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S Health - Triangle Home Health Care for IN Home Aide to Eligible Adults
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S Health - Triangle Home Health Care for IN Home Aide to Eligible Adults
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Last modified
9/20/2012 10:35:23 AM
Creation date
6/2/2009 10:38:51 AM
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Template:
BOCC
Date
6/12/2007
Meeting Type
Regular Meeting
Document Type
Contract
Agenda Item
4s
Document Relationships
Agenda - 06-12-2007-4s
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\Board of County Commissioners\BOCC Agendas\2000's\2007\Agenda - 06-12-2007
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Contract #68-200b <br />Triangle Home Health Care, Inc. <br />• ATTACHMENT B <br />SCOPE OF WORK <br />Orange County Department of Social Services <br />Federal Tag Id. or SSN ~ ~ ~' <br />Contract # 68-2006 <br />A. CONTRACTOR INFORMATION <br />1. Contractor Agency Name: Triangle Home Health Care, Inc. <br />2. If different from Contract Administrator Information in General Contract: <br />Address ~~~3 ~~~.5`E"' _ <br />~ ., -~ ~ x'7'7 U ~ <br />Telephone Number: ~' (~ ~ ~. $~ D 12 ~ Fax Number:~(~ ` ~~ Email: ~ r s adr 1 Y r 3 ~ Q o f ~ ~ ~- <br />3. Name of Program (s): In-Home Services ~~~~ <br />4. Status: ( )Public ( )Private, Not for Profit (~ Private, For Profit <br />5. Contractor's Financial Reporting Year Jul 1, 2007 through June 30; 2008 <br />B. Explanation of Services to be provided and to whom (include SIS Service Code): <br />• The Contractor will provide employees to perform in-home services for the <br />Department of Social Services' clients, at the level, amount and frequency specified by <br />the social worker in the In-Home Aide Services Plan. (SIS Code 0421 The Contractor <br />willprovide Level II Home Management and Level III Personal Care. The Contractor is <br />required to meet all goals and outcomes listed in Attachment N. <br />C. Rate per unit of Service (define the unit): <br />1. If Standazd Fixed Rate, Maximum Allowable, (See Rates for Services Chart) <br />$14.40/hour <br />2. Negotiated County Rate. <br />D. Number of units to be provided: <br />E. Details of Billing process and Time Frames; The County will reimburse the Contractor <br />for services described in this contract un to the budaetarv limits of the contract allotment. <br />The County will reimburse the Contractor at a rate of $14.40/hour for approved services <br />provided. For reimbursement, the Contractor must submit an original and two copies of <br />an invoice by the fifth of the month for the preceding month's expenditures to the <br />designated County Administrator. Expenditures for May and June must be estimated <br />based on average monthly expenditures. year-to-date and reported by May 5, 2008. The <br />Contract-Scope of Work (Ob/04) Page lof 2 <br />
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