Agenda - 06-15-2010 - 4h - Laserfiche WebLink

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4 STATE OF NORTH CAROLINA UNCH #92 COUNTY OF ORANGE AGREEMENT BETWEEN THE UNIVERSITY OF NORTH CAROLINA HOSPITALS AND ORANGE COUNTY, NORTH CAROLINA THIS AGREEMENT, made and entered into this the 1 st day of July, 2010 by and between Orange County ( "County ") by and through the Orange County Department of Social Services ( "OCDSS ") and The University of North Carolina Hospitals, ( "UNCH ") in Orange County, North Carolina. WITNESSETH: 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. Term. The term of this Agreement shall be from July 1, 2010 to June 30, 2011. 2. The County agrees to the following: a. Scope of Services: The County agrees to provide UNCH the services of one full time Income Maintenance Caseworker and one part-time supervisor providing up to 15 hours of supervision a week. i. The Income Maintenance Caseworker shall receive all potential medical assistance applications originating at UNCH. Specifically, the Income Maintenance Caseworker shall perform intake and processing functions on MPW and MIC applications for Orange County and intake functions only for all other applications, consisting of the following: conducting interviews that initiate an application; obtaining signatures; obtaining documentation available at the time of interview; forwarding applications to the appropriate county for processing; meeting verification requirements, processing and data entry timeframes, and sending appropriate notices timely in all processing functions.