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

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13 Contract #68 -2005 Arcadia Health Services, Inc. ATTACHMENT B SCOPE OF WORK Orange County Department of Social Services and Orange County Department on Aging Federal Tax Id. or SSN Contract # 68 -2005 A. CONTRACTOR INFORMATION 1. Contractor Agency Name: Arcadia Health Services, Inc. 2. If different from Contract Administrator Information in General Contract: Address Sheena Dickey 101 North Third Street Mebane NC 27302 Telephone Number: (919) 304 -2004 Fax Number: Email: 3. Name of Program (s): In -Home Services 4. Status: ( ) Public ( ) Private; Not for Profit (X) Private, For Profit 5. Contractor's Financial Reporting Year July 1, 2010 through June 30, 2011 B. Explanation of Services to be provided and to whom (include SIS Service Code): The Contractor will provide employees to perform in -home services for the Department of Social Services' clients and the Department on A ing's clients at the level, amount and frequency specified by the social worker in the In -Home Aide Services Plan. (SIS Code 042) The Contractor will provide Level II Home Management and Level III Personal Care. The Contractor is required to meet all goals and outcomes listed in Attachment N. C. Rate per unit of Service (define the unit): 1. If Standard Fixed Rate, Maximum Allowable, (See Rates for Services Chart) $14.40 /hour 2. Negotiated County Rate. D. Number of units to be provided: E. Details of Billing process and Time Frames; The County will reimburse the Contractor for services described in this contract up to the budgetary limits of the contract allotment The County will reimburse the Contractor at a rate of $14 40 /hour for approved services provided. For reimbursement the Contractor must submit an original and two copies of an invoice by the fifth of the month for the preceding month's expenditures to the designated County Administrator. All invoices for the provision of services to the Contract -Scope of Work (06/04) Page lof 2