HomeMy WebLinkAbout2014-553 DSS - UNC-CH Hospitals to provide services of one full time Income Maintenance Caseworker and one part-time supervisor providing up to 10 hours of supervision a week $49,587 ass
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, 2014 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 1,2014 to June 30,2015.
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 LYNCH, it is
necessary that close contact be kept with LYNCH administration and
certain members of the hospital medical staff. In recognition of this
factor, LYNCH will name a staff member to act as liaison between the
OCDSS, the Income Maintenance Caseworker, the departments of
LYNCH 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 LYNCH 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 LYNCH 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 LYNCH 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. LYNCH agrees to the following:
a. Payment. LYNCH 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.
b. To participate in the interviewing and selection process utilized by OCDSS for
the hiring of the income maintenance caseworker and supervisor covered by this
agreement, in accordance with County policy and procedures.
C. To provide the following supportive services to OCDSS: office space; parking
space; office equipment; clerical support; and telephone service.
4. The Parties agree to the following:
a. If at any time UNCH determines that the Income Maintenance Caseworker's or
Supervisor's performance or professional interactions are inadequate or
inappropriate, UNCH may request that OCDSS initiate appropriate action to
correct that employee's deficiencies. Any disciplinary action taken shall be in
compliance with the Orange County Personnel Ordinance and the State Personnel
Act. Upon request UNCH shall provide sufficient documentation to support any
such action.
b. To abide by the conditions set forth in attached Business Associate Agreement,
which is attached hereto and incorporated by reference.
5. Termination. This Agreement or its renewals may be terminated at any time without
penalty by either party provided that written notice of such termination is furnished to the
other party at least 60 days prior to termination. In the event of such termination any
payment shall be prorated to the date of termination.
6. Amendments or Modification. This Agreement shall not be altered, amended or
modified, except by an agreement in writing executed by the duly authorized officials of
both parties.
6. Subcontract or Assignment. The County shall not sub-contract out any of the services
provided for in this Agreement or make any assignment of this Agreement (including
rights to payments)without the prior written consent of the UNCH.
7. Relationship of the Parties. The County is an independent contractor. Neither the
County nor any employee of the County shall be deemed to be an officer, employee or
agent of UNCH. OCDSS personnel shall not be employees of, or have any contractual
relationship with the UNCH.
8. Intent to be Bound. The parties have read this Agreement, including the Business
Associates Agreement attached, and agree to be bound by all of its terms, and further
agree that the documents constitute the complete and exclusive statement of the
Agreement between the parties.
16. Entire Understanding. 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.
17. Governing Law. The laws of North Carolina shall govern the validity and interpretation
of the provisions,terms and conditions of this Agreement.
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 JJ Campbell
Director Administrative Director
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)966-7029
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
CAROLIN/A OSPITALS
„f__L__, T..,w T_t_W_ Count&anager Chris Ell ngton, Exec ve Vice President
and Chief Financial 10fficer.
DATE: k), DATE:
This instrument has been approved as to technical content.
Nancy Cost Z' Social Services Director Date
This instrument has been pre-audited in the manner required by the Local Government Budget
and cal Control A t.
7G , )A.4, IV ally
Clarence4:Grier,Assistant County Manager Date
Assistant County Manager/Orange County Financial Services Director
This in ru ent has been approved as to form and legal sufficiency.
I L t� 1
Anne M.Moore, Staff Attorney Date
Office of the County Attorney