2012-296 DSS - Orange Public Transportation for Medicaid Transportation $12.75 per way per client

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Section 4. OCDSS will reimburse OPT for services described in this Memorandum. For reimbursement, OPT must submit an original and two copies of an invoice by the tenth of the month for the preceding month's expenditures to the designated OCDSS Administrator. OCDSS will reimburse OPT monthly upon receipt of a complete and correctly filed report. Section 5. OPT agrees to use the provided transportation billing codes on invoices to the OCDSS for reimbursement. Section 6. OPT agrees to only submit invoices for trips approved by OCDSS. Trips included on invoices that were not pre-approved by OCDSS will not be reimbursed. All pre-approved trips performed by OPT regardless of destination or accidental scheduling problems on OCDSS part will be reimbursed at the contract rate. Section 7. OCDSS agrees to receive all client call regarding scheduling. Section 8. Any change to the client's destination, address, or phone number will be made by OCDSS. Section 9. OPT agrees to meet on-time performance standards such that no more than 5%of trips should be late for client drop-off to his or her appointment per month. Late is defined as past the client's appointment time. Section 10. OPT agrees that not more than one quarter of one percent of all trips be missed by the OPT or any subcontractor(OPT does not subcontract) during the course of the contract year. Section 11. OPT agrees to report all no-shows on a daily basis and cancellations on a monthly basis to OCDSS via email. Section 12. OPT agrees to record all client complaints which deal with the matters under the control of OPT, including the date of the complaint, the nature of the complaint, and what steps were taken to resolve the complaint. Section 13. OPT agrees to provide names of all owners, managers, management entities, and subcontractors. Section 14. OPT agrees to report any changes such as insurance provider, business ownership or management or exclusion from participation in Medicare. Section 15. OPT agrees to disclose, at the outset of the contract, upon renewal and upon request, any criminal convictions or other reasons for disqualifications from participation in Medicare, Medicaid or Title XX programs. Section 16. OPT agrees to participate in program, fiscal and administrative monitoring and/or audits,making records and staff time available to Federal, State and County staff. Section 17. OPT agrees to allow monitoring of records to ensure that all contract requirements are met. 2