2008-059 Health - Chapel Hill Training & Outreach for dental Services for Head Start

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i,~ • C) Those with no apparent need 3. OCHD will provide treatment services to each group as follows: A) Examination B) Needed extractions C) Needed restoration including pulp therapy and stainless steel crowns, if needed D) Prophylaxis and topical fluoride application where indicated E) Provide follow-up documentation of dental exams and treatment on each child F) Referral of children with severe need to UNC School of Dentistry for evaluation and possible acceptance for treatment 4. OCHD will provide educational services which may include but not be limited to the following: A) Dental health education for children B) Dental health education for parents, including meeting with a dental staff member and individual parents of children .requiring follow-up • treatment C) Dental health education for staff D) Suggestions for classroom activities E) Hand-outs to be taken home by the children 5. OCHD will complete the CAP-H.S.S.-30 forms pertaining to dental health and return the forms to OCHS/EHS to be made a part of the child's permanent Head Start record. 6. OCHD will file for Medicaid/other third party insurance plans for reimbursement when necessary (OOHS/EHS is not a health provider, therefore cannot file). 7. OCHD will . submit a bill to Angela Wilcox, Director, OCHS/EHS, in the amount of $8,000 on an annual basis. OCHS/EHS agrees to pay the OCHD in two installments, $4,000 by December 31, 2008 and the remaining $4,000 by June 30, 2009, upon receipt of OCHD original invoice. The check should be made payable to Orange County Health Department and mailed to Letitia Bums, Central Administrative Services Director, PO Box 8181, Hillsborough, NC. 8. OCHS/EHS agrees as follows: a. To transport no more than 5-10 children to be scheduled at least every • other week on a block basis and to provide adequate supervision in the waiting room. OCHS/EHS shall be responsible for obtaining and maintaining adequate automobile