HomeMy WebLinkAboutAgenda - 06-29-1993 - III-G 1
ORANGE COUNTY
BOARD OF COMMISSIONERS
Action Agenda
Item No. ig('r
ACTION AGENDA ITEM ABSTRACT
Meeting Date: June 29, 1993
SUBJECT: Agreement between Orange County and UNC Hospitals
for Medicaid Caseworkers
DEPARTMENT: Social Services PUBLIC HEARING YES: NO: X
ATTACHMENT(S) : INFORMATION CONTACT:
Marti Pryor-Cook, ext. 2802
Agreement
TELEPHONE NUMBER-
Hillsborough - 732-8181
Chapel Hill - 968-4501
Mebane - 227-2031
Durham - 688-7331
PURPOSE:
To consider an agreement between Orange County DSS and UNC Hospitals
(UNCH) for two hospital based Medicaid Intake Caseworkers.
BACKGROUND:
Two full time Income Maintenance Caseworkers are based at UNC Hospitals
to conduct interviews and initiate Medicaid applications. UNCH
reimburses Orange County 100% of the County's share of the salaries
and benefits involved in maintaining these workers at the hospital,
plus 10% of the salary and benefits of a full-time supervisor.
RECOMMENDATION(S) :
The Manager recommends approval of the Agreement and authorization
for the Chair to sign.
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STATE OF NORTH CAROLINA
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, 1993 by and between ORANGE COUNTY (hereinafter referred to as
the COUNTY ) and THE UNIVERSITY OF NORTH CAROLINA HOSPITALS ,
(hereinafter referred to as UNCH) Orange County, North Carolina.
W I T N E S S E T H:
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 . Orange County agrees to make available to UNCH the services
of two full time Income Maintenance Caseworkers .
2 . UNCH agrees to reimburse the County within 15 days of receipt
of monthly billings for the county share of the salary and benefits
involved in maintaining two Social Services Income Maintenance
Caseworkers at UNCH. The county share of these positions is
approximately 50 . 904 percent . UNCH also agrees to reimburse the
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county for 10 percent of the salary and benefits of a full time
supervisor . Salary and benefits for the Income Maintenance
Caseworkers 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; necessary travel and per diem for
job related activities; county paid insurance (health, dental , and
life ) . UNCH further agrees to pay the county share of any expense
resulting from other requirements mutually agreed upon by OCDSS and
UNCH.
3 . Other supportive services provided by OCDSS without
additional charge to UNCH include continuing training of Income
Maintenance Caseworkers 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 Caseworkers 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 county for processing.
6 . The Income Maintenance Caseworkers shall be assisted by UNCH
staff in obtaining information and documentation required to complete
the application process .
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7 . - The Social Services Income Maintenance Caseworkers 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.
8 . As employees of the County, the Income Maintenance
Caseworkers 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
liasion between the OCDSS , the Income Maintenance Caseworkers , the
departments of UNCH and the other staff personnel . Assignment of work
to the Income Maintenance Caseworkers and coordination of 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
Caseworkers 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 01 , 1993 to June
30 , 1994 .
12 . This Agreement shall be reviewed at least annually, prior to
July 1st 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 .
4J 1) )V 711. .7Lh Uh 1.104,
4.) .) JUU7
FOR AND ON BEHALF OF: FOR AND ON BEHALF OF:
ORANGE COUNTY, NORTH CAROLINA THE UNIVERSITY OF NORTH CAROLINA
HOSPITALS
ij
I g / t-e*Adde
Chair, Orange County B•`:rlilof Executive Director, The University
Commissioners of North Carolina Hospitals
9 43 s
D x 9 SA
ATE: DATE:
Attest:
) AdAir- 44?:
Clerk of , e Orange Co ..ty
Board o " Commissioners
This instrument has been preaudited in the manner rep-aired by the
Local Government Budget and Fiscal Control Act.
Ken Chavious, Orange County Finance
Officer