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MEDICAID TRANSPORTATION <br /> MEMORANDUM OF UNDERSTANDING <br /> This Memorandum of Understanding is entered into this 1 st day of July, 2012, by and <br /> between the Orange County Department of Social Services and Orange Public Transportation <br /> (referred to collectively as the "Parties"). <br /> WHEREAS, Orange Public Transportation (hereinafter referred to as "OPT") and the <br /> Orange County Department of Social Services (hereinafter referred to as "OCDSS") are <br /> departments or agencies of Orange County, North Carolina and are ineligible to enter into <br /> binding contractual relationship with one another; and <br /> WHEREAS, the parties desire to enter into this Memorandum of Understanding in order <br /> to establish the mutually agreed upon conditions upon which OPT will provide certain services <br /> for OCDSS in connection with the Orange County Department of Social Services Medicaid <br /> Program; and <br /> WHEREAS,the OCDSS is mandated to provide transportation to Medicaid covered <br /> services when a client does not have access to personal transportation; and <br /> WHEREAS, OPT is a coordinated transit system run by Orange County Government in <br /> Orange County,North Carolina. <br /> NOW, THEREFORE,the parties to this Memorandum hereby agree as follows: <br /> Section 1. OPT will provide transportation services to and from medically necessary <br /> appointments to Medicaid clients at the request of OCDSS. <br /> Section 2. OCDSS will reimburse OPT for services provided under this Memorandum at a <br /> rate of$12.75 per one-way trip. OCDSS will not reimburse OPT for no-shows. <br /> Section 3. OPT agrees that continuation of and/or renewal of this Memorandum is <br /> contingent on meeting the following requirements. OPT agrees to: <br /> A. Provide services to enrolled participants within three days of a request. <br /> B. Provide critical services on short notice when requested. <br /> C. Provide back-up drivers in case the assigned driver is not available. <br /> D. Coordinate maintenance with private vendors to ensure vehicles are in safe <br /> operating order. <br /> E. Review the Transportation Database to ensure client eligibility and verify <br /> client information. <br /> F. Discuss the specific situation, and present evidence of cause,with the <br /> Department of Social Services staff prior to termination of services for any <br /> client. <br /> G. Complete the DMA 5124 as part of the annual contract process. <br /> 1 <br />