Orange County NC Website
• N.C. Department of Environment, Health,and Natural Resources Page 4 of 4 <br /> Division of General Services 97 - 98 <br /> FY <br /> CONTRACT ADDENDUM <br /> Specialized Services Branch 98 53180 068 <br /> Office, Section, or Branch Contract Number <br /> Child Service <br /> Orange Coordination <br /> Contractor Activity <br /> SECTION B: QUALITY ASSURANCE AND OTHER DELIVERABLES (continued) <br /> 17. All enrolled children, regardless of Child Service Coordination Provider Agency, will have Identification <br /> and Referral Forms (DEHNR 3748) and Status Report Forms (DEHNR 3750) entered into the Health <br /> Services Information System (HSIS) at the local health department in a timely manner upon receipt from <br /> outside agencies. <br /> 18. Signed Provider Agreements for Child Service Coordination Agencies will be maintained for all county <br /> providers participating in the program. Agreements will be updated annually. <br /> 19. Child Service Coordination staff must meet the minimum staff qualifications as specified in the Child <br /> Service Coordination Program Technical Manual. <br /> 20. Child Service Coordinators working full-time in the Child Service Coordination Program will have no <br /> more than 75 families in their caseload at a given time. Employees working part-time in Child Service <br /> Coordination will have a number less than 75 prorated for the time spent in Child Service Coordination <br /> activities. <br /> 21. List each position number and the percent of time spent in providing Child Service Coordination <br /> activities. <br /> POSITION # % OF TIME POSITION # % OF TIME <br /> 328 10% 603 5% <br /> 332 20% 642 95f <br /> 336 100% 646 357- <br /> 343 5% 720 1 007- <br /> 351 70% t pMpjQra r7 5(l�la <br /> 326 5% <br /> 356 12% 640 gf <br /> 74 5% 732 100% <br /> Reviewed by <br /> DEHNR 3300(Revised 2/90) <br /> General Services Division (Review 1/95) <br /> Initials Date <br />