Orange County NC Website
DocuSign Envelope ID: o240er38-3r84-4*4e'e0e8-C4r5eAC37487 <br /> ATTACHMENT B <br /> SCOPE OF WORK <br /> Orange County Department of Social Services and Orange County Department on Agi <br /> Federal Tax Id.or SSN <br /> Contruct# <br /> A. CONTRACTOR INFORMATION <br /> 1. Contractor Agency Name: K/\If Care,L1.C. dba Right at Home <br /> 2. /fuiffe/en(from Contract Administrator Information in General Contract: <br /> Address <br /> Telephone Number: _ Fax Number: Email: <br /> 3. Name of Program(s): In-Home Services <br /> 4. Status: ( )Public ( ) Private, Not for Profit (X) Private, For Profit <br /> 5. Contractor's Financial Reporting Year July 1, 2016 through June 30, 2017 <br /> B. Explanation of Services to be provided and to whom (include SIS Service Code): The <br /> Contractor ill provide employees to perform in-home services for the Department of Social <br /> Services' clients and the Department on Aoing's clients, at the level, amount and frequency <br /> specified by the social worker in the In-Home Aide Services Plan. (SIS Code 042) The <br /> Contractor will provide Level II Home Management and Level III Personal Care. The Contractor <br /> is required tQmeet 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 /> A maximum allowable rate of$2].00/hour. of which the Contrtor must pay the In <br /> Home Aide at least the County's Livin Wage(currently $13.15 per/hi). The County has <br /> increased the standard fixed rate to compepsate Contractor for any amount above Federal <br /> Minimum Wage. _ <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 tohe budgetary limits of the contract allotment, The <br /> County will reimburse the Contractor uzarate of$21.00/hour for approypd services providedFor <br /> reimbursement,the Contractor must submit an original and two copies of an invoice by the fifth <br /> of the month for the •n:cedin_ month's expenditures to the designated County Administrator. All <br /> invoices for the provision of services tn the Department ofQpial Services shall be submitted to <br /> the Administrator for said Department. All invoices for the provision of ser s to the <br /> Contract-Scope of Work(06/04) Page lof\ <br />