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Contract tt6S-2014 <br />Senior Care of Orange County, Inc. <br />ATTACHI~9ENT B <br />SCOPE OF WORK <br />Orange County Department of Social Services <br />Federal Tax ld. or SSN <br />Conh•act # 68-2014 <br />A. CONTRACTOR INFORMATION <br />I . Contractor Agency Name: Senior Care of OranPe County, hoc. <br />2. !f differe~~t from Contract Administrator Information in General Contract: <br />Address <br />Telephone Number: <br />Fax Number: Email: <br />3. Name of Program (s): Adult Day Health Service <br />4. Status: ( )Public (X) Private, Not for Profit ( )Private, For Profit <br />5. Contractor's Financial Reporting Year .Iuly I, 201 1 through June 30, 2012 <br />B. Explanation of Services to be provided and to whom (include SIS Service Code): _The <br />Contractor will provide Adult Dav Health Services (SIS Code 091) to clients of the Orange <br />County Department of Social Services. These services will include assistance with Activities of <br />Daily LivinP, health monitoring by an RN, and therapeutic recreational pro~ratns. The <br />Contractor is reouired to meet ali ~oais 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 />Minitnutn daily rate: $38.92/day <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 un to the budeetarv limits of the contract allotment. The <br />County will reimburse the Contractor at a rate of $38.92/day 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. <br />The County will reimburse the Contractor monthly upon receipt of a complete and correctly filed <br />report. <br />The service(s) under contract with the Contractor are services for which a client may voluntarily <br />contribute to the cost. Policies re~ardint; the solicitation and acceptance of voluntary <br />contributions are contained Services Manual, Volume VI, Chapter III. If a client <br />Contract-Scope of Work (06/04) Page l of 2 <br />