Orange County NC Website
Browse       Search
DocuSign Envelope ID:431 01 1 1 6-0328-4364-BE8C-46E75760A1F2 <br /> MEDICAID TRANSPORTATION <br /> MEMORANDUM OF UNDERSTANDING <br /> This Memorandum of Understanding is entered into this 20th day of May, 2019, by and <br /> between the Orange County Department of Social Services and Orange County Public <br /> Transportation(referred to collectively as the "Parties"). <br /> WHEREAS, Orange County Public Transportation (hereinafter referred to as "OCPV" <br /> and the Orange County Department of Social Services (hereinafter referred to as "OCDSS") are <br /> departments or agencies of Orange County, North Carolina and are ineligible to enter into <br /> binding contractual relationship with one another; and <br /> WHEREAS, the parties desire to enter into this Memorandum of Understanding in order <br /> to establish the mutually agreed upon conditions upon which OCPT will provide certain services <br /> for OCDSS in connection with the Orange County Department of Social Services Medicaid <br /> Program;and <br /> WHEREAS, the OCDSS is mandated to provide transportation to Medicaid covered <br /> services when a client does not have access to personal transportation; and <br /> WHEREAS, OCPT is a coordinated transit system run by Orange County Government in <br /> Orange County,North Carolina. <br /> NOW,THEREFORE, the parties to this Memorandum hereby agree as follows: <br /> 1. OCPT will provide non-emergency medical transportation services to and from medically <br /> necessary appointments to Medicaid clients at the request of OCDSS. <br /> 2. OCDSS will reimburse OCPT for services provided under this Memorandum at a rate of <br /> $26.75per one-way trip. OCDSS will not reimburse OCPT for no-shows. <br /> 3. OCPT agrees that continuation of and/or renewal of this Memorandum is contingent on <br /> meeting the following requirements. OCPT agrees to; <br /> A. Transport approved, authorized clients to specific destinations within and outside of <br /> Orange County within a 30 mile radius of the clients' pickup location. <br /> B. Provide services to enrolled participants within two days of a request. <br /> C. Provide transportation for critical services, including dialysis, on short notice when <br /> requested. <br /> D. Provide back-up drivers in case the assigned driver is not available. <br /> E. Coordinate maintenance to ensure vehicles are in safe operating order. <br /> F. Discuss the specific situation, and present evidence of cause, with the Department of <br /> Social Services staff prior to termination of services for any client. Clients may be <br /> suspended for thirty (30) days for three no-shows without good cause within a three- <br /> month period. <br /> G. Complete the DMA 5124 as part of the annual contract process. <br /> 1 <br />