HomeMy WebLinkAbout2024-487-E-Emergency Svc-Alliance Health-Post Overdose Response Team FundingAGREEMENT
BETWEEN ORANGE COUNTY
AND ALLIANCE HEALTH
THIS AGREEMENT is made and entered into June 1, 2024, by and between the COUNTY OF ORANGE
(hereinafter referred to as the “County”) and ALLIANCE HEALTH, a political subdivision of the state
of North Carolina and a Local Management Entity/Managed Care Organization as those term is defined in
NCGS 122C-3 (hereinafter referred to as “Alliance”) collectively referred to as the Parties.
WITNESSETH:
WHEREAS, Orange County is implementing a Post Overdose Response Team (Referred to herein
as “PORT”) program with the mission to provide harm reduction resources, linkage to treatment services,
and medication-assisted treatment administration, by responding to opioid overdoses in real time or within
24-72 hours of the overdose event.
WHEREAS, PORT will serve the entirety of Orange County; and
WHEREAS, Alliance has agreed to provide funding for the program to operate as of June 1, 2024
through June 30, 2025.
NOW THEREFORE, and in consideration of mutual covenants herein and the mutual benefits to
result therefrom, the parties hereby agree as follows:
SECTION 1. FUNDING. Alliance shall provide to the County funding in the amount of Ninety-
six thousand one hundred sixty-one dollars for the remainder of FY2024 ($96,161), and One hundred
five thousand three hundred twenty-three dollars for FY2025 ($105,323) (hereinafter referred to as
the "Funds") to support staffing of the PORT, software bridge, equipment and supplies to support
the 2024-2025 fiscal year. If the Funds are not exhausted by June 30, 2025, and the remaining funds are
still available, the County may submit a written request to Alliance for approval to use the remaining
balance for the fiscal year beginning July 1, 2025.
SECTION 2. USE OF FUNDS. The Funds shall be used exclusively for Qualified Expenses of the PORT
program outlined in Attachment 1, Scope of Work, and corresponding Budget provided to and approved by
Alliance. The County shall promptly return, without the necessity of a request from Alliance, any portion
of the Funds not used for such purpose or submit a written request to Alliance to utilize the remaining
balance as described above in Section 1. Funding. No substantial changes in the purposes, term or
conditions may be made without a prior written amendment to this Agreement. In the event it is determined
by Alliance, that the County expended any amount of Funds in violation of the funding requirements or this
Agreement, the County shall be required to return that amount of money to Alliance. The implementation
of this Agreement and the PORT program shall be carried out in strict compliance with all Federal, State,
and local laws.
SECTION 3. PAYMENT OF FUNDS. Alliance will reimburse the County for Qualified Expenses
incurred. The County must submit a completed Alliance Non-UCR Invoice Template that lists Qualified
Expenses and supporting documentation. Supporting documentation includes, but is not limited to, receipts
of purchases, itemized invoices and other documentation on how the expense is related to the deliverable.
If proper supporting documentation is not provided with the Invoice Template, further payments may be
withheld. See Attachment 2: Alliance Non-UCR Invoice Template.
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a) Provider shall prepare and submit the Invoice for payment to:
accountspayable@alliancehealthplan.org, unless otherwise directed by Alliance.
b) Electronic reporting must be submitted in accordance with the privacy and security
requirements set forth in Section 16 – Confidentiality.
c) All payments of Funds will be made via electronic funds transfer within 30 days of invoice
approval.
SECTION 4. TERM. The term of this Agreement shall begin June 1, 2024, and end the earlier of June 30,
2025, or upon expenditure of all of the Funds. If the Funds are not exhausted by June 30, 2025, and the
remaining funds are still available, the County may submit a written request to Alliance for approval to use
the remaining balance for the fiscal year beginning July 1, 2025.
SECTION 5. TERMINATION. This Agreement may be terminated immediately, for cause, by the
nonbreaching party notifying the breaching party in writing of a failure to perform the provisions of this
Agreement. This Agreement may also be terminated immediately by Alliance if the Funds are no longer
available to Alliance. The termination shall be effective upon receipt of the notice of termination. Upon
such termination, the parties shall be entitled to such additional rights and remedies as may be allowed by
relevant law.
SECTION 6. REPORTING. Within 60 days from the end of the Term, unless otherwise agreed to, the
County shall provide Alliance an end of year report detailing the overall utilization rate and utilization of
the PORT program by participant county of residence and recidivism rates.
SECTION 7. NO WARRANTY BY ALLIANCE: Alliance makes no warranty, either express or implied,
that the Funds are or will be sufficient to pay all or any particular portion of the cost of the PORT program
or permit the programs successful completion.
SECTION 8. AMENDMENTS. This Agreement may be amended at any time upon mutual written
agreement of Alliance and the County.
SECTION 9. GOVERNING LAW. This Agreement shall be governed by and in accordance with the
laws of the State of North Carolina. All actions relating in any way to this Agreement shall be brought in
the General Court of Justice in the County of Wake and the State of North Carolina.
