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J <br />4. Other supportive services provided by UNCH without charge to OCDSS <br />include: office space; parking space; office equipment; clerical support; and telephone <br />service. <br />5. The Income Maintenance Caseworker shall receive all potential medical <br />assistance applications originating at LJNCH. Specifically, the Income Maintenance <br />Caseworker shall perform intake functions only, consisting of the following: conducting <br />interviews that initiate an application; obtaining signatures; obtaining documentation <br />available at the time of interview; and forwarding applications to the appropriate county <br />for processing. <br />6. The Income Maintenance Caseworker shall be assisted by UNCH staff in <br />obtaining information and documentation required to complete the application process. <br />7. The Social Services Income Maintenance Caseworker shall work <br />cooperatively with UNCH staff and the staff of any Department of Social Services to <br />make appropriate referrals of patients and family members with problems not related to <br />eligibility determination. <br />8. As an employee of the County, the Income Maintenance Caseworker shall be <br />directly supervised by and accountable to OCDSS. Due to the nature of this agreement <br />and the working relationship with UNCH, it is necessary that close contact be kept with <br />UNCH administration and certain members of the hospital medical staff. In recognition <br />of this factor, UNCH will name a staff member to act as liaison between the OCDSS, the <br />Income Maintenance Caseworker, the departments of LJNCH and other staff personnel. <br />Assignment of work to the Income Maintenance Caseworker and coordination of sick, <br />vacation, and other leave will be the joint responsibility of this I1NCH staff member and <br />the OCDSS supervisor. <br />9. LJNCH shall participatern the interviewing and selection process utilized by <br />OCDSS for the hiring of the Income Maintenance Caseworker covered by this <br />agreement, in accordance with County policy and procedures. <br />10. Both the County and LTNCH agree and understand that if at any time UNCH <br />determines that the Income Maintenance Caseworker's performance or professional <br />interactions are inadequate or inappropriate, LJNCH may request that OCDSS initiate <br />appropriate action to correct that employee's deficiencies, or to dismiss that employee if <br />indicated. Any disciplinary action shall be pursued in compliance with the Orange <br />County Personnel ordinance and the State Personnel Act and LTNCH shall provide <br />sufficient documentation to support any such action. <br />11. Both the County and LJNCH agree and understand the conditions outlined in <br />the Business Associate Agreement. <br />12. This Agreement shall be effective from July 1, 2008 to June 30, 2009. <br />13. This Agreement shall be reviewed at least annually, prior to May 1st and may <br />be terminated by either party upon 60 days written notice. <br />14. The Agreement contains the entire understanding of the parties and shall not <br />be altered, amended or modified, except by an agreement in writing executed by the duly <br />authorized officials of both parties. <br />IN WITNESS WHEREOF, the parties hereto have caused this contract to be <br />signed by its duly authorized officials. <br />