
|Carroll| |151.85 | |301.585| |45,796 |
|Cecil | |107.00 | |301.585| |32,270 |
|Charles| |199.77 | |301.585| |60,248 |
|Dorchester |79.25 | |301.585| |23,901 |
|Frederi| |148.35 | |301.585| |44,740 |
|ck | | | | | | |
|Garrett| |105.00 | |301.585| |31,666 |
|Harford| |168.85 | |301.585| |50,923 |
|Howard | |213.10 | |301.585| |64,268 |
|Kent | |85.10 | |301.585| |25,665 |
|Montgomery |1.00 | |301.585| |302 |
|Prince George |15.00 | |301.585| |4,524 |
|Queen Annes |75.35 | |301.585| |22,724 |
|St.Mary| |68.30 | |301.585| |20,598 |
|s | | | | | | |
|Somerse| |57.80 | |301.585| |17,432 |
|t | | | | | | |
|Talbot | |76.10 | |301.585| |22,951 |
|Washington |198.10 | |301.585| |59,744 |
|Wicomic| |193.10 | |301.585| |58,236 |
|o | | | | | | |
|Worcester |161.80 | |301.585| |48,796 |
|Balto | |0.00 | |301.585| |0 |
|City | | | | | | |
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|TOTAL | |2751.87| | | |829,923|
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