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ATTACHM[ENT B <br /> SCOPE OF WORK <br /> Orange County Department of Social Services and Orange County Department on Aging <br /> Federal Tag Id.or SSN <br /> Contract# 68-2020 <br /> A. CONTRACTOR INFORMATION <br /> 1. Contractor Agency Name: Premier Home Health Care Services,Inc. <br /> 2. If dierent from Contract Administrator Information in General Contract: <br /> Address Sheena Dickey <br /> 562 Huffman Mill Rd Burlington_NC 27217 <br /> Telephone: 336-586-1721 Fax: 336-586-1724 Email: sdickey @premierhomehealthcare.com <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 will provide employees to perform in-home services for the Department of Social <br /> Services' clients and the Department on Aging'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 lI Home Management and Level III Personal Care. The Contractor <br /> 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 /> A maximum allowable rate of$21 00/hour of which the Contractor must pay the In <br /> Home Aide at least the County's Living Wage(currently$13.15 per/hr).The County has <br /> increased the standard fixed rate to compensate 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 the budgetary limits of the contract allotment. The <br /> County will reimburse the Contractor at a rate of$21 00/hour 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. All <br /> invoices for the provision of services to the Department of Social Services shall be submitted to <br /> the Administrator for said Department All invoices for the provision of services to the <br /> Contract-Scope of Work(06/04) Page lof 1 <br />