REPORT 1191F STATE OF WASHINGTON RUN JAN 24, 11:43 PROSSER SUPERINTENDENT OF PUBLIC INSTRUCTION

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1 REPORT 1191F STATE OF WASHINGTON RUN JAN 24, 11:43 PROSSER SUPERINTENDENT OF PUBLIC INSTRUCTION REPORT 1191F ACCOUNT 3100 FUNDING FOR SCHOOL YEAR PROSSER SCHOOL DISTRICT NO. 116 BENTON COUNTY FIRST DIST-CLASS UNIFIED EDUCATIONAL SERVICE DISTRICT NO. 123 A. GUARANTEED ENTITLEMENT COMPUTATION 1. CERT. INSTR MAINT: FORMULA UNITS * 1191E LINE E3 SAL $26,487 * LEAP 1S BEA SP ED MIX FCTR $ 5,755, CERT. INSTR INCREASE: FORM UNITS * 1191E LINE E5 $27,467 * * LEAP 1S BEA SP ED MIX A1$ 212, CERT. ADMIN ALLOC: FORMULA UNITS * LEAP 12E ADMIN AVG SALARY $51, $ 553, CERT. ADMIN INCREASE: FORMULA UNITS * LEAP 12E ADMIN AVG SALARY $51, * $ 20, CLASS MAINT: FORMULA UNITS * LEAP 12E CLASS AVG SALARY $25, $ 1,134, CLASS INCREASE: FORMULA UNITS * LEAP 12E CLASS AVG SALARY $25, * $ 41, a. INSURANCE BENEFITS: CERT. FORM UNIT * $ 777, b. INSURANCE BENEFITS: CERT. INCR * c. INSUR BEN: CLASS. FORM UNIT * * $ 280, d. INSUR BEN: CLASS. INCR *.00 * a. MANDATED BENEFITS: CERT MAINT: (A.1 + A.3) * $ 678, b. MANDATED BENEFITS: CERT INCR: (A.2 + A.4) * $ 23, c. MANDATED BENEFITS: CLASS MAINT: (A.5) * $ 144, d. MANDATED BENEFITS: CLASS INCR: (A.6) * $ 3, NON-EMPLOYEE-RELATED COST: K-12 UNITS * 8,519.00$ 1,131, NON-EMPLOYEE-RELATED COST: VOC UNITS * 20,920.00$ 198, NON-EMPLOYEE-RELATED COST: SKILL UNIT.000 * 16, SUBS: CERT INSTR FORM UNITS *.917 * $ 61, RUN START: 6.67 * 3, * 4, $ 27, TOTAL GUARANTEED ENTITLEMENT: (A.1 THRU A.13) * %...$ 11,047, B. BASIC EDUCATION ALLOCATION PER FTE STUDENT RATES: AVERAGE $ 4, BEA RATE FOR SPECIAL EDUCATION; K-3 AT 49, 4-12 AT 46 $ 3, C. COMPUTATION OF STATE FUNDED SUPPORT 1. LOCAL DEDUCTIBLE REVENUE SOURCES 1400 LOCAL IN-LIEU-OF TAXES COUNTY ADMINISTERED FORESTS STATE FORESTS FEDERAL IN-LIEU-OF TAXES... TOTAL DEDUCTIBLE REVENUE ADDITIONAL ALLOTMENT SKILLS CENTER SUMMER PROGRAM TOTAL DUE ON APPORTIONMENT SCHED (A.14-C.1+C.2+C.3)...$ 11,047, FEDERAL FOREST ACCOUNT 5500 DEDUCTION EMERGENCY PAYMENT FIRE DISTRICT PAYMENT...$ ADJUSTMENT FOR $ TOTAL AMOUNT TO BE PAID SEPT.01-AUG.02 IN ACCT $ 11,046, D. ANALYSIS OF LINE C.9 1. ADVANCE PAYMENT THIS YEAR TOTAL ALLOTMENT (3100) PAID PREVIOUSLY...$ 10,910, RECOVERY OTHER DEDUCTIONS AND/OR RECOVERIES...$ 3, ADJUSTMENT FOR (C.10 - D.2 - D.3 - D.4)...$ 138,939.47

