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• STATE OF NORTH CAROLINA UNCH# 92
COUNTY OF ORANGE
AGREEMENT BETWEEN
THE UNIVERSITY OF NORTH CAROLINA HOSPITALS
AND
ORANGE COUNTY, NORTH CAROLINA
THIS AGREEMENT, made and entered into this the 1st day of July, 2007 by and between
ORANGE COUNTY (hereinafter referred to as the COUNTY) and THE UNIVERSITY OF NORTH
GAROLINA HOSPITALS, (hereinafter referred to as UNCH) Orange County, North Carolina.
WITTNESSETH:
WHEREAS, the parties have agreed with each other that the County will provide certain
services for The University of North Carolina Hospital s in connection with the Orange County
Department of Social Services (hereinafter referred to as OCDSS), Medicaid Program; and
WHEREAS, the UNCH has agreed to pay certain compensation for said service and the
• parties desire to execute this contract to delineate their understanding of this agreement;
NOW, THEREFORE, the parties hereby agree as follows:
1. Orange County agrees to make available to UNCH the services of one full time
Income Maintenance Caseworker and one part-time supervisor
2. UNCH agrees to reimburse the County within 15 days of receipt of monthly billings for
the county share of the salary, benefits, and the indirect costs to which the parties have agreed
involved in maintaining one Social Service Income Maintenance Caseworker at UNCH. UNCH
also agrees to reimburse the county for the costs of a part-time supervisor. The county share of
these positions is approximately 50 percent. Salary and benefits for income Maintenance
Caseworker and the supervisor include: base salary according to the Orange County pay plan;
FICA taxes; local government retirement; vacation, sick, petty, or other leave under approved
county plan; paid holidays as observed by county; county paid insurance (health, dental, and life).
UNCH will also pay half of the administrative overhead and indirect costs associated with these
• positions. This includes all other supportive services provided by OCDSS or Orange County.
The total costs of this contract is $53, 425
•
3. Other supportive services provided by OCDSS without additional charge to UNCH
include continuing program training of the Income Maintenance Caseworker and consultation with
other counties in the catchment area about applications for pre-and post-discharge patients.
4. Other supportive services provided by UNCH without charge to OCDSS include:
office space; parking space; office equipment; clerical support; and telephone service.
5. The Income Maintenance Caseworker shall receive all potential medical assistance
applications originating at UNCH. Specifically the Income Maintenance Caseworker shall perform
intake functions only, consisting of the following: conducting interviews that initiate an
application; obtaining signatures; obtaining documentation available at the time of interview; and
forwarding applications to the appropriate count for processing.
6. The Income Maintenance Caseworker shall be assisted by UNCH staff in obtaining
information and documentation required to complete the application process.
7. The Social Services Income Maintenance Caseworker shall work cooperatively with
UNCH staff and the staff of any Department of Social Services to make appropriate referrals of
patient and family members with problems not related eligibility determination.
8. As employees of the County, the Income Maintenance Caseworker shall be directly
supervised by and accountable to OCDSS. Due to the nature of this agreement and the working
relationship with UNCH, it is necessary that close contact be kept with UNCH administration and
certain members of the hospital medical staff. In recognition of this factor, UNCH will name a
staff member to act as liaison between the OCDSS, the Income Maintenance Caseworker, the
departments of UNCH and other staff personnel. Assignment of work to the Income Maintenance
Caseworker and coordination sick, vacation, and other leave will be the joint responsibility of this
UNCH staff member and the OCDSS supervisor
9. UNCH shall participate in the interviewing and selection process utilized by OCDSS
for the hiring of Income Maintenance Caseworker covered by this agreement, in accordance with
County policy and procedures.
•
10. Both the County and UNCH agree and understand that if at any time UNCH
determines that an Income Maintenance Caseworker's performance or professional interactions
are inadequate or inappropriate, UNCH may request that OCDSS initiate appropriate action to
correct that employee's deficiencies, or to dismiss that employee if indicated. Any disciplinary
action shall be pursued in compliance with the Orange County Personnel ordinance and UNCH
shall provide sufficient documentation to support that action.
11. This Agreement shall be effective from July 02, 2007 to June 30, 2008.
12. This Agreement shall be reviewed at least annually, prior to July 151 and may be
terminated by either party upon 60 days written notice.
13. The Agreement contains the entire understanding of the parties and shall not be
altered, amended or modified, except by an agreement in writing executed by the duly authorized
officials of both parties.
IN WITNESS WHEREOF, the parties hereto have caused this contract to be signed by its
duly authorized officials
FOR AND ON BEHALF OF:
ORANGE COUNTY, NORTH CAROLINA
Chair, Orange County Board of
. .. ,~
>~j ; ,;
DATE: '" ~' '
Attest:
,j
E r 'f'~
CIerK of the Orange County
Board of Commissioners
FOR AND ON BEHALF OF
THE UNIVERSITY OF NORTH
CAROLINA HOSPITALS
Todd L. Peterson
Executive Vice President and COO
DATE: ~~3/07
This instrument has been pre-audited in the manner required by the Local Government Budget
and Fiscal Control A~ ~~
r P~~.
Ken C1~avious, Orange County Finance Officer