HomeMy WebLinkAbout2025-518-E-Emergency Svc-Alliance Health-Post Overdose Response Team FundingAGREEMENT
BETWEEN ORANGE COUNTY
AND ALLIANCE HEALTH
THIS AGREEMENT is made and entered into July 1, 2025, by and between the Orange 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; collectively referred to as
Parties.
WITNESSETH:
WHEREAS, Orange County is implementing a Post Overdose Response Team program with the
mission to provide harm reduction resources, linkage to treatment services, and medication-assisted
treatment induction and administration. (Referred to herein as “PORT.”) PORT will respond to opioid
overdoses in real time or within 24-72 hours of the overdose event. The program seeks to increase
therapeutic interventions and direction to resources; and
WHEREAS, PORT will serve the entirety of Orange County; and
WHEREAS, Alliance has agreed to provide funding to support the program to operate July 1, 2025,
through June 30, 2026.
NOW THEREFORE, for and in consideration of mutual covenants herein and the mutual benefits
to result therefrom, the parties hereby agree as follows:
SECTION 1. FUNDING. Alliance will provide the County funding in the amount of Sixty-four thousand
eight hundred and fifty dollars ($64,850.00), for use in FY 2026. (referred to as the "Funds") to support
Qualified Expenses, as defined herein.
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. 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 monthly that lists
Qualified Expenses and supporting documentation, as further defined in the Scope of Work. If proper
supporting documentation is not provided with the Invoice Template, further payments may be withheld.
See Attachment 2: Alliance Non-UCR Invoice Template.
a) The County shall prepare and submit the Invoice monthly 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.
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SECTION 4. TERM. The term of this Agreement shall begin July 1, 2025, and end the earlier of June 30,
2026, or upon expenditure of all of the Funds, whichever is earlier.
SECTION 5. TERMINATION. This Agreement may be terminated by either party with or without upon
30 days’ notice to the other party. 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 deemed 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, or any other communications provided for herein shall be
given in writing, 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.
If to Alliance Health: Attention: Robert Robinson, CEO
5200 West Paramount Parkway Suite 200
Morrisville, North Carolina 27560
RRobinson@AllianceHealthPlan.org
If to Orange County: Attention: Travis Myren, Orange County Manager
200 South Cameron Street
Hillsborough, North Carolina, 27278
TMyren@orangecountync.gov
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SECTION 14. AUDIT RIGHTS. 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 Program
described herein. 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.
16.1 Health Insurance Portability & Accountability Act of 1996 (“HIPAA”). The County
explicitly acknowledges and understands that it is required to comply with any and all applicable laws
relating to privacy and/or security of protected health information (“PHI”) or other healthcare, public
assistance or social services information, including but not limited to HIPAA and its implementing
regulations, 45 CFR Parts 160, 162 & 164, as further expanded by the Health Information Technology for
Economic and Clinical Health Act (HITECH Act), which was adopted as part of the American Recovery
and Reinvestment Act of 2009, commonly known as “ARRA” (Public Law 111-5) and any subsequent
modifications thereof, the Substance Abuse Confidentiality regulations set forth in 42 CFR Part 2, N.C.G.S.
§ 122C-51, et seq., N.C.G.S. § 108A-80,10A NCAC Subchapter 26B, and DMH/DD/SAS Confidentiality
Rules published as APSM 45-1 (effective January 2005).
16.2 Confidentiality of Other Information (Non-PHI). “Confidential Information” shall
mean any materials, written information, and data marked “Confidential” by Alliance or non-written
information and data disclosed by Alliance that is identified at the time of disclosure to the County as
confidential but shall not include PHI or healthcare, public assistance or social services information
protected by the laws cited in Section 4, above, which is covered by the Business Associate Agreement
attached hereto and incorporated herein. County shall take affirmative measures to protect Confidential
Information, and, to the extent permitted by law, to maintain the Confidential Information in strict
confidence for a period of three (3) years from the date of termination of this Contract. The term
“Confidential Information,” as used herein, does not include any information which: (a) meets the definition of
a public record under the NC Public Records Law; (b) is in the public domain; (c) has been made public other
than by acts by the County in violation of this Contract; (d) that is independently known, obtained or
discovered by the County; (e) that is hereafter supplied to the County by a third party without restriction;
or (f) becomes available to County on a non-confidential basis.
SECTION 17. AVAILABILITY OF FUNDS.
