HomeMy WebLinkAboutAgenda - 06-12-2007-4xORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: June 12, 2007
Action Agenda
Item No. j-~- _ (~
SUBJECT: Renewal of Contract with Orange Public Transportation to Provide Medically.
Necessary Transportation to Medicaid Clients
DEPARTMENT: Social Services
PUBLIC HEARING: (Y/N) No
ATTACHMENT(S):
Contract with Limited Attachments
See Agenda Item 4-m to Reference
Other Standardized Contract
Attachment Forms Not Included
Here
INFORMATION CONTACT:
Nancy Coston, 245-2800
Yvette Smith, 245-2800
PURPOSE: To continue the contract for medically necessary transportation services with
Orange Public Transportation (OPT).
BACKGROUND: The Department of Social Services is mandated to provide transportation to
Medicaid covered services when a client does not have access to personal transportation.
The Department of Social Services contracts with Orange Public Transportation to provide
medically necessary transportation services to Medicaid clients. Social Services reimburses
OPT $12.75 per client per one-way trip. The total cost for this contract for 2007-2008 is
$87,300. A contract is required to allow for Medicaid reimbursement.
The Social Services Board has reviewed this contract and recommends that it be continued.
FINANCIAL IMPACT: The costs are billed to Medicaid so there are no additional County costs.
RECOMMENDATION(S): The Manager recommends that the Board accept the Social
Services Board recommendation and approve the contract renewal with Orange Public
Transportation and authorize the Chair to sign the contract.
Contract #68-1011
Orange Public Transportation -Medicaid
Contract # 68-1011 Fiscal Year ]Begins_July 1,2007 Ends~June 30, 2008
This contract is hereby entered into by and between the Orange County Department of Social Services (the
"County") and Orange Public Transportation (the "Contractor") (referred to collectively as the "Parties"). The
Contractor's federal tax identification number or Social Security Number is
1. Contract Documents: This Contract consists of the following documents:
(1) This contract
(2) The General Terms and Conditions (Attachment A)
(3) The Scope of Work, description of services, and rate (Attachment B)
(4) Federal Certification Regarding Drug-Free Workplace (Attachment C)
(5) Conflict of Interest (Attachment D)
(6) Federal Certification Regarding Lobbying (Attachment G)
(7) Federal Certification Regarding Debarment (Attachment H)
(8) Certification of Transportation (Attachment J)
(9) Outcomes and Reporting (Attachment N)
These documents constitute the entire agreement between the Parties and supersede all prior oral or written
statements or agreements.
2. Precedence Among Contract Documents: In the event of a conflict between or among the terms of the
Contract Documents, the terms in the Contract Document with the highest relative precedence shall prevail. The
order of precedence shall be the order of documents as listed in Paragraph 1, above, with the first-listed
document having the highest precedence and the last-listed document having the lowest precedence. If there are
multiple Contract Amendments, the most recent amendment shall have the highest precedence and the oldest
amendment shall have the lowest precedence.
3. Effective Period: This contract shall be effective on July 1, 2007 and shall terminate on June 30, 2008.
This contract must be twelve months or less.
4. Contractor's Duties: The Contractor shall provide the services and in accordance with the approved rate as
described in Attachment B, Scope of Work, and shall meet the requirements set forth in Attachment N,
Outcomes and Reporting.
5. County's Duties: The County shall pay the Contractor in the manner and in the amounts specified in the
Contract Documents. The total amount paid by the County to the Contractor under this contract shall not
exceed $87,300. This amount consists of $87,300 in Federal funds (CFDA # ), $ 0 in State Funds,
$0 in County funds, $0 (source of other funds if applicable).
[ X ] a. There are no matching requirements from the Contractor.
[ ] b. The Contractor's matching requirementrs $ ,which shall consist of:
[ ] In-kind [ ]Cash
[ ]Cash and In-kind [ ]Cash and/or In-kind
The contributions from the Contractor shall be sourced from non-federal funds.
The total contract amount including any Contractor match shall not exceed $87,300.
Contract-General (06/041 Pase 1 of 3
6. Reporting Requirements:
Contract #68-1 O11
Orange Public Transportation -Medicaid
Contractor shall comply with audit requirements as described in N.C.G.S. § 143-6.2 and OMB Circular A-133.
7. Payment Provisions:
Payment shall be made in accordance with the Contract Documents as described in the Scope of Work,
Attachment B.
8. Contract Administrators: All notices permitted or required to be given by one Party to the other and all
questions about the contract from one Party to the other shall be addressed and delivered to the other Party's
Contract Administrator. The name, post office address, street address, telephone number, fax number, and
email address of the Parties' respective initial Contract Administrators are set out below. Either Party may
change the name, post office address, street address, telephone number, fax number, or email address of its
Contract Administrator by giving timely written notice to the other Party.