2 REPORT 1191EF STATE OF WASHINGTON RUN JAN 24, 11:44 PROSSER SUPERINTENDENT OF PUBLIC INSTRUCTION PAGE 1 OF 2 REPORT 1191EF FULL-TIME ENROLLMENTS USED TO CALCULATE STAFF UNITS FOR ACCOUNT NO A. FULL-TIME EQUIVALENT ENROLLMENT REMOTE & NECESSARY DISTRICT PLANTS TOTALS 1. KINDERGARTEN GRADES ADDITIONAL SCHOOL ANNUAL CLASS FTE GRADE ADDITIONAL SCHOOL ANNUAL CLASS FTE GRADES ADDITIONAL SCHOOL ANNUAL CLASS FTE GRADES ADDITIONAL SCHOOL ANNUAL CLASS FTE GRADES 9-12 (INCLUDING VOC-SECONDARY) ADDITIONAL SCHOOL ANNUAL CLASS FTE TOTAL K-12 LESS RUNNING START 2, RUNNING START (COMMUNITY AND TECHNICAL COLLEGE FTE) a. NONVOCATIONAL FTE b. VOCATIONAL FTE TOTAL K-12 INCLUDING RUNNING START... 2, B. ENROLLMENT INCREASE IN EXCESS OF MONTHLY ENROLLMENT FOR QUALIFIED DISTRICT 1. GRADES K-4 FTES IN EXCESS OF MONTHLY ENROLLMENT COUNT GRADES K-12 FTES IN EXCESS OF MONTHLY ENROLLMENT COUNT C. GRADES 9-12 VOC-SECONDARY 1. APPROVED ANNUAL PUBLIC SCHOOL NONSTANDARD (P223S) VOCAIONAL FTE APPROVED ANNUAL SKILL CENTER PUBLIC SCHOOL W/O SUMMER NONSTANDARD (P223S) SKILLS CENTER FTE TOTAL VOC-SECONDARY D. STAFFING DATA FROM REPORT K-4 ENHANCEMENT RATIO FROM REPORT FUNDING REDUCTION STAFF UNITS FROM REPORT E. ALLOCATED CERTIFIED INSTRUCTION STAFF (CIS) BASE SALARY CALCULATION 1. LEARNING IMPROVEMENT DAYS (LID) PURSUANT TO WAC LEAP 12E CIS BASE SALARY FOR INCLUDING 3 LID... 26, ALLOCATED CIS BASE SALARY (1 - ((3 - E.1) *.00547)) * E.2 26, LEAP 12E CIS BASE SALARY FOR INCLUDING 3 LID... 27, ALLOCATED CIS BASE SALARY (1 - ((3 - E.1) *.00547)) * E.4 27, F. FUNDED K-4 CIS RATIO CALCULATION 1. MINIMUM ALLOCATED K-4 CIS RATIO (((A.1 + A.2) *.049) + (A.3 *.046))/(A.1 + A.2 + A.3) GREATER OF ACTUAL OR MINIMUM ALLOCATED K-4 CIS RATIO (IF D.1 IS GREATER THAN F.1 THEN D.1, ELSE F.1)

