OTHER-2022-040-FY2023 funding agreement between Orange County and Alliance Health

Browse Search

CY ) act � DocuSign Envelope ID : OCOB9F3D-55C2-40A0-8AE6-844A8169688D Ft � c ' �J FY23 FUNDING AGREEMENT BETWEEN ORANGE COUNTY AND ALLIANCE HEALTH THIS AGREEMENT is made and entered into this 1 " day of July 2022 , by and between the COUNTY OF ORANGE (hereinafter referred to as the " County ") and ALLIANCE HEALTH, a political subdivision of the state of North Carolina and a Local Management Entity / Managed Care Organization (LME/MCO) as that terms defined in NCGS 122C -3 (hereinafter referred to as the "Alliance ") . WITNESSETH , WHEREAS , since December 1 , 2021 , Alliance has been the LME/MCO serving Orange County, managing Medicaid and behavioral health services for the uninsured individuals in the County, and WHEREAS , the County and Alliance desire to enter into this Agreement to set forth the parties ' rights and obligations to manage county-funded mental health, intellectual/developmental disabilities and substance use services (MH/I -DD/SUS ) provided to residents of Orange County and other matters related to the provision of behavioral health services . NOW THEREFORE , for and in consideration of mutual covenants herein and the mutual benefits to result therefrom, the parties hereby agree as follows . 1 . TERM . This Agreement will take effect on the 1 '` day of July, 2022 and shall continue through and until June 30 , 2023 . 2 . SERVICES . In consideration of the Annual Allocation and other good and valuable consideration agreed to herein, Alliance shall manage the provision of high quality, cost-effective MH/DD/SUS services to residents of Orange County to the extent that other first or third-party payor sources such as Medicaid, Medicare , private pay, insurance , or grant funding are not available, have been denied or exhausted, or State funding is not allocated by Alliance . Alliance shall adhere to the requirements of Chapter 122C of the North Carolina General Statutes and any other applicable local, state, or federal laws , rules and regulations . Alliance shall adhere to the terms and conditions of this Agreement and effect such policies , procedures , and actions as are reasonably required to carry out the terms and conditions of this Agreement . 3 . ANNUAL ALLOCATION . Pursuant to N . C . G . S . 122C415 , the County agrees to pay to Alliance an Annual Allocation of One Million One Hundred Sixty-Four Thousand Eight Hundred Forty- Eight Dollars ($ 1 , 164 , 848 . 00) . Alliance may use up to 2 % of the Annual Allocation to cover administrative costs associated with administering the obligations set forth herein . The remainder of the funding shall be used exclusively for the provision of MH/DD/SUS services to eligible Orange County residents served by Alliance based on the Budget attached hereto as Attachment A . The County shall pay to Alliance three quarterly payments through a wire transfer an amount equal to one- quarter of the Annual Allocation beginning on July 2 , 2022 , and quarterly thereafter on September 2 , 2022 and January 2, 2023 . The fourth quarter payment will be made based on receipt of a fmal invoice from Alliance . The invoice will include final payments made to Providers for service dates within the Term of this current Funding Agreement (July 1 , 2022 through June 30 , 2023) . Invoice shall be received by August 15 , 2023 . 1