Orange County NC Website
<br /> <br />liability insurance as required bylaw and if requested will furnish to the County certificates <br />• of such insurance. <br />b. To arrive for the scheduled appointments on-time with all children <br />scheduled for that day. OCHS/EHS shall be responsible for re-scheduling any <br />appointments unable to be met at least 24 hours in advance. <br />b. To provide necessary parental permissions, information for the Eligibility <br />Determination forms, and the .Medical and Dental Histories for each child prior to that <br />child undergoing treatment. OCHS/EHS will bring all signed forms on the day of service. <br />c. To provide CAP-H.S.S.-30 forms pertaining to dental health and will make <br />the completed form a part of the child's permanent OCHS/EHS record. <br />d. To obtain a copy of each child's Medicaid card or other dental insurance <br />and bring a copy to the OCHD on the scheduled day,of service. <br />9. In the event that enrollment in OCHS/EHS program ceases or is significantly <br />reduced during the term of this agreement, OCHS/EHS may terminate this agreement <br />upon 30 days notice and OCHD will return a pro rata share of the payment for services <br />not provided (approximately $100 per enrolled child for those children whose dental work <br />has not been started).. <br />• 10. The parties agree that there shall be no unlawful discrimination based upon race, <br />color, ancestry,, national origin, religion, sex, age, disability or veteran status. <br />11. The parties agree to abide by HIPAA regulations in the sharing of protected health <br />information. <br />12. The term of this initial Agreement is for a period of one year commencing on the <br />1st day of July, 2008 and terminating on the 30th day of June, 2009. This agreement shall <br />be renewable by written agreement signed by the official representatives of the parties. <br />Either party may terminate this Agreement after providing thirty (30) days notice. <br />13. The parties agree to the full and complete performance of the mutual covenants <br />contained herein and that this Agreement constitutes the sole, full and complete <br />agreement by and between the parties; and no amendments, changes, additions, <br />deletions or modifications to or of this Agreement shall be valid unless reduced to writing, <br />signed by the parties and attached hereto. <br />14. This agreement shall be governed by the laws of the State of North Carolina. <br />• <br />