3 REPORT 1191EF STATE OF WASHINGTON RUN JAN 24, 11:44 PROSSER SUPERINTENDENT OF PUBLIC INSTRUCTION PAGE 2 OF 2 REPORT 1191EF FULL-TIME ENROLLMENTS USED TO CALCULATE STAFF UNITS FOR ACCOUNT NO G. CALCULATION OF 100% FORMULA BEA STAFF UNITS 1. CERTIFICATED STAFF UNITS A. FORMULA UNITS I. INSTRUCTIONAL GRADES K-4 (A1+A2+A3+(B1*1.1)) * F II. REDUCTION IN INSTR UNITS PURSUANT TO WAC D2.000 III. INSTRUCTIONAL GRADES 5-12 (A4 + A5 + A6 - C3 + ((B2 - B1) * 1.1) * IV. ADMINISTRATIVE (A7 - C3 + (B2 * 1.1)) * B. BONUS UNITS - R&N PLANT, SMALL DISTRICT, SMALL HIGH & NON-HIGH I. GRADES K THROUGH 6 OR 8 -- UNDER 25 FTE (A). INSTRUCTIONAL (B). ADMINISTRATIVE II. GRADES K THROUGH FTE TO 60 FTE (A).INSTRUCTIONAL 2.76-((A.1+A.2+A.3)*F2+(A.4*.046))..000 (B).ADMINISTRATIVE.24-((A.1 + A.2 + A.3 + A.4)*.004).000 III. GRADES 7 AND 8 -- UNDER 20 FTE (A). INSTRUCTIONAL (.92 - (A.5 *.046)) (B). ADMINISTRATIVE (.08 - (A.5 *.004)) IV. SMALL HIGH -- UNDER 300 FTE (A). INSTRUCTIONAL 9 + (((A.6-60)/43.5) *.8732) - (A.6 *.046) (B). ADMINISTRATIVE.5 + (((A.6-60)/43.5) *.1268) - (A.6 *.004) V. NON-HIGH UNITS -- INSTRUCTIONAL C. ADDITIONAL UNITS -- TWO R/N PLANTS OR SMALL HIGHS (I). INSTRUCTIONAL (II). ADMINISTRATIVE D. K-12 UNITS (EXCLUDES VOC.) (G.1A - G.1AII + G.1B + G.1C) E. VOCATIONAL UNITS (I).INSTRUCTIONAL ((C.1 / 19.50) *.92) (II).ADMINISTRATIVE ((C.1 / 19.50) *.08) F. SKILL CENTER UNITS (I). INSTRUCTIONAL ((C.2 / 16.67) *.92) (II). ADMINISTRATIVE ((C.2 / 16.67) *.08) G. TOTAL CERT INSTRUCTIONAL UNITS (G.1AI + G.1AII + G.1AIII + G.1BI(A) + G.1BII(A) + G.1BIII(A) + G.1BIV(A) + G.1BV + G.1CI + G.1EI + G.1FI) H. TOTAL CERT ADMINISTRATIVE UNITS (G.1AIV + G.1BI(B) + G.1BII(B) + G.1BIII(B) + G.1BIV(B) + G.1CII + G.1EII + G.1FII) CLASSIFIED STAFF UNITS A. FORMULA UNITS (A.7 + (B.2 * 1.1))/60 + ((G.1B + G.1C (SEE NOTE))/3) B. NON-HIGH UNITS C. TOTAL FORMULA CLASSIFIED UNITS (G.2A + G.2B) NOTE: IF G.1BI+G.1BII > 0, ADD (A.1+A.2+A.3)*(F2-.046) TO (G.1B + G.1C)

4 REPORT 1191FSF STATE OF WASHINGTON RUN JAN 24, 11:45 PROSSER SUPERINTENDENT OF PUBLIC INSTRUCTION REPORT 1191FSF FOOD SERVICES FINAL ALLOTMENT FOR ACCOUNT NOS & SCHOOL FREE AND REDUCED LUNCH BREAKFASTS A. ACTUAL NUMBER OF MEALS SERVED IN TYPE A LUNCH , FREE AND REDUCED BREAKFASTS... 75,203 B. ALLOTMENT FOR (A.1 * PER LUNCH)...$ 9, (A.2 * PER FREE AND REDUCED BREAKFAST)...$ 10, C. CURRENT YEAR ADJUSTMENT...$.00 $.00 D. FINAL ALLOTMENT 1. B.1 + C...$ 9, B.2 + C...$ 10, E. ADJUSTMENT FOR $ $ 1, F. TOTAL AMOUNT DUE (D + E)...$ 9, $ 9, G. TOTAL AMOUNT PAID IN $ 8, $ 9, H. ADJUSTMENT FOR (F - G)...$ $

