560                                 LAWS OF MARYLAND                         [CH. 162

Personnel Detail:

Item 13—Account Clerk I.......... 5    21,445

Item 23—Key Punch Operator I 5    21,445

Item 34—Program Analyst II .. 9    78,084

5    43,380

120,974

86,270

Less: Turnover Expectancy         12,097

Total Salaries and Wages .... 108,877

74,173
Object .04—Travel ......................           2,000

Object .08—Contractual Serv-
ices                                                              30,000

20,000

Object .11—Equipment—Addi-
tional ........................................           1,433

General Fund Appropriation...................... 142,310

97,606

27.                     STATE DEPARTMENT OF HEALTH

MEDICAL CARE SERVICES

10.01.04.04 Medical Assistance Program

To become available immediately
upon passage of this budget, to
supplement appropriations for
the fiscal year 1969 in order to
provide for the deficiency in this
program.

Object .08—Contractual Serv-
ices ............................................ 4,428,944

General Fund Appropriation........................ 4,428,944

10.01.04.04 Medical Assistance Program

In addition to appropriation shown
on page 44 of the printed bill, to
provide additional funds for
payment to vendors in the Medi-
cal Assistance Program and for
a skilled nursing home per diem
rate of cost or to a maximum of
$13.50.

Object .08—Contractual Serv-
ices ............................................ 5,887,000

General Fund Appropriation........................ 5,887,000

PAYMENTS HEREUNDER ARE AUTHORIZED NOT TO EX-
CEED $13.50 PER DAY PER PATIENT, FOR NURSING HOME CARE
IN EXTENDED CARE FACILITIES AND LICENSED NURSING
HOMES, PROVIDED THOSE HOMES QUALIFY AS SKILLED
NURSING HOMES UNDER THE REGULATIONS PROMULGATED
BY THE U. S. DEPARTMENT OF HEALTH, EDUCATION AND