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DocuSign Envelope ID:273B24CC-D965-44D0-A589-37C63CDFC6B6 <br /> these patients of their options and potential costs as the patients will be responsible for <br /> any laboratory charges. <br /> d. 3. Referred patients shall be responsible for a minimum of$20 co-pay if income eligible, <br /> and a percentage of the charges as indicated by where their income falls on the DHHS <br /> Sliding Fee Schedule, to be provided to the Provider. Referred patients are also <br /> responsible for charges as a result of laboratory services provided by the Provider. <br /> e. 4. The Provider shall invoice Orange County Health Department on a monthly basis for <br /> services rendered in the prior month. Monthly reimbusement shall be based on reports <br /> detailing actual procedures provided to referred patients during the reimbursement <br /> period. Approved procedures will be reimbursed at the current Local Health Department <br /> (LHD) Medicaid rate, to be furnished to the Provider as updated by the NC State <br /> Department of Medical Assistance (DMA.) Monthly reports shall detail date of service, <br /> Patient ID number, CPT code, and diagnosis code for each procedure provided to an <br /> eligible, referred patient. <br /> f. 5. The Provider shall provide current regisration and licensure for all physicians, Family <br /> Nurse Practitioners, and Physician Assistants in the practice as appendices to this <br /> contract. <br /> 4. Duration of Services <br /> a. Term. The term of this Agreement shall be from February 1, 2016 to June 30, 2016. <br /> b. Scheduling of Services. <br /> i) The Provider shall schedule and perform its activities in a timely manner. <br /> ii) Should the County determine that the Provider is behind schedule, it may require <br /> the Provider to expedite and accelerate its efforts, including providing additional <br /> resources and working overtime, as necessary, to perform its services in <br /> accordance with the approved project schedule at no additional cost to the <br /> County. <br /> iii) The Commencement Date for the Provider's Basic Services shall be February 1, <br /> 2016. <br /> 5. Compensation <br /> a. Compensation for Basic Services. Compensation for Basic Services shall include all <br /> compensation due the Provider from the County for all services under this Agreement <br /> except for any authorized Reimbursable Expenses which are defined herein. The <br /> maximum amount payable for Basic Services shall not exceed Thirty Thousand Dollars <br /> ($30,000). Payment for Basic Services shall become due and payable within thirty (30) <br /> days of Provider properly invoicing County. Payment shall be subject to provisions of <br /> Section 5(b). <br /> b. Disputes. In the event the amount stated on an invoice is disputed by the County, the <br /> County may withhold payment of all or a portion of the amount stated on an invoice <br /> until the parties resolve the dispute. Should Provider fail to perform its duties under the <br /> terms of this Agreement, County may, without fault or penalty, withhold any payment <br /> associated with the work to be performed until such time as said work is completed. <br />