5 REPORT 1191SAF STATE OF WASHINGTON RUN JAN 24, 11:46 PROSSER SUPERINTENDENT OF PUBLIC INSTRUCTION REPORT 1191SAF PER STUDENT ALLOCATIONS FINAL ALLOTMENT FOR ACCOUNT NOS , 4166 AND SCHOOL STUDENT SAFETY ACHIEVEMENT A. TOTAL FTE FOR (PRIOR YEAR REPORT 1191E LINE A.9, PLUS DIRECT FUNDED TECH COLLEGE RESIDENT FTE FOR ACCOUNT 4166)... 2, , B. ALLOTMENT FOR SCHOOL SAFETY (A * $ 6.36 PER FTE)...$ 17, STUDENT ACHIEVEMENT (A * $ PER FTE)... $ 486, C. ADJUSTMENT FOR $.00 $.00 D. TOTAL AMOUNT DUE (B + C)...$ 17, $ 486, E. TOTAL AMOUNT PAID IN $ 17, $ 486, F. ADJUSTMENT FOR (D - E)...$.00 $ LOCAL ENHANCEMENT A. ADJUSTED TOTAL FTE FOR , B. ALLOTMENT FOR MAXIMUM ALLOTMENT (A. * $ PER ADJ FTE)...$ 49, MEDICAID AND/OR TRUANCY PENALTY (A. * $.00 PER ADJ FTE)...$.00 C. CURRENT YEAR ADJUSTMENT...$.00 D. ADJUSTMENT FOR $.00 E. TOTAL AMOUNT DUE (B1 + B2 + C + D)...$ 49, F. TOTAL AMOUNT PAID IN $ 49, G. ADJUSTMENT FOR (E - F)...$.00

6 REPORT 1191SEF STATE OF WASHINGTON RUN JAN 24, 11:47 PROSSER SUPERINTENDENT OF PUBLIC INSTRUCTION REPORT 1191SEF SPECIAL EDUCATION FINAL ALLOTMENT FOR ACCOUNT NO A. SPECIAL EDUCATION ALLOTMENT FOR (SEE REPORT 1220)...$ 1,217, B. HOME AND HOSPITAL ALLOTMENT...$ C. FOSTER HOME ALLOTMENT (ROOM & BOARD)...$.00 D. OTHER...$.00 E. 1. CALCULATED ALLOTMENT (A + B + C + D)...$ 1,217, PRIOR YEAR CARRY FORWARD...$ a. F-196, PROG 21 DIRECT EXPENDITURES...$ 1,237, b. STATE RECOVERY RATE...%.1880 c. E.3a * (1 + E.3b)...$ 1,469, d. PAYMENTS FROM OTHER DISTRICTS...$.00 e. TOTAL (E.3c - E.3d)...$ 1,469, LESSER OF E.1 OR (E.3e - E.2)...$ 1,217, CARRY FORWARD(E.1 - E.4 TO MAX. OF E.1 *.1)$ E.4 + E.5...$ 1,217, F. RECOVERY OF STATE SHARE OF MEDICAID PAYMENTS...$.00 G. ADJUSTMENT FOR $ 2.94 H. TOTAL AMOUNT DUE (E6 + F + G)...$ 1,217, I. TOTAL AMOUNT PAID IN $ 1,202, J. ADJUSTMENT FOR (H - I)...$ 15,002.24