SECTION 10. NO THIRD-PARTY BENEFICIARIES: This Agreement is not intended for the benefit
of any third party. The rights and obligations contained herein belong exclusively to the parties hereto and
shall not confer any rights or remedies upon any person or entity other than the parties hereto.
SECTION 11. ENTIRE AGREEMENT This Agreement together with the agreements referenced in this
Agreement, shall constitute the entire understanding between Alliance and the County and shall supersede
all prior understandings and agreements relating to the subject matter hereof.
SECTION 12. SEVERABILITY. In the event any provision of this MOU is adjudged to be unenforceable
or found invalid, such provision shall be stricken and the remaining provisions shall be valid and
enforceable.
SECTION 13. NOTICE. Any and all notices, designations, consents, offers, acceptances, or any other
communications provided for herein shall be given in writing by registered or certified mail, return receipt
requested, to the respective Parties at the addresses listed below, unless each party has notified the others
of a different address by means of the notification formalities described in this paragraph.
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If to Alliance Health: Robert Robinson, CEO
5200 West Paramount Parkway, Suite 200
Morrisville, North Carolina 27560
If to Orange County: Bonnie Hammersley, County Manager
P.O. Box 8181
Hillsborough, North Carolina 27278
SECTION 14. AUDIT RIGHTS. For all Services being provided hereunder, Alliance shall have the right
to inspect, examine, and make copies of any and all books, accounts, invoices, records and other writings
relating to the performance of the Services identified in this contract. Audits shall take place at times and
locations mutually agreed upon by both parties. Notwithstanding the foregoing, the County must make the
materials to be audited available within two (2) weeks of the request for them.
SECTION 15. NON-DISCRIMINATION - EQUITABLE TREATMENT OF PARTICIPANTS. The
County shall not discriminate in their treatment of participants in the PORT program based on participants’ health
status, source of payment, cost of treatment or participation in a health benefit plan, genetic information, or
ethnicity. Further, the County agrees that Lesbian, Gay, Bisexual, Transgender, or Questioning (LGBTQ)
participants who obtain covered services shall not be subject to treatment or bias that does not affirm the
member’s identifying orientation.
SECTION 16. CONFIDENTIALITY. The Parties hereto agree to comply with any and all applicable
laws and regulations concerning the confidentiality of participant records, files, or communications in
addition to the terms of this Agreement. All parties agree to secure privacy, confidentiality, and integrity of
participant, employee, and administrative data. Electronic exchange of confidential information of any
email, which will include invoices, customer billing information, and any other information regarding the
service delivery of the customer, must be sent and received via encrypted methods.
IN WITNESS WHEREOF, Alliance and County have authorized this Agreement to be executed and
attested by their undersigned officers, to be effective from and after the date first written above.
COUNTY OF ORANGE
Date
ALLIANCE HEALTH
Robert Robinson, CEO or Designee Date
This instrument has been pre-audited in the manner
required by the Local Government Budget and Fiscal Control Act.
_____________________________________
Alliance Health Finance Officer (or Designee) Date
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7/27/2024 | 10:36 PM EDT
7/29/2024 | 3:22 PM EDT
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8/15/2024
Attachment 1 – Scope of Work
Name of Program/Services
Orange County Post Overdose Response Team (PORT)
Description of use of funds:
The PORT team will launch on July 1, 2024. The PORT will serve all of Orange County, North Carolina.
The PORT Team consists of two Community Paramedics (CPs) and one Peer Support Specialist. The
PORT CPs will provide coverage seven days a week, 365 days per year. The Peer Support specialist will
be in service eight hours per day Monday – Friday. The mission is to provide harm reduction resources,
linkage to treatment services and Medication Administration Treatment. This will also increase
therapeutic interventions and direction to resources.
Required Elements of the Program/Service
The PORT Team shall:
• Respond to overdose calls that occur during their operating hours.
• Provide up to seven days of medication assisted treatment guided by approved Orange County
EMS protocols.
• Ensure warm handoff occurs with treatment programs across Orange County.
• Respond as directed to overdose calls.
• Follow up on EMS, ED, Criminal Justice Resource referrals.
• Provide Harm reduction education and supplies.
• Transportation and Referrals can be made to other services and supports.
• Follow up engagement will be included.
Collaboration
• Supervision of the staff for the Pilot will be provided by the Chapel Hill Police
Department Crisis Unit and EMS Town of Chapel Hill
• Orange County: Emergency Services and CJRD
• Alliance Health
• UNC School of Government Criminal Justice Innovation Lab
Outcomes
• Connecting client with effective treatment resources
• Decreased incidence of opioid overdose death within Orange County
• Decreased Emergency Department OUD utilization by individuals enrolled in PORT
programs
• Decreased repeat OUD related utilization of individuals who have previously interfaced with OC-
EMS and are enrolled in the PORT programs
• Increased EMS provider ability to effectively interface with OUD patients;
• Improved EMS provider morale and engagement as it pertains to OUD patient
encounters;
• Increased intake of enrollees through referrals from community partners
• Decreased frequency of individuals released from Orange County Detention Center
experiencing a gap in MAT
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Reporting Requirements
The data collection is a requirement of the Orange County EMS Peer Review Process and the Orange County
Opioid Settlement Advisory Committee. Regular data reports will be completed utilizing the Alliance Health
Enhanced Report template.
