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3 <br />paid insurance (health, dental, and life). PHS further agrees to pay the county share of any <br />expense resulting from other requirements mutually agreed upon by OCDSS and PHS. <br />3. Other supportive services provided by OCDSS without additional charge to PHS <br />include continuing program training of the Income Maintenance Caseworker and consultation with <br />other counties in the catchment area about Medicaid applications for patients. <br />4. Other supportive services provided by PHS without charge to OCDSS include: office <br />space; parking space; office equipment; clerical support; and telephone service. <br />5. The Income Maintenance Caseworker shall receive all potential medical assistance <br />applications originating at PHS. Specifically, the income Maintenance Caseworker shall perform <br />intake functions only, consisting of the following: conducting interviews that initiate an application; <br />obtaining signatures; obtaining documentation available at the time of interview; and forwarding <br />applications to the appropriate county for processing. <br />6. PHS staff shall assist the Income Maintenance Caseworker in obtaining information <br />and documentation required to complete the application process. . <br />7. The Social Services Income Maintenance Caseworker shall work cooperatively with <br />PHS staff and the staff of any Department of Social Services to make appropriate referrals of <br />patients and family members with problems not related to eligibility determination. <br />.1 <br />8. As an employee of the County, the Income Maintenance Caseworker shall be directly <br />supervised by and accountable to OCDSS. Due to the nature of this agreement and the wprking <br />relationship with PHS, it is necessary that close contact be kept with PHS administration and <br />certain members of the Piedmont staff. In recognition of this factor, PHS will name a staff member <br />to act as liaison between the OCDSS, the Income Maintenance Caseworker, PHS, and the other <br />staff personnel. Assignment of work to the Income Maintenance Caseworker and coordination of <br />sick, vacation, and other leave will be the joint responsibility of this PHS staff member and the <br />OCDSS supervisor. <br />