7 REPORT 1191SNF STATE OF WASHINGTON RUN JAN 24, 11:48 PROSSER SUPERINTENDENT OF PUBLIC INSTRUCTION REPORT 1191SNF SPECIAL NEEDS PROGRAMS FINAL ALLOTMENT FOR ACCOUNT NOS. 4155, 4165 & LEARNING TRANSITIONAL HIGHLY ASSISTANCE BILINGUAL CAPABLE A. TOTAL ALLOTMENT FOR LEARNING ASSISTANCE a. GRADES K-6: GRADES K-6 FTE 1, * GRADES 4/3 LOW QUART.2997 *.920 i. * $ 154, ii.* 0.00 INS BEN INCR$.00 b. GRADES 7-9: GRADES 7-9 FTE * GRADES 8/6 LOW QUART.3190 *.920 i. * $ 82, ii.* 0.00 INS BEN INCR$.00 c. GRADES 10-11: GRADES FTE * GRADES 11/9 LOW QUART.3326 *.920 i. * $ 60, ii.* 0.00 INS BEN INCR$.00 d. POVERTY: TOTAL FTE 2, * (DIST POV STATE POV ) * i. * $ 47, ii.* 0.00 INS BEN INCR$.00 e. TOTAL LEARNING ASSISTANCE (A.1a + b + c + d)...$ 346, TRANSITIONAL BILINGUAL (ELIG STUDENTS) i. * )...$ 374, ii. * 0.00) INS BEN INCR...$ HIGHLY CAPABLE (TOTAL FTE 2, *.020) i. * ) W/O BEN INCR...$ 18, ii. * 0.00) INS BEN INCR...$.00 B. CURRENT YEAR ADJUSTMENT...$.00 $.00 $.00 C. 1. CALCULATED ALLOTMENT(A+B)$ 346, $ 374, $ 18, PRIOR YEAR CARRY FORWARD.$ 32, F-196 DIRECT EXPENDITURES$ 330, $ 350, $ 18, RECOVERY RATE...% C.3 * (1 + C.4)...$ 345, $ 416, $ 21, LESSER OF C.1 OR(C.5-C.2)$ 312, $ 374, $ 18, CARRY FORWARD(C.1*.1 MAX)$ 33, C.6 + C.7...$ 346, D. ADJUSTMENT FOR $ 3, $.00 $ E. TOTAL AMOUNT DUE FOR ((C.6 OR C.8) + D)$ 342, $ 374, $ 18, F. TOTAL AMOUNT PAID IN $ 342, $ 374, $ 18, G. ADJUSTMENT (E - F)$.00 $.00 $.00

8 REPORT 1191TRNF STATE OF WASHINGTON RUN JAN 24, 11:49 PROSSER SUPERINTENDENT OF PUBLIC INSTRUCTION REPORT 1191TRNF TRANSPORTATION FINAL ALLOTMENT FOR ACCOUNT NO & 4499 A. ACCOUNT OPERATIONS 1. TRANSPORTATION ALLOT FROM 1026-A A. WITHOUT INSURANCE BENEFIT INCREASE...$ 693, B. INSUR BEN INCREASE (WTD UNITS.00 * RATE 0.00).$.00 C. TOTAL...$ 693, IN-LIEU-OF DEPRECIATION FOR CONTRACTING DISTRICTS...$ CURRENT YEAR ADJUSTMENT...$ A. CALCULATED ALLOTMENT (A.1+A.2+A.3)...$ 693, B. i. F-196, PROG 99 DIRECT EXPENDITURES$ 773, ii. STATE RECOVERY RATE...%.1880 iii. A.4Bi * (1 + A.4Bii)...$ 918, iv. TRANSFERS TO TVF...$ 120, v. TOTAL COST AND TRANSFERS...$ 1,038, C. LESSER OF A.4A, A.4Bv...$ 693, ADJUSTMENT FOR $ TOTAL AMOUNT DUE FOR (A.4C + A.5)...$ 693, TOTAL AMOUNT PAID IN $ 693, ADJUSTMENT FOR (A.6 - A.7)...$.00 B. ACCOUNT DEPRECIATION 1. SCHOOL BUS DEPRECIATION ALLOWANCE a. BUSES ON AFTER AUG $ 62, b. BUSES ON BEFORE SEPT 1982 AT %..$.00 c. TOTAL DEPRECIATION ALLOWANCE (B.1a + B.1b)...$ 62, AMOUNT FOR BUSES SOLD/SALVAGE a. Schedule G Salvage FOR $.00 b. Report 1020 FOR %...$ 2, c. Report 1020 FOR TOTAL 2, * 90.00% =...$ 2, d. TOTAL DEPRECIATION ALLOWANCE (B.2a + B.2b + B.2c)...$ 4, TOTAL ALLOTMENT (B.1c - B.2d)...$ 58, ADJUSTMENT FOR $ TOTAL AMOUNT DUE (B.3 + B.4)...$ 58, TOTAL AMOUNT PAID IN $ 62, ADJUSTMENT FOR (B.5 - B.6)...$ 4,

