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HomeMy WebLinkAbout2024-026-E-Social Svc-University of North Carolina Hospitals-Medicaid processing at UNCHUNCH # 92 STATE OF NORTH CAROLINA UNCH #92 COUNTY OF ORANGE AGREEMENT BETWEEN THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM AND ORANGE COUNTY, NORTH CAROLINA THIS AGREEMENT, made and entered into this the 1st day of July, 2021 by and between Orange County (“County”) by and through the Orange County Department of Social Services (“OCDSS”) and The University of North Carolina Health Care System, (“UNCHCS”) in 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 Health Care System in connection with the Orange County Department of Social Services (hereinafter referred to as OCDSS), Medicaid Program; and WHEREAS, UNCHCS 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, 2021 to June 30, 2025. 2. The County agrees to the following: a. Scope of Services: The County agrees to provide UNCHCS the services of a 0.25 FTE Income Maintenance Caseworker and a 0.38 FTE supervisor. i. The Income Maintenance Caseworker shall receive all potential medical assistance applications originating at UNC Hospitals. 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 UNCHCS staff in obtaining information and documentation required to complete the application process. iii. The Income Maintenance Caseworker shall work cooperatively with UNCHCS 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 UNCHCS, it is necessary that close contact be kept DocuSign Envelope ID: B4077D37-68C5-4E1B-808E-C88A9499D4DE UNCH # 92 with UNCHCS administration and certain members of the hospital medical staff. In recognition of this factor, UNCHCS will name a staff member to act as liaison between the OCDSS, the Income Maintenance Caseworker, the departments of UNCHCS 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 UNCHCS staff member and the OCDSS supervisor. v. The 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 UNCHCS 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 UNCHCS for the County’s share of the costs for the services of the 0.25 FTE income maintenance worker and for the 0.38 FTE 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, or other leave under approved county plan; paid holidays as observed by county; county paid insurance (health, dental, short-term disability, and life). 3. UNCHCS agrees to the following: a. Payment. UNCHCS will reimburse the County within fifteen (15) days of receipt of monthly billings for the following: i. The salary and benefits attributable to 0.25 FTE services by the income maintenance position and the salary and benefits attributable to the 0.38 FTE of the supervisor. ii. The total cost of this contract over the four year period is approximately $180,000 The parties will invoice for actual expenses. 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 UNCHCS determines that the Income Maintenance Caseworker's or Supervisor’s performance or professional interactions are inadequate or inappropriate, UNCHCS 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 UNCHCS shall provide sufficient documentation to support any such action. DocuSign Envelope ID: B4077D37-68C5-4E1B-808E-C88A9499D4DE UNCH # 92 b. To abide by the conditions set forth in the previously executed Business Associate Agreement, which the parties hereby ratify. 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. 7. 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 UNCHCS. 8. 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 UNCHCS. OCDSS personnel shall not be employees of, or have any contractual relationship with the UNCHCS. 9. Intent to be Bound. The parties have read this Agreement, including the Business Associate Agreement referenced herein, 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. 10. 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. 11. Non-Discrimination. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state and federal non-discrimination laws, policies, rules, and regulations and the Orange County Non-Discrimination Policy and Orange County Living Wage Policy (each policy is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php.) Any violation of the Orange County Non-Discrimination Policy is a breach of this Agreement and County may immediately terminate this Agreement without further obligation on the part of the County. This paragraph is not intended to limit and does not limit the definition of breach to discrimination. 12. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. 13. Governing Law. The laws of North Carolina shall govern the validity and interpretation of the provisions, terms and conditions of this Agreement. By executing this Agreement the parties affirm DocuSign Envelope ID: B4077D37-68C5-4E1B-808E-C88A9499D4DE UNCH # 92 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 to G.S. 147-86.58. 14. 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 UNCHCS Nancy Coston Daryl Sams Director HCS Director, Medicaid Eligibility 113 Mayo Street UNC Health Care System P.O. Box 8181 500 Eastowne Drive, 2nd Floor Hillsborough, NC 27278 Chapel Hill, NC 27514 Phone: (919) 245-2800 Phone: (984) 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 11A 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 HOSPITALS ________________________________ ______________________________ DATE:__________________________ DATE:___________________________ an Tammy Scarborough (Dec 10, 2023 21:57 EST) Tammy Scarborough 12/10/2023 DocuSign Envelope ID: B4077D37-68C5-4E1B-808E-C88A9499D4DE 1/16/2024 Revised 04/23 1 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: University of North Carolina Hospitals Vendor Contact Person: Daryl Sams Phone: 984-974-0935 Address: 500 Eastowne Drive, 2nd Floor City Chapel Hill State: NC Zip: 27514 Department: Social Services Amount: $180,000 Purpose: Medicaid processing at UNCH Budget Code(s): 10403005-442311 Vendor # N/A Vendor Status with NCSOS: N/A Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 7/1/21 End Date 6/30/25 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: ); Made or Administered by Nancy Coston Signature Authority - BOCC Express Delegation (Agenda Date: ) - Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000 - Budget Policy Section XV (Capital Improvement Project: ) Bidding Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# ) Department Affirmation This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement. Services related to this agreement have already begun or been completed. Description of the nature of the emergency condition that was addressed: delayed contract Department Director’s Signature ________________________________________ Date: ________ Information Technologies This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Inapplicable because no hardware/software purchases or related services Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Received for record retention: Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: B4077D37-68C5-4E1B-808E-C88A9499D4DE 1/11/2024 1/11/2024 1/16/2024 1/16/2024