For the County:
IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS
Yvette Smith, Income Maintenance Director Yvette Smith, Income Maintenance Director
Orange County Department of Social Services Orange County Department of Social Services
P.O. Box 8181 300 West Tryon Street
Hillsborough, NC 27278 Hillsborough, NC 27278
(919) 245-2858
(919) 644-3005
smith co.oran e.nc.us
For the Contractor:
IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS
Jerry Passmore, Director Jerry Passmore, Director
Orange County Department of Aging Orange County Department of Aging
P.O. Box 8181 300 West Tryon Street
Hillsborough, NC 27278 Hillsborough, NC 27278
(919) 245-2009
jpassmore(a~co.orange.nc.us
Contract-General (06/041 Paee 2 of 3
9. Signature V6'arranty:
Contract #68-1011
Orange Public Transportation -Medicaid
`._:.i
The undersigned represent and warrant that they are authorized to bind their principals to the terms of this
agreement.
The Contractor and the County have executed this contract in duplicate originals, with one original being retained
by each party.
ORANGE PUBLIC TRANSPORTATION
Signature
Date
Printed Name Title
ORANGE COUNTX
Signature Date
Printed Name Title
Signature Date
Printed Name
Title
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act.
Signature of County Finance Officer
Contract-General (06/041
Date
Paee 3 of 3
Contract #68-1011
Orange Public Transportation -Medicaid
ATTACHMENT B
SCOPE OF WORK
Orange County Department of Social Services
Federal Tax Id. or SSN
Contract # 68-1011
A. CONTRACTOR INFORMATION
1. Contractor Agency Name: Orange Public Transportation
2. If d~erent from Contract Administrator Information in General Contract:
Address Al Terry
600 Highway 86 North, Hillsborough, NC 27278
Telephone Number: (919) 245-2002_, Fax Number: Email:
3. Name of Program (s): Medicaid Transportation Program
4. Status: (X) Public ( )Private, Not for Profit ( )Private, For Profit
5. Contractor's Financial Reporting Year July 1, 2007 through June 30 2008
B. Explanation of Services to be provided and to whom (include SIS Service Code):
The Contractor will provide transportation for eligible Medicaid clients to and from
medically necessary appointments. The Contractor is required to meet all goals and
outcomes listed in Attachment N.
C. Rate per unit of Service (define the unit):
1. If Standard Fixed Rate, Maximum Allowable, (See Rates for Services Chart)
2. Negotiated County Rate.
$12.75/one-way trip
D. Number of units to be provided:,
E. Details of Billing process and Time Frames; The County will reimburse the Contractor
for services described in this contract uu to the budsetarv limits of the contract allotment.
For reimbursement, the Contractor must submit an original and two copies of an invoice
by the fifth of the month for the preceding month's expenditures to the designated County
Administrator. Expenditures for Mav and June must be estimated based on average
monthly expenditures year-to-date and reported by Mav 5, 2008. The Coun . will
reimburse the Contractor monthl~pon receipt of a complete and correctly filed report.
Contract-Scope of Work (06/04) Page 1 of 2
Contract #68-1011
Orange Public Transportation -Medicaid/^
Co
F. Area to be served/Delivery site(s): Orange County
(Signature of County Authorized Person) (Signature of Contractor)
(Date Submitted) (Date Submitted)
Contract-Scope of Work (06/04) Page 2of 2
Contract #68-1011
Orange Public Transportation -Medicaid
ATTACHMENT N
OUTCOMES AND REPORTING
Orange County Department of Social Services
By signing and submitting this document, the Contractor certifies that it agrees to the following:
1. The Contractor agrees to participate in program, fiscal and administrative monitoring and/or
audits, making records and staff time available to Federal, State and County staff.
2. The Contractor agrees to take necessary steps for corrective action, as negotiated within a
corrective action plan, for any items found to be out of compliance with Federal, State, and County
laws, regulations, standards and/or terms of the .Contract.
3. The Contractor agrees that continuation of and/or renewal of this Contract is contingent on
meeting the following requirements. The Contractor agrees to:
A. Provide services to enrolled participants within three days of a request.
B. Provide critical services on short notice when requested.
C. Discuss the specific situation, and present evidence of cause, with the Department of
Social Services staff prior to termination of services for any client.
Signature
Agency/Organization
Title
Date
(Certification signature should be same as Contract signature.)
Outcomes (06/04)
Page 1 of 1