Alliance may terminate this Agreement if Federal, State or other government funds allocated for the
purposes of this Agreement are revoked or terminated in a manner beyond the control of Alliance. If
Federal, State or other government funds are reduced in a manner beyond the control of Alliance, Alliance
will notify the County and provide payment to the County for Qualified Expenses expended under this
Agreement up to the time of reduction. County hereby acknowledges and agrees that Alliance shall not be
liable to the County for any loss of Federal, State or other government funds in the event of the revocation,
termination or reduction of the same or for any other payments or damages arising from a lack of funding,
including, but not limited to, general, special or consequential damages.
[Remainder Left Intentionally Blank]
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IN WITNESS WHEREOF, Alliance and the 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.
______________________
Date
_______________________
Date
_______________________
ORANGE COUNTY
____________________________________
Travis Myren, County Manager
ALLIANCE HEALTH
_____________________________________
Robert Robinson, CEO or Designee
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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8/12/2025 | 12:37 PM EDT
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Attachment 1 – Scope of Work
Name of Program/Services: Orange County Post Overdose Response Team (PORT)
The mission of PORT is to provide harm reduction resources, linkage to treatment services and Medication
Administration Treatment. This will also increase therapeutic interventions and direction to resources.
PORT launched on July 1, 2024, and will continue through fiscal year 2025-2026. PORT will serve all of
Orange County, North Carolina.
Description of use of funds:
Funds provided by Alliance will be used to support PORT staff and operations. PORT consists of two
Community Paramedics (CPs) and one Peer Support Specialist. PORT CPs will provide coverage 7 days a
week, 365 days per year. The Peer Support specialist will be in service 8 hours per day Monday – Friday.
Required Elements of the Program/Service
PORT 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 PORT staff 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 – (utilizing the baseline data gathered in FY 25 as applicable)
• 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.
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.
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Invoicing:
Orange County will not be reimbursed for state and county sales tax paid that is eligible for reimbursement
directly from the State of North Carolina. Except for payroll expenses, invoices must be based on actual
expenses incurred (no accruals per funding requirements).
Orange County must submit expense invoices by the 20th calendar day of the following month. Invoice
must be on the Alliance Non-UCR Invoice Template, exclude sales tax paid and include supporting
documentation. The required invoice template will be provided by Alliance Provider Network Staff or is
available on the Alliance website. See “Invoice and Travel Expense Reimbursement Requirements” located
on the Alliance website for additional information and requirements related to submitting expense invoices.
Supporting documentation must include general ledger detail to support all expenses. Supporting
documentation is required for payroll expenses, travel expenses and costs paid on behalf of a participant.
For example, payroll reports, mileage logs, itemized receipts, check request forms, etc. If proper supporting
documentation is not provided with the invoice, the invoice will be held until supporting documentation is
received. If the invoice is not received timely or supporting documentation is not received within five days
after it is requested, the invoice will be held until the end of the fiscal year pending availability of funds.
Payment of invoices will be made via electronic funds transfer.
Invoices should be emailed to Alliance Health by the 20th calendar day of the following month at:
AccountsPayable@AllianceHealthPlan.org
*To accommodate Fiscal Year End funding deadlines, Alliance will not accept invoices after July 15, 2026.
The Provider Network Project Manager or Specialist assigned to this Program will reach out with advance
notice for any adjustments to regular invoice submission timelines*
Please reference the assigned Alliance Health Project ID Number (see below) when submitting invoices. If
your organization has multiple Contracts, the assigned Alliance Health Project ID Number(s) for each
Contract must be invoiced separately. Multiple Project IDs cannot be on the same invoice.
If the contract is an hourly rate agreement, invoices must be broken down in detail with the description of
service(s), the number of hours by each person(s), and the applicable rate(s) for all charges accordingly.
Docusign Envelope ID: 9931DABE-39D2-41B9-B4B8-59EA749D1B96Docusign Envelope ID: 774CC2B7-080D-4F98-95C7-27C25A56836D
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 Contract and Project ID # Number (see below) when
submitting invoices.
Contract Number: 26-0050
Project ID #:
Start Date: July 1, 2025
Completion Date: June 30, 2026, unless extended by Alliance.
Docusign Envelope ID: 9931DABE-39D2-41B9-B4B8-59EA749D1B96
SST26-01-0064
Docusign Envelope ID: 774CC2B7-080D-4F98-95C7-27C25A56836D
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: $64,850 Purpose: Post Overdose Response Team Funding Budget
Code(s): 30757505-510100 Vendor #
Vendor Status with NCSOS: Vendor is a BOCC consultant: Yes No
Contract Details
) (Most Recent Amendment ) Contract Type: New Amendment (Original Contract:
Effective Date July 1, 2025 End Date June 30, 2026 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
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