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HomeMy WebLinkAboutAgenda - 06-08-2004-5mORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: June 8, 2004 Action Agenda Item No. ~°VNI SUBJECT: Contract Renewal with UNC Hospitals for DSS to Provide Medicaid Workers DEPARTMENT: Social Services PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Contract INFORMATION CONTACT: Nancy Coston, 245-2800 TELEPHONE NUMBERS: Hillsborough 732-8181 Chapel Hill 968-4501 Durham 688-7331 Mebane 336-227-2031 PURPOSE: To continue the contract far income maintenance staff at UNC Hospitals, BACKGROUND: The Department of Social Services has had a contract with UNC Hospitals continuously sirice 1977 to provide Social Services staff at the hospital. These staff members, income maintenance caseworkers, allow patients at the hospital to apply for Medicaid while at the hospital. The contract allows for three full-time staff and part-time supervision to be available at the hospital. The Social Services Board has reviewed this contract and recommends that it be continued. FINANCIAL IMPACT: The UNC Hospital will reimburse the County for the non-federal share of these positions, so there are no County costs, The total cost is estimated to be $84,267 during Fiscal Year 2004-2005. RECOMMENDATION(S): The Manager recommends that the Board accept the Social Services Board recommendation and approve the renewal contract with UNC Hospitals.. 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 tst day of July, 20p4 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 ITNESSETH: 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 three full time Income Maintenance Caseworkers and one part-time supervisor. 2. UNCH agrees to reimburse the County within 15 days of receipt of monthly billings for the county share of the salary, benefits, and the indirect costs to which the parties have agreed involved in maintaining three Social Services Income Maintenance Caseworkers at UNCH. UNCH also agrees to reimburse the county for the costs of a part-time supervisor, The county share of these positions is approximately 5Q percent. 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; county paid insurance (health, dental, and life). UNCH will also pay half of the administrative overhead and indirect costs associated with these positions. This includes all other supportive services provided by OCDSS or Orange County . The total costs of this contract is $84,267. 3. Other supportive services provided by gCDSS without additional charge to UNCH include continuing program 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. 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 liaison 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 pertormance 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 Personnol ordinance and UNCH shall provide sufficient documentation to support that action.. 1 t This Agreement shall be effective from July O 1, 2004 to June 30, 2005. 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. FOR AND ON BEHALF OF: ORANGE COUNTY, NORTH CAROLINA Chair, Orange County Board of Commissioners DA Attest: Clerk of the Orange County Board of Commissioners FOR AND ON BEHALF OF: THE UNIVERSITY OF NORTH CAROLINA HOSPITALS Executive Director, The University of North Carolina Hospitals DATE: This instrument has been preaudited in the manner required by the Local Government Budget and Fiscal Control Act. Ken Chavious, Orange County Finance Officer