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2018-365-E Health - Family Centered Healthcare medical services
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2018-365-E Health - Family Centered Healthcare medical services
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Last modified
8/13/2018 9:58:43 AM
Creation date
8/13/2018 9:38:24 AM
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Contract
Date
7/1/2018
Contract Starting Date
7/1/2018
Contract Ending Date
6/30/2019
Contract Document Type
Agreement - Services
Amount
$5,000.00
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R 2018-365 Health - Family Centered Healthcare medical services
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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Revised 10/17 <br />3 <br /> laboratory charges based on the individual's sliding fee scale percentage. <br />The minimum lab fee will be the cost of the lab tests or $20, whichever is lower. <br /> <br /> iii) Referred patients shall be responsible for a minimum of $20 co-pay if <br /> income eligible, and a percentage of the charges as indicated by where their <br /> income falls on the DHHS Sliding Fee Schedule, to be provided to the Provid er. <br /> Referred patients are also responsible for charges as a result of laboratory <br /> services provided by the Provider. <br /> <br /> iv) The Provider shall invoice Orange County Health Department on a monthly <br /> basis for services rendered in the prior month. Monthly reimbusement shall be <br /> based on reports detailing actual procedures provided to referred patients during <br /> the reimbursement period. Approved procedures will be reimbursed at the <br /> current Local Health Department (LHD) Medicaid rate, to be furnished to the <br /> Provider as updated by the NC State Department of Medical Assistance (DMA.) <br /> Monthly reports shall detail date of service, Patient ID number, CPT code, and <br /> diagnosis code for each procedure provided to an eligible, referred patient. <br /> <br /> v) The Provider shall provide current regisration and licensure for all <br /> physicians, Family Nurse Practitioners, and Physician Assistants in the practice <br /> as appendices to this contract. <br /> <br />4. Duration of Services <br /> <br />a. Term. The term of this Agreement shall be from July 1, 2018 to June 30, 2019. <br /> <br />b. Scheduling of Services. <br />i) The Provider shall schedule and perform its activities in a timely manner. <br /> <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 /> <br />iii) The Commencement Date for the Provider's Basic Services shall be July 1, 2018. <br /> <br />5. Compensation <br /> <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 />The maximum amount payable for Basic Services shall not exceed Five Thousand <br />Dollars ($5,000). Payment for Basic Services shall become due and payable within <br />thirty (30) days of Provider properly invoicing County. Payment shall be subject to <br />provisions of Section 5(b). <br /> <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 />DocuSign Envelope ID: B7DABF9A-D92E-48BA-BC0B-AFFC399D4D85
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