Orange County NC Website
Browse       Search
Contract#68-2020 <br /> Premier Home Health Care Services,Inc. <br /> ATTACHMENT B <br /> SCOPE OF WORK <br /> Orange County Department of Social Services and Orange County Department on Aging <br /> Federal Tax Id.or <br /> Contract# 68-2029 <br /> A. CONTRACTOR.INFORMATION <br /> I. Contractor Agency Name: Premier Home Health Care Services Inc <br /> 2. If df&rent from Contract.Administrator Information in General Contract: <br /> Address Sheena Dicke[ <br /> 562 Huffman Mill Rd Burlington NC 21217 <br /> Telephone Number:33086-1721. Fax Number:336-586-1724 <br /> Email is ey@qjgmier(lorneh.althcare.com <br /> 3. Name of Program(s): In-H e Services <br /> 4. Status: ( )Public ( )Private,Not for Profit (X)Private,For Profit <br /> 5. Contractor's Financial Reporting Year July 1.2014 through June 30,2015 <br /> B. Explanation of Services to be prodded and to whom(include SIS Service Code):_ <br /> Contractor will py[ide cuwloyees to perform in home services for the Department of Social <br /> Services'clients and the Department on mg's clients at the level amount and frequ cv <br /> specified by the social worker in the In I-Iom-c Aidc Sc r-ices Plan (SIS Code 0421 The <br /> Contractor will groyide Level II Home Manasement and Level III Personal Care The Contractor <br /> is Muired to meet all gals 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 /> $14.40/ our <br /> 2.Negotiated County Rate. <br /> D.Number of units to be provided: <br /> E.Details of Billing process and Time Frames;The untl+will reimburse the Contractor for <br /> services described in this contract into the bud&gj4 Iimits of the contract allotment The <br /> County will reimburse the Contractor at a rate of S 14 40/hour for annroved services nmvided,. For <br /> Nimburseme0t the Contractor must submit an original and two comes of an invoice by the fifth <br /> of the month for the nrecedin month's p2Rp ditures to the designated C-ou ty Administrator, All <br /> invoices for the provision of servvim to the De�ar=t of Social Services shall be submitted to <br /> the Administrator for said f Rartment. All invoices for the provision of services to the <br /> Denartment on Aging shall be submitted to the Administrator for i pg pt The County <br /> Contract-Scope of Work(07/03) Page l of 2 <br />