FREMONT COUNTY DEPARTMENT OF HUMAN SERVICES
2004
BUDGET REQUEST
PROGRAM:	MEDICAID TRANSPORTATION
	2002	2003	2003	2003	2004
APPROPRIATION	ACTUAL	BUDGET	JUNE YTD	ESTIMATED	BUDGET
	EXPENDITURES	REQUEST	EXPENDITURES	EXPENDITURES	REQUEST
Client Benefits	67,947.13	84,000.00	52,553.62	105,107.24	72,000.00
Transaction Fees	0.00	0.00	0.00	0.00	0.00
Total	67,947.13	84,000.00	52,553.62	105,107.24	72,000.00
REVENUES:
State	62,053.26	84,000.00	52,596.52	105,107.24	72,000.00
County	5,893.87	0.00	(42.90)	0.00	0.00
Total	67,947.13	84,000.00	52,553.62	105,107.24	72,000.00
NOTES:	1.  Effective July, 2003 Med. Trans program rules changed to require medical
	necessity for specialized transportation, ie mobility vehicle.
	2.  Anticipate fewer rides at higher cost per ride.