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The goal of the report is to detail how the funds you received were used by your organization and the impact created in the community. The report also contains information on challenges or changes that may have occurred during the grant period.  \nThe report will be due on a quarterly basis using the following schedule:  \n\n| Quarter | Reporting Period | Report Due |\n| --- | --- | --- |\n| 1 | January 1 – March 31 | April 30 |\n| 2 | April 1 – June 30 | July 31 |\n| 3 | July 1 – September 30 | October 31 |\n| 4 | October 1 – December 31 | January 31 |\n\nProject Overview  \nPlease describe your project.  \n(2 sentences or less)  \nHave there been any changes to the original proposal?  \n☐Yes  \n☐No  \nIf so, what are the changes?  \n(2 sentences or less)  \nHow has your project met the needs of your community?  \n(2 sentences or less)  \nDo you permit DHS to use information reported here about your project in a public report (for example, on DHS’s website, in a press release, etc.)?  \n☐Yes  \n☐No  \nI attest that all funds were used in accordance with CMS Guidance from SMD\\# 21-003 RE: Implementation of American Rescue Plan Act of 2021 Section 9817: Additional Support for Medicaid Home and Community-Based Services during the COVID-19 Emergency, which requires 1) organizations to supplement, not supplant, existing state funds expended for Medicaid HCBS; 2) to use state to implement or supplement the implementation of one or more activities to enhance, expand, or strengthen HCBS under the Medicaid program; 3) to spend funding only on allowable activities: Appendices B, C, and D provide a brief description of eligible services under section 9817 of the ARP.  \n☐Yes  \n☐No  \nProject Milestone Progress and Funding  \n\n| Total Award Amount | Pulled from Payment File |\n| --- | --- |\n| Total Funding Received to Date | Pulled from GrantsConnect |\n| Estimated Project Start Date | Pulled from GrantsConnect |\n| Estimated Project End Date | Pulled from GrantsConnect |\n\n\n| Project Milestone | Est. Start Date | Est. End Date | Not Started / In Progress / Complete? | Describe progress to date | Describe next steps | Total Funding Requested | Total Funding Spent | Total Remaining |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Pulled from\u003Cbr>application budget | Pulled from\u003Cbr>application budget | Pulled from\u003Cbr>application budget |  | n/a if not started | n/a if complete | Pulled from\u003Cbr>application budget |  | Autocalculate Total Allocated –\u003Cbr>Total Spent |\n| 1. |  |  | Choose an item. |  |  |  |  |  |\n| 2. |  |  | Choose an item. |  |  |  |  |  |\n\n\n| 3. |  |  | Choose an item. |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| 4. |  |  | Choose an item. |  |  |  |  |  |\n| 5. |  |  | Choose an item. |  |  |  |  |  |\n| 6. |  |  | Choose an item. |  |  |  |  |  |\n| 7. |  |  | Choose an item. |  |  |  |  |  |\n| TOTAL | n/a | n/a | n/a | n/a | n/a |  |  |  |\n\nFor milestones completed this quarter, please upload receipts, invoices, or other forms of verification that support your spending 1.  \nUpload field  \nHas your project start date changed?  \n☐Yes  \n☐No  \nIf yes, describe why:  \nHas your project end date changed?  \n☐Yes  \n☐No  \nIf yes, describe why:  \nProvide a brief description of how funds are planned to be spent in the future.  \n1 This will only apply to milestones that are complete  \nDo you need additional funding at this time?  \n☐Yes ☐No  \nIf yes, describe why:  \nProject Impact, Evaluation and Outcomes  \nProject Impact  \n\n|  | HCBS Participants | Families of HCBS Participants | Direct Care Workers | HCBS Providers | Other |\n| --- | --- | --- | --- | --- | --- |\n| Estimated | Pulled from application | Pulled from application | Pulled from application | Pulled from application | ","cbCairEMrfT9yFgg","https://ap.wps.com/l/cbCairEMrfT9yFgg","pdf",273914,"English","# Introduction\n# Project Overview\n# Project Milestone Progress and Funding\n# Project Impact, Evaluation and Outcomes\n## Project Impact\n## Project Outcomes\n## Project Evaluation","[{\"question\":\"What is the purpose of the quarterly report in this template?\",\"answer\":\"The report summarizes progress against grant goals and outcomes, explains how funds were used and what impact was created in the community, and documents challenges or changes during the grant period.\"},{\"question\":\"What reporting schedule does the template require for each quarter?\",\"answer\":\"Quarter 1 reports are due April 30, Quarter 2 due July 31, Quarter 3 due October 31, and Quarter 4 due January 31.\"},{\"question\":\"What information must be provided for project milestones and funding?\",\"answer\":\"The template requires milestone progress with estimated start/end dates, status (not started/in progress/complete), descriptions of progress and next steps, and funding fields including total requested, spent, and remaining with allowable calculations.\"}]","Wisconsin DHS HCBS ARPA Grants Quarterly Report - Template | PDF",1789264468]