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Home My WebLink About2017-343-E DSS - UNC Hospitals for medicaid processing DocuSign Envelope ID:2F1423ED-2589-479B-8D17-D6259D2980B6 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, 2017 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, 2017 to June 30,2018. 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 thneframes, 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 DocuSign Envelope ID:2F1423ED-2589-479B-8D17-D6259D2980B6 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 the income maintenance position is approximately 25 percent of the cost of salary and benefits and 100 percent of the supervisor. 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 and benefits for both the income maintenance caseworker and the part-time supervisor. The reimbursement of the county's share of these positions is approximately 25 percent of the cost of salary and benefits and 100 percent of the supervisor. 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. The total cost of this contract is$36,974. 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: DocuSign Envelope ID:2F1423ED-2589-479B-8D17-D6259D2980B6 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 00 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 UNCI-I. 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 DNCR � 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. a. Governing Law. The laws of North Carolina shall govern the validity and interpretation of the provisions, tenns and conditions of this Agreement. By executing this Agreement the parties affirm that they and any subcontractors of the parties are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement the parties certify that they have not been identified, and has not utilized the services of any agent or subcontractor, on the list created by the State Treasurer pursuant toG � l47-#O �8 � ' ' ' 17. 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 Margaret Dudley Director Director Financial Programs 113 Mayo Street UNC Health Care DocuSign Envelope ID:2F1423ED-2589-479B-8D17-D6259D2980B6 P.O. Box 8181 101 Manning Drive Hillsborough,NC 27278 Chapel Hill,NC 27514 Phone: (919)245-2800 Phone: (919) 974-0935 Signatures: This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the intent of the Parties to comply with Article I1A and Article 40 of North Carolina General Statute Chapter 66. 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 CAROLINA ocuSigned by: 1561A.AA.A.t, AWAAWItArStGil L D 37994E1.745E477 tti wawa* raurisfor(ux ftlfatA, _5E1:1F_34.6.1=t91QR416 Bonnie Hammersley, County Manager Chris Ellington, Executive Vice President and Chief Financial Officer, 7/25/2017 DATE: DATE: 7/24/2017