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Contract#68-2014 <br /> Senior Care of Orange County,Inc. <br /> ATTACHMENT B <br /> SCOPE OF WORK <br /> Orange County Department of Social Services <br /> Federal Tax Id.or SSN <br /> Contract# 68-2014 <br /> A. CONTRACTOR INFORMATION <br /> 1. Contractor Agency Name: Senior Care of Orange County Inc. <br /> 2. Ifdifferent from Contract Administrator Information in General Contract: <br /> Address I05 Dr. t?, O- 'P:�ax kl Ijl <br /> Telephone Number:_9115-29S-201-7 Fax Number:_415'$RS191kmail: <br /> 3. Name of Program(s): Adult Da Health Service <br /> 4. Status: ( )Public (X)Private,Not for Profit ( )Private,For Profit <br /> 5. Contractor's Financial Reporting Year July 1,2013 through June 30,2014 <br /> B. Explanation of Services to be provided and to whom(include SIS Service Code): The <br /> Contractor will provide Adult Day 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 Living,health monitoring by an RN and therapeutic recreational programs The <br /> Contractor is required to meet all goals 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 /> Minimum daily rate:$38.92/day per client <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 up to the budgetary limits of the contract allotment The <br /> County will reimburse the Contractor at a rate of$38.92/dgy 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 regarding the solicitation and acceptance of voluntary <br /> contributions are contained in Family Services Manual Volume VI Chapter III If a client <br /> Contract-Scope of Work(06/04) Page lof 2 <br />