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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 d fferent from Contract Administrator Information in General Contract: <br />Address Sheena Dickey <br />lf}}~Fartlr~'~had 3tmet~blEb ~C-z93@2- 562 Huffman Mill Rd. , Burlington, NC <br />Telephone Number: (~1~-}36~7 F umber: Email: 27215 <br />3. Name of Program (s): In-Home Services <br />4. Status: ( )Public ( )Private, Not for Profit (X) Private, For Profit <br />5. Contractor's Financial Reporting Year July 1, 2011 through June 30, 2012 <br />B. Explanation of Services to be provided and to whom (include SIS Service Code): The <br />Contractor will provide employees to perform in-home services for the_Department of Social <br />Services' clients and the Department on Agin~'s clients, at the level, amount and frequency <br />~ecified by the social worker in the In-Home Aide Services Plan. (SIS Code 042) The <br />Contractor will provide Level II Home Management and Level III Personal Care. The Contractor <br />is required to meet all goals and outcomes listed 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 for <br />services described in this contract up to the budaetarv limits of the contract allotment. The_ <br />County will reimburse the Contractor at a rate of $14.40/hour for approved services provided. For <br />reimbursement the Contractor must submit an original and two copies of an invoice by the fifth <br />of the month for the preceding month's expenditures to the designated County Administrator. All <br />invoices for the provision of services to the Department of Social Services shall be submitted to <br />the Administrator for said Department. All invoices for the provision of services to the <br />Department on Aain~ shall be submitted to the Administrator for said Department. The County <br />will reimburse the Contractor monthly upon receipt of a complete and correctly filed report. <br />Contract-Scope of Work (07/08) Page 1 of 2 <br />