9 REPORT 1191TSEF STATE OF WASHINGTON RUN JAN 24, 11:50 PROSSER SUPERINTENDENT OF PUBLIC INSTRUCTION REPORT 1191TSEF TRAFFIC SAFETY EDUCATION FINAL ALLOTMENT FOR ACCOUNT NO A. NUMBER OF LOW INCOME PUPILS B. LOW INCOME TUITION ASSISTANCE FOR CALCULATED ALLOT (A * $ PER PUPIL)..$ 18, AMOUNT USED...$ 18, LESSER OF B1, B2...$ 18, C. ADJUSTMENT FOR $ 10, D. TOTAL AMOUNT DUE (B.3 + C)...$ 29, E. TOTAL AMOUNT PAID IN $ 26, F. ADJUSTMENT FOR (D - E)...$ 3,078.04

10 REPORT 1159(F) State of Washington Superintendent of Public Instruction 15-Jan-03 01:12 PM CALCULATION OF CERTIFICATED INSTRUCTIONAL STAFFING RATIOS Prosser SCHOOL DISTRICT >>>> BASE DATA AS REPORTED BY THE DISTRICT <<<< Grades K-12 Grades K-4 A. Full-Time Equivalent (FTE) Student Enrollment for Selected Month: 1. October 2001 or month selected on Form SPI 1160 October FTE students (excluding Running Start) 2, B. FTE Basic Education Certificated Instructional Staff (BEACIS): 1. BEACIS from Report S BEACIS from Form SPI Total BEACIS [B.1 + B.2] C. Calculated BEACIS Ratio [B.3 / A.2 * 1000] >>>> CALCULATION OF K-4 ENHANCEMENT RATIO <<<< D. Calculated K-4 Enhancement Ratio Based on C: [lesser of C or 55.40] E. Basic Education K-6 Extended Learning: 1. Supplemental hours from Report S-275 (duty suffix 4) 2. Supplemental hours from Form SPI CIS FTE equivalent [(E.1 + E.2) / 900] 4. K-4 staff ratio equivalent of K-6 extended learning supplemental hours [(E.3 / A.2) * 1000] 5. K-4 staff ratio credit for K-6 extended learning hours [lesser of E.4 or 2.2] F. FTE Basic Education Classified Instructional Assistants (BEACIA): 1. BEACIA from Report S BEACIA from Form SPI Total BEACIA [F.1 + F.2] G. Average Salaries Used in the 1.3 Enhancement: 1. District BEACIA avg. actual salary from Report S-275 $24, District BEACIS avg. alloc. salary from Report S-275 $45,335 H. Form 1230, BEACIA FTE, Received 2/4/ I. Calculation of Credit for Increases in BEACIA 1. Increase in BEACIA [Greater of (F.3 - H) or 0] Certificated staff ratio equivalent 0.36 [I.1 * (G.1 / G.2) * 1000 / A.2] 3. BEACIS ratio credit for BEACIA staff if C > [Lesser of I.2 or 1.3] J. State-Funded K-4 Enhancement Ratio [lesser of (D + E.5 + I.3) or 55.40] (If < 49, refer to Report 1191E, line F.2 for the district's state-funded K-4 ratio) >>>> CALCULATION OF K-12 RATIO COMPLIANCE <<<< Grades K-12 ========== K. Did the district maintain the statutory ratio of 46 BEACIS per 1000 K-12 Students? YES 1. If "NO," K-12 ratio shortfall [ C] 2. Penalty BEACIS FTE [K.1 * K-12 A.2 / 1000] --- ========== Rules governing K-12 ratio compliance are codified in Chapter WAC. Rules governing the K-4 staff ratio enhancement are codified in WAC through 913.