Finance
FY 2024: Start-up costs of $96,161,
FY 2025: $105,323 annual operating costs.
Qualified Expenses
Start up costs for the PORT may include equipment, vehicle lease, uniforms, and UNC School of
Government Criminal Justice Innovation Lab Evaluation. Partial annual funding costs needed to support the
PORT may include salary and benefits for EMT, Mobile Crisis Counselor, and Peer Support Specialist,
training, harm reduction supplies, medical supplies and client needs, and gas and vehicle maintenance. The
County may submit a request in writing to Alliance for consideration of other expenses not listed above.
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Attachment 2 – Alliance Non-UCR Invoice Template
Download the Alliance Non-UCR Invoice Template:
https://www.alliancehealthplan.org/resources/document-library/
Please reference the assigned Alliance Health Project ID Numbers (see below) when submitting invoices.
Contract Number: 24-0218
Project ID Numbers: (FY2024) SST24-01-0258
(FY2025) SST25-01-0117
Start Date: June 1, 2024
Completion Date: June 30, 2025, unless extended by Alliance.
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ORANGE COUNTY—INTERNAL USE ONLY
Finance Information
Vendor Name: Alliance Health Vendor Contact Person: Sean Schreiber Phone: 919-651-8973 Address:
5200 W Paramount Parkway, Suite 200 City Morrisville State: NC Zip: 27560
Department: Emergency Services Amount: $201,484 Purpose: Post Overdose Response Team Funding Budget
Code(s): TBD Vendor #
Vendor Status with NCSOS: Vendor is a BOCC consultant: Yes No
Contract Details
Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment )
Effective Date June 1, 2024 End Date June 30, 2025 Notice Date (Notice Purpose )
Award
Approved by Board (Agenda Date: 6-18-2024); Made or Administered by Alliance Health
Signature Authority
- BOCC Express Delegation (Agenda Date: 6-18-2024 )
- 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.
This agreement is approved as to technical form and content. Services related to this agreement have already
begun or been completed. Description of the nature of the emergency condition that was addressed:
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:
Revised 01/24
1
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8/13/2024
8/15/2024
8/15/2024
Provider Name Invoice #Invoice Date
Project Number (from SOW in Contract)
Program Name
JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN Total
Fee for Service (IPRS)($0.00)
Fee for Service (Medicaid)($0.00)
Private Insurance/3rd Party Pay ($0.00)
Client Co-Pays ($0.00)
Contributions ($0.00)
Miscellaneous ($0.00)
Total Revenue ($0.00)($0.00)($0.00)($0.00)($0.00)($0.00)($0.00)($0.00)($0.00)($0.00)($0.00)($0.00)($0.00)
JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN Total
Salaries/Wages/Benefits (Tab A)-$
Travel/Staff Lodging/Meals (Tab B)-$
Client Assistance/Activities (Tab C)-$
Building Repair & Maintenance -$
Communications -$
Consulting Service/Fees -$
Dues and Subscriptions -$
Insurance - Motor Vehicle -$
Insurance - Property and Liability -$
Meeting/Conference Expense -$
Office Equipment Rental (Phone/Computer)-$
Office/Equipment Repair & Maintenance -$
Office Expense -$
Office Supplies & Materials -$
Postage/Mailing Expense -$
Rent - Building/Office Space -$
Service Related Supplies -$
Utilities -$
Vehicle Expense -$
Vehicle Rental -$
Provider Specific Expenses (add below)
-$
-$
-$
-$
-$
-$
-$
Sub-Total Expenses -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$
Administrative Overhead JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN Total
Annual Admin Overhead (Tab D July ONLY)-$
Total Expenses -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$
Invoice Amount Surplus (Deficit) -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$
Contract Max Budget Budget Remaining
-$
Authorized Signature (only if mailed see note below)
Revenue ( Formatted to display as a negative number - don't
type in (-) negative sign )
Expense ( Formatted to display as a positive number - type in (-)
before number for negative entry )
-$
BY SUBMISSION OF THIS INVOICE VIA EMAIL AND INCLUDING INVOICE NUMBER IN THE SUBJECT LINE, I ACKNOWLEDGE THAT ALL INFORMATION IS ACCURATE AND UNDERSTAND NO SIGNATURE IS REQUIRED
NON-UCR INVOICE TEMPLATE FOR CONTRACTS WITH ALLIANCE HEALTH REVISED 09-26-2023
Contract Max for Program Service Month
Invoice Amount
Preparer's Phone or EmailType Name and Title Date
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