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Contract #68-2005 <br />Arcadia Health Services, Inc. <br />ATTACHMENT B <br />SCOPE OF WORK <br />Orange County Department of Social Services and Orange County Department on Aging <br />Federal Tax Id. or SSN <br />Contract # 68-2005 <br />A. CONTRACTOR INFORMATION <br />1. Contractor Agency Name: Arcadia Health Services, Inc. <br />2. If different from Contract Administrator Information in General Contract: <br />Address Sheena Dickey <br />0 <br />02 <br />Telephone Number:. _ (919) 304-2004 Fax Number: 30~y~~~.5 Email: SDickey@ArcadiaHealcomare <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 July 1.2010 through June 30.2011 <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 and the Department on Agin~'s clients, at the <br />level amount and frequency specified by the social worker in the In-Home Aide Services <br />Plan. (SIS Code 042) The Contractor will provide Level II Home Management and <br />Level III Personal Care. The Contractor is required to meet all goals and outcomes listed <br />in Attachment N. <br />C. Rate per unit of Service (define the unit): <br />1. If Standard 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 up to the budgetary limits of the contract allotment. <br />The County will reimburse the Contractor at a rate of $14.40lhour 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. All invoices for the provision of services to the <br />Contract-Scope of Work (06/04) Page lof 2 <br />