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<br />Good Health Services Inc. <br /> <br />d. Evidence of Hepatitis B vaccine or appropriate signed release form <br />e. Documentation of self skills assessment at hire <br />f. Documentation of initial OSHA Bloodbome Pathogen and universal <br />precautions training <br /> <br />H. Conduct criminal records checks of all personnel in accordance with North <br />Carolina laws and regulations. <br />1. Provide services without regard to client's race, religion, sex, age, national origin <br />or disability. <br />J. Maintain responsibility for FICA, state and federal taxes, workers compensation, <br />professional liability, and unemployment compensation insurance for all of <br />Contractor's staff. <br /> <br />C. Rate per unit of Service (define the unit): <br /> <br />I. If Standard Fixed Rate, Maximum Allowable, (See Rates for Services Chart) <br /> <br />2. Negotiated County Rate. <br /> <br />In-Home Aide Services: <br /> <br />$11.50/hour <br /> <br />Skilled Nursing Services (RN) <br /> <br />$33.42/hour <br /> <br />Weekly Overtime Reimbursement: <br />Time and one-half (1.5) for all hours worked over forty (40) hours weekly. <br />The weekly period is from Sunday through Saturday. <br /> <br />Mileage reimbursement: <br /> <br />Between patient visits <br />per day per employee <br /> <br />Federal Reimbursement Rate <br /> <br />Note: GHS will invoice at the above hourly rate for time spent by GHS employees <br />in travel as part of his /her principal activity, such as travel between patient visits <br />when scheduled for multiple visits during a workday, must be counted as hours <br />worked. <br /> <br />D. Number of units to be provided: <br /> <br />215.128 <br /> <br />E. Details of Billing process and Time Frames; <br /> <br />On the 5th and 20th day of the following month in which services were rendered, <br />Contractor shall submit a statement payable on receipt to Cabarrus County DSS for <br /> <br />Contract-Scope of Work (06/04) <br /> <br />V-IS <br /> <br />Page 20f 3 <br />