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DocuSign Envelope ID: 3E4B4B91- 8AA8 -41 OB- 8584- 11AAECCBC787 <br />ATTACHMENT B <br />SCOPE OF WORK <br />Orange County Department of Social Services and Orange County Department on Aging <br />Federal Tax Id. or SSN 36-4651170 <br />Contract # 68 -2039 <br />A. CONTRACTOR INFORMATION <br />1, Contractor Agency Name: Medisolutions Inc. <br />2, If different 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 2018 through _ June 30� 2019 <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 Agin,g's clients, at the level, amount and frequent <br />specified by the social worker in the In -Home Aide Services Plan (SIS Code 042 <br />Contractor will provide Level 11 Home Management and Level 11 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 `1;22.74 /hour, of which the Contractor must pa y the In <br />Home Aide at least the County's Liming Wage f currently $14.25 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 uts to the budizetary limits of the contract allotment. The <br />County will reimburse the Contractor at a rate of $22.74/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 (05104) Page lof 2 <br />