11 Report 1220F State of Washington 23-Jan-03 Superintendent of Public Instruction 03:52 PM Special Education Allocation - Final Prosser School District Oct. - May Average P223H Resident Enrollment A. Age 0-2 Resident Special Education Enrollment B. Age 3-21 Resident Special Education Enrollment C. BEA Resident FTE Enrollment... 2, D. Age 3-21 Special Ed Enrollment Percent (B/C) % E. Funded Age 3-21 Special Ed Enrollment Percent If D is less than or equal to 12.7%, D, else 12.7% % F Funded Age 3-21 Resident Special Education enrollment (C * E) G. BEA Rate (Report 1191 Section B)... 3, H. Age 0-2 Allocation (A * G * 1.15)... 58, I. Age 3-21 Allocation (F * G *.9309)... 1,159, J. Safety Net Allocation K. Transfer of Special Education Allocation L. Total Special Education Allocation (H + I + J + K)... 1,217, ENROLLMENT BY SERVING DISTRICT A. (0-2) B. (3-21) C. (BEA) PROSSER , YAKIMA GRANDVIEW TOTAL ,693.12

12 Report 1220-SNET State of Washington 23-Jan-03 Page 1 Superintendent of Public Instruction Special Education Safety Net Calculation Prosser School District ---- FINAL CALCULATION OF MAINTENANCE OF STATE REVENUE A Annual Average Resident Enrollment 1. Ages 0-21 Special Education *** B Annual Average Resident Enrollment [ Report 1220R ] 1. K-12 and Running Start Resident AAFTE 2, Ages 0-2 Resident Special Education Ages 3-21 Resident Special Education C. Ages 3-21 Enrollment Percent Current Enrollment Percent [B.3 divided by B.1] 11.80% Current Funded Percent [lesser of C1 or 12.70%] 11.80% D Current Funded Resident Enrollment 1. Ages 0-2 Special Education [B.2] Ages 3-21 Special Education [B.1 times C.2] Ages 0-21 Special Education [D.1 plus D.2] E Special Education Excess Cost Allocation Actual Based on Resident Enrollment $793,347 F Current Special Education Excess Cost Allocation BEA Per-Pupil Rate [ Report 1220R ] $3, Age 0-2 Weighted Units [D.1 times 1.15] Age 3-21 Weighted Units [D.2 times ] Excess Cost Allocation [F.1 times (F.2 plus F.3)] $1,217, G. Maintenance of State Revenue 1. Aggregate Basis Difference [F.4 minus E.1] $424, Per-Pupil Basis Difference [((F.4 divided by D.3) minus $289, (E.1 divided by A.1)) times D.3] 3. Loss (Any calculated loss appears as a positive amount on ==> NONE <== this line.) SAFETY NET AWARD SUMMARY Safety Net Awards shall be adjusted for those districts not maximizing Medicaid billing for special education students under RCW H. Maintenance of State Revenue 1. Maximum Possible Award [ G.3 ] $ District Application Amount [ Form SPI 1381-Maintenance ] $ Current Award $ Medicaid Adjustment see 1220-MD $ Current Award Amount Available $

