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Agenda - 06-21-2022; 8-q - Funding Agreement Between Orange County and Alliance Health
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Agenda - 06-21-2022; 8-q - Funding Agreement Between Orange County and Alliance Health
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6/16/2022 2:16:40 PM
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6/21/2022
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Business
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Agenda
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8-q
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Agenda for June 21, 2022 BOCC Meeting
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3 <br /> FY23 FUNDING AGREEMENT <br /> BETWEEN ORANGE COUNTY <br /> AND ALLIANCE HEALTH <br /> THIS AGREEMENT is made and entered into this 1" day of July 2022, by and between the <br /> COUNTY OF ORANGE (hereinafter referred to as the "County") and ALLIANCE HEALTH, a <br /> political subdivision of the state of North Carolina and a Local Management Entity / Managed Care <br /> Organization (LME/MCO) as that terms defined in NCGS 122C-3 (hereinafter referred to as the <br /> "Alliance"). <br /> WITNESSETH: <br /> WHEREAS, since December 1, 2021, Alliance has been the LME/MCO serving Orange County, <br /> managing Medicaid and behavioral health services for the uninsured individuals in the County, and <br /> WHEREAS, the County and Alliance desire to enter into this Agreement to set forth the parties' <br /> rights and obligations to manage county-funded mental health, intellectual/developmental disabilities and <br /> substance use services (MH/I-DD/SUS)provided to residents of Orange County and other matters related <br /> to the provision of behavioral health services. <br /> NOW THEREFORE, for and in consideration of mutual covenants herein and the mutual benefits <br /> to result therefrom,the parties hereby agree as follows: <br /> 1. TERM. This Agreement will take effect on the 1st day of July, 2022 and shall continue through and <br /> until June 30,2023. <br /> 2. SERVICES. In consideration of the Annual Allocation and other good and valuable consideration <br /> agreed to herein, Alliance shall manage the provision of high quality, cost-effective MH/DD/SUS <br /> services to residents of Orange County to the extent that other first or third-party payor sources such <br /> as Medicaid, Medicare,private pay, insurance, or grant funding are not available,have been denied or <br /> exhausted, or State funding is not allocated by Alliance. Alliance shall adhere to the requirements of <br /> Chapter 122C of the North Carolina General Statutes and any other applicable local, state, or federal <br /> laws, rules and regulations. Alliance shall adhere to the terms and conditions of this Agreement and <br /> effect such policies, procedures, and actions as are reasonably required to carry out the terms and <br /> conditions of this Agreement. <br /> 3. ANNUAL ALLOCATION. Pursuant to N.C.G.S. 122C-115, the County agrees to pay to Alliance an <br /> Annual Allocation of One Million One Hundred Sixty-Four Thousand Eight Hundred Forty <br /> Eight Dollars ($1,164,848.00). Alliance may use up to 2% of the Annual Allocation to cover <br /> administrative costs associated with administering the obligations set forth herein. The remainder of <br /> the funding shall be used exclusively for the provision of MH/DD/SUS services to eligible Orange <br /> County residents served by Alliance based on the Budget attached hereto as Attachment A. The <br /> County shall pay to Alliance three quarterly payments through a wire transfer an amount equal to <br /> one-quarter of the Annual Allocation beginning on July 2, 2022, and quarterly thereafter on <br /> September 2, 2022 and January 2, 2023. The fourth quarter payment will be made based on receipt of <br /> a final invoice from Alliance. The invoice will include final payments made to Providers for service <br /> dates within the Term of this current Funding Agreement (July 1, 2022 through June 30, 2023). <br /> Invoice shall be received by August 15, 2023. <br /> 1 <br />
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