AG 2006 06 19 - Laserfiche WebLink

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Adult Day Services Agreement Coltrane L. I. F. E. Center Page 3 of 4 III. TERMS AND CONDITIONS OF AGREEMENT: It is the intention of the County to utilize available resources to provide the maximum amount of Adult Day Services to the eligible residents of Cabarrus County in the most efficient manner possible. Therefore, these funds will be payable to any local certified Adult Day Services Center that is chosen by an eligible client/caregiver and enrolled through the County. The County does not guarantee any set amount of funding to the Contractor or any other provider. IV. COMPENSATION & METHOD OF PAYMENT: The Contractor shall submit an invoice to the County no later than the fourth working day of each month for reimbursement for the services provided in the previous month. This time schedule is established in order for the County to develop and process the monthly report to the AAA and the NC Division of Aging and Adult Services on or before the eighth of each month in order to receive reimbursement for these services. Each invoice will include an attendance/absentee report, specity transportation services provided and an activity report (or activity calendar) for each client served. The County agrees to reimburse the Contractor at the rate of $28.07 per day (not to exceed 21 days per month), per client for each unit of Adult Day Care service successfully provided to eligible clients. The County agrees to reimburse the Contractor at the rate of $35.00 per day (not to exceed 21 days per month), per client for each unit of Adult Day Health service successfully provided to eligible clients. Each one day unit of service requires a minimum of six hours of care. Furthermore, said reimbursement will be paid to the Contractor for scheduled units of care, as opposed to the actual units of service provided until the client is absent for four consecutive scheduled days. The County also agrees to reimburse the Contractor at a rate of $1.50 per one- way trip or $3.00 per round trip for transportation that is provided to each client directly associated with this Adult Day Services program (not to exceed 42 one-way trips per client, per month). Transportation provided by other means, i.e., family, friends, etc. will not be eligible for reimbursement. Reimbursement will be based on the pre-approved total number of units per client for any given month. The County shall approve and assign clients for either Adult Day Care or Adult Day Health services to be provided by the Contractor, based on the needs assessment and funding available. The Contractor agrees to honor said reimbursement rates for any County client including Consumer-Directed Services participants. The County and Contractor will closely monitor the attendance of each of the authorized client placements, in an effort to efficiently utilize all reservation days assigned to this program. While some clients have a consistent regular attendance pattern; others may need to be checked on daily with reminder telephone calls. Planned attendance will be confirmed and/or substitute client replacements will be made with other pre-qualified participants who have a need for Adult Day Services. In an effort to minimize the number of canceled scheduled reservation days, the Contractor will attempt to: . schedule the client's reservation to another day if the client is a part-time participant, or . transfer the client's reservation to other eligible participants who are part-time participants with prior approval from the County. The Contractor shall submit an Absence Substitution Form (provided by the County) to the County with each monthly invoice that specifies: Scheduled Client Name; Substitute Client Name; Date(s) of Substitution; Total Units of Service Transferred Reimbursement for any service transfers is limited to four consecutive scheduled days absent. Paid absences may not be charged for those that have been substituted with another participant. The County will make payment to the Contractor for reimbursement for all eligible units of service provided within thirty days of receipt of the invoice. F-5