13 Report 1220-SNET Page Special Education Safety Net Calculation Prosser School District 23-Jan-03 I. Students Above the Funded Percentage 1. Maximum Possible Award $0.00 [ $0 or {(B.3 - D.2) times.9309 times F.1} - H.1 ] 2. District Application Amount [ Form SPI 1381-Percentage ] $ Current Award $ Medicaid Adjustment see 1220-MD $ Current Award Amount Available $0.00 J. Other Factors 1. District Application Amount [ Form SPI 1381-Other Factors $ Current Award $ Medicaid Adjustment see 1220-MD $ Current Award Amount Available $0.00 K. Total State Safety Net Awards 1. Award Amounts Available [reported on line J of Report 122 $0.00 [ H.5 plus I.5 plus J.4 ] L. High Cost Individual Students [Federal Award] 1. District Application Amount [ Form SPI 1381-Individuals ] $ Current Award [district must submit Form 1000B to receive $ Medicaid Adjustment see 1220-MD $ Current Award Amount Available $0.00 =================== GENERAL COMMENTS PROVIDED TO ALL DISTRICTS=================== Safety Net funding is provided only to districts making application as provided for in Bulletin No SAFS. Applications are considered and awards are made by the state Safety Net Oversight Committee. The final meeting of the Safety Net Oversight Committee for the school year was held on June 4th, 5th and 6th. This report reflects any awards made. Safety Net Awards shall be adjusted for those districts not maximizing Medicaid billing for special education students under RCW ========================== MONTHLY ADJUSTMENTS ================================= This report, 1220-SNET, uses school district data submitted to OPSI as of January MAINTENANCE and PERCENTAGE amounts are recalculated monthly through August Final amounts are reflected herein. Monthly apportionment for applicant districts awarded the "Full" MAINTENANCE amount is based upon the calculation on line G.3. Monthly apportionment for applicant districts awarded the "Full" PERCENTAGE amount is based upon calculation on line I.1. Monthly apportionment for applicant districts awarded a specific MAINTENANCE or PERCENTAGE amount is the lesser of the awarded amount or the amount calculated on this report. Monthly apportionment of state safety net funding awarded by the state oversight committee is made in accordance with the regular monthly apportionment schedule.

14 Report 1220-MD 23-Jan-03 Page 1 State of Washington Superintendent of Public Instruction Estimated Medicaid Billing Adjustment to Safety Net Award Prosser School District REPORT OF MEDICAID BILLINGS FOR SAFETY NET ADJUSTMENT A. Medicaid-Eligible Student and Medicaid Billing Information Medicaid Eligible Special Education Students Percentage of Medicaid Eligible Students Billed 100% Eligible Students Billed Unbilled Students [ Line A.1 - A.3 ] 0 B. Medicaid Reimbursement Information State Average Reimbursement Per Student $ CALCULATION OF SAFETY NET AWARD ADJUSTMENT C. Estimated Safety Net Award Adjustment 1. Estimated Adjustment for Billed Students $0.00 [ 50% -[ Line A.2 / 2 ] * Line A.3 * Line B.1 ] 2. Estimated Adjustment for Unbilled Students $-0.00 [ Line A.4 * Line B.1 ] 3. Total Estimated Safety Net Award Adjustment $0.00 [ Line C.1 + Line C.2 ] ================================ FOOTNOTES ======================================= a. Line A.1 uses the data as of September b. The state average rate is based upon Medicaid billing information for all districts as of September This will be revised to reflect the average when available. ============================ MONTHLY ADJUSTMENTS ================================= This report, 1220-MD, uses school district actual Medicaid billing percentage and the eligible Medicaid students reported for This report will be updated to reflect reporting by districts. ========================== END-OF-YEAR ADJUSTMENTS =============================== Unexpended state safety net (account 4121) revenues will be recovered in January 2003 as part of the year-end apportionment calculations. Unexpended federal flow-through special education funding from may result in a recovery or reduction in INDIVIDUAL awards for

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