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Home My WebLink About2012-229 DSS - UNC Hospitals for Providing a full time Income Maintenance Caseworker $49,587 n 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, 2012 by and between Orange County ("County") by and through the Orange County Department of Social Services ("OCDSS") and The University of North Carolina Hospitals, ("UNCH") in Orange County,North Carolina. WITNESSETH: WHEREAS, the parties have agreed with each other that the County will provide certain services for The University of North Carolina Hospitals 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. Term. The term of this Agreement shall be from July 1, 2012 to June 30, 2013. 2. The County agrees to the following: a. Scope of Services: The County agrees to provide UNCH the services of one full time Income Maintenance Caseworker and one part-time supervisor providing up to 10 hours of supervision a week. i. The Income Maintenance Caseworker shall receive all potential medical assistance applications originating at UNCH. Specifically, the Income Maintenance Caseworker shall perform intake and processing functions on MPW and MIC applications for Orange County and intake functions only for all other applications, consisting of the following: conducting interviews that initiate an application; obtaining signatures; obtaining documentation available at the time of interview; forwarding applications to the appropriate county for processing; meeting verification requirements, processing and data entry timeframes, and sending appropriate notices timely in all processing functions. ii. The Income Maintenance Caseworker shall be assisted by UNCH staff in obtaining information and documentation required to complete the application process. iii. The Income Maintenance Caseworker shall work cooperatively with UNCH staff and the staff of any Department of Social Services to make appropriate referrals of patients and family members with problems not related to eligibility determination. iv. The Income Maintenance Worker is an employee of the County and will 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 of sick, vacation, and other leave will be the joint responsibility of this UNCH staff member and the OCDSS supervisor. V. The part-time Supervisor is an employee of Orange County and will provide supervision and oversight of the Income Maintenance Worker. b. The County will provide other agreed upon supportive services to UNCH without additional charge, 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. C. The County will provide a monthly invoice to UNCH for the County's share of the costs for the services of the income maintenance worker and for the part-time supervisor. The county share of these positions is approximately 50 percent of the cost of salary and benefits. Salary and benefits for the 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). 3. UNCH agrees to the following: a. Payment. UNCH will reimburse the County within fifteen(15)days of receipt of monthly billings for the following: i. The county share of the salary, benefits, and the indirect costs for both the income maintenance caseworker and the part-time supervisor. The reimbursement of the county's share of these positions is approximately 50 percent of the total cost of salary and benefits for these two positions. Salary and benefits for the 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). ii. Administrative overhead and indirect costs associated with the income maintenance worker and supervisor positions. This includes all other supportive services provided by OCDSS or Orange County. iii. The total cost of this contract is $49,587. 18. Notices. Any notice required by this Agreement shall be in writing and delivered by certified or registered mail,return receipt requested to the following: Orange County Department of Social Services UNCH Nancy Coston Janice Summers Director HCS Program Manager 113 Mayo Street UNC Health Care P.O. Box 8181 101 Manning Drive Hillsborough,NC 27278 Chapel Hill,NC 27514 Phone: (919)245-2800 Phone: (919)966-5581 IN WITNESS WHEREOF, the parties hereto have caused this contract to be signed by its duly authorized officials. FOR AND ON BEHALF OF: FOR AND ON BEHALF OF: ORANGE COUNTY,NORTH CAROLINA THE UNIVERSITY OF NORTH CAROL/ HOSPITALS w Frank W. Clifton, , County Manager Chris E ington, Emcutive Vice President and Chief Financial Officer. DATE: -7 - 3,v - Z-- DATE: G./8./z This instrument has been approved as to technical content. 7 3l� Nancy Coston Social Services Director Date This instrument has been pre-audited in the manner required by the Local Government Budget and Riul Control Act„ Clarence Grier, Director Date Orange County Financial Services Director This i t men as been approved as to form and legal sufficiency. a X jz:) Annette M. Moore, Staff Attorney Date Office of the County Attorney