1999 S Agreement between Orange County and Piedmont Health Services Inc.

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paid insurance(health, dental, and life). PHS further agrees to pay the county share of any expense resulting from other requirements mutually agreed upon by OCDSS and PHS. 3. Other supportive services provided by OCDSS without additional charge to PHS include continuing program training of the Income Maintenance Caseworker and consultation with other counties in the catchment area about Medicaid applications for patients. 4. Other supportive services provided by PHS without charge to OCDSS include: office space; parking space; office equipment; clerical support; and telephone service. 5. The Income Maintenance Caseworker shall receive all potential medical assistance applications originating at PHS. Specifically, the Income Maintenance Caseworker shall perform intake functions only, consisting of the following: conducting interviews that initiate an application; obtaining signatures; obtaining documentation available at the time of interview; and forwarding applications to the appropriate county for processing. 6. PHS staff shall assist the Income Maintenance Caseworker in obtaining information and documentation required to complete the application process. 7. The Social Services Income Maintenance Caseworker shall work cooperatively with PHS staff and the staff of any Department of Social Services to make appropriate referrals of patients and family members with problems not related to eligibility determination. 8. As an employee of the County, the Income Maintenance Caseworker shall be directly supervised by and accountable to OCDSS. Due to the nature of this agreement and the wgrking relationship with PHS, it is necessary that close contact fie kept with PHS administration and certain members of the Piedmont staff. In recognition of this factor, PHS will name a staff member to act as liaison between the OCDSS, the Income Maintenance Caseworker, PHS, and the other staff personnel. Assignment of work to the Income Maintenance Caseworker and coordination of sick, vacation, and other leave will be the joint responsibility of this PHS staff member and the OCDSS supervisor.