Example Template – FFY2016 SPR 2 Year Comparison Variance Explanation Report

Instructions: States must provide explanations for the client summary and all persons served, units of service, Title III expenditures, and total expenditures for each service (older adult and caregiver services) if the difference is equal to or greater than 10% (plus or minus). Please follow the steps below to complete your state’s SPR 2 Year Comparison Variance Explanation Report.

Steps:

Initial Steps:

1.  Enter your state’s 2 letter abbreviation in the place indicated below.

2.  Open and run the SPR 2 Year Comparison Report available through the SRT (State Reporting Tool).

Client Summary Steps:

1.  Use the SPR 2 Year Comparison Report to fill-in the corresponding columns from Section: Client Summary.

2.  Provide explanations for all % Difference that is equal to or greater than 10% (e.g. -20%, -10%, +10%, +36%, etc.).

Service and Expenditure Summary: (Older Adult and Caregiver Services) Steps:

1.  Use the SPR 2 Year Comparison Report to fill-in the corresponding columns for all three programs listed below.

2.  Provide explanations for all % Difference that is equal to or greater than 10% (e.g. -20%, -10%, +10%, +36%, etc.).

Final Steps: Email completed SPR 2 Year Comparison Variance Explanation Report to your ACL Regional Office State Liaison for their review and approval.

STATE: FFY 2016 Review

Client Summary (Title III, Parts B, C, and D)

Data Elements / FFY2015 / FFY2016 / % Diff. / Explanation
Total Clients / [State’s response…]
Total Registered Clients / [State’s response…]
% Minority Clients / [State’s response…]
% Rural Clients / [State’s response…]
% Clients Below Poverty / [State’s response…]
# Clients with 3+ ADLs / [State’s response…]
# of Persons Served at High Nutrition Risk / [State’s response…]

Service and Expenditure Summary: Older Adult Services

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Personal Care / Persons Served
Personal Care / Units of Service
Personal Care / Title III Expenditure
Personal Care / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Homemaker / Persons Served
Homemaker / Units of Service
Homemaker / Title III Expenditure
Homemaker / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Chore / Persons Served
Chore / Units of Service
Chore / Title III Expenditure
Chore / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Home Delivered Meals / Persons Served
Home Delivered Meals / Units of Service
Home Delivered Meals / Title III Expenditure
Home Delivered Meals / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Adult Day Care / Persons Served
Adult Day Care / Units of Service
Adult Day Care / Title III Expenditure
Adult Day Care / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Case Management / Persons Served
Case Management / Units of Service
Case Management / Title III Expenditure
Case Management / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Assisted Transportation / Persons Served
Assisted Transportation / Units of Service
Assisted Transportation / Title III Expenditure
Assisted Transportation / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Congregate Meals / Persons Served
Congregate Meals / Units of Service
Congregate Meals / Title III Expenditure
Congregate Meals / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Nutrition Counseling / Persons Served
Nutrition Counseling / Units of Service
Nutrition Counseling / Title III Expenditure
Nutrition Counseling / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Transportation / Units of Service
Transportation / Title III Expenditure
Transportation / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Legal Assistance / Units of Service
Legal Assistance / Title III Expenditure
Legal Assistance / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Nutrition Education / Units of Service
Nutrition Education / Title III Expenditure
Nutrition Education / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Information and Assistance / Units of Service
Information and Assistance / Title III Expenditure
Information and Assistance / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Outreach / Units of Service
Outreach / Title III Expenditure
Outreach / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Health Promotion and Disease Prevention / Persons Served
Health Promotion and Disease Prevention / Title III Expenditure
Health Promotion and Disease Prevention / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Self-Directed Care / Persons Served
Self-Directed Care / Title III Expenditure
Self-Directed Care / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Other Services / Persons Served
Other Services / Title III Expenditure
Other Services / Total Expenditure

Explanation: [State’s response…]

Service and Expenditure Summary: Caregivers Serving Older Adults

SPR Services for Caregivers of Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Counseling/Support Groups/Caregiver Training / Persons Served
Counseling/Support Groups/Caregiver Training / Units of Service
Counseling/Support Groups/Caregiver Training / Title III Expenditure
Counseling/Support Groups/Caregiver Training / Total Expenditure

Explanation: [State’s response…]

SPR Services for Caregivers of Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Respite Care / Persons Served
Respite Care / Units of Service
Respite Care / Title III Expenditure
Respite Care / Total Expenditure

Explanation: [State’s response…]

SPR Services for Caregivers of Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Supplemental Services / Persons Served
Supplemental Services / Units of Service
Supplemental Services / Title III Expenditure
Supplemental Services / Total Expenditure

Explanation: [State’s response…]

SPR Services for Caregivers of Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Self-Directed Care / Persons Served
Self-Directed Care / Title III Expenditure
Self-Directed Care / Total Expenditure

Explanation: [State’s response…]

SPR Services for Caregivers of Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Access Assistance / Persons Served
Access Assistance / Units of Service
Access Assistance / Title III Expenditure
Access Assistance / Total Expenditure

Explanation: [State’s response…]

SPR Services for Caregivers of Older Adults / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Information Services / Persons Served
Information Services / Units of Service
Information Services / Title III Expenditure
Information Services / Total Expenditure

Explanation: [State’s response…]

Service and Expenditure Summary: Older Relative Caregivers (formerly referred to as

Grandparents and Other Elderly Caregivers Serving Children and Adults Age <60 with Disabilities)

SPR Services for Older Relative Caregivers / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Counseling/Support Groups/Caregiver Training / Persons Served
Counseling/Support Groups/Caregiver Training / Units of Service
Counseling/Support Groups/Caregiver Training / Title III Expenditure
Counseling/Support Groups/Caregiver Training / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Relative Caregivers / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Respite Care / Persons Served
Respite Care / Units of Service
Respite Care / Title III Expenditure
Respite Care / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Relative Caregivers / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Supplemental Services / Persons Served
Supplemental Services / Units of Service
Supplemental Services / Title III Expenditure
Supplemental Services / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Relative Caregivers / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Self-Directed Care / Persons Served
Self-Directed Care / Title III Expenditure
Self-Directed Care / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Relative Caregivers / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Access Assistance / Persons Served
Access Assistance / Units of Service
Access Assistance / Title III Expenditure
Access Assistance / Total Expenditure

Explanation: [State’s response…]

SPR Services for Older Relative Caregivers / SPR Data Element / FFY2015 / FFY2016 / % Diff.
Information Services / Persons Served
Information Services / Units of Service
Information Services / Title III Expenditure
Information Services / Total Expenditure

Explanation: [State’s response…]

You have completed the FFY2016 SPR 2 Year Comparison Variance Explanation Report.

Email completed SPR 2 Year Comparison Variance Explanation Report to your ACL Regional Office State Liaison for their review and approval.

State: [XX] Page 2 of 7 (Version January 2017)