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PAGE 2 OF 6 a. Administrative Requirements: Record maintenance of respite cases to include documentation of number of hours provided and evidence the Program was rendered and an evaluation of the service by the client. b.Any and all expenses incurred hy the Center for the provision of the Program. 6. POPLVuATION TO BE SERVED A~y resident of Cabarrus County who is: 60 years of age and older and/or their spouse. b. Physically and/or mentally impaired individual who cannot be left alone who require constant 24-hour supervision. c. Who are not elislble for Medicaid (unless individual is not eligible for respite care through the N. C. Medicaid Program in which event, units of service may not exceed 720. There shall be no discrimination with regard to race, sex, creed, or national origin. Admission for respite care will be based on caregiver's need and the appropriateness of the services offered by the Center to meet these needs. Priority is on first-come, first-serve basis. 7, PROCEDURES FOR REFERRAL FROM PURCI~SER a. Ail referrals for the direct service provision shall be referred to the Department of Aging. Each case will be evaluated by the Purchaser and referred to the center for the purchase of the service. b. Caregiver's requesting respite care will have an initial conference with the Center at least seven days prior to admission. c. The Center will be responsible for explanation of policies and procedures to caregivers during conference. 8. The Center agrees to meet with Purchaser one time per quarter (or more frequently, if requested) to evaluate Respite Service Program operation and quality of service. Meetings shall be scheduled at convenience of Purchaser and Center. Ail units of service shall meet the required minimum service standards as adopted and implemented by North Carolina Division of Aging. (Attached)° 9~ The Center shall furnish the Purchaser with a monthly program report and a request for payment of units of service delivered. Such reports shall be furnished within three (3) working days after the end of each month. 10. Interest of the Center: The Center covenants that neither the Center- nor its agents or employees presently has an interest, nor shall acquire an interest, direct or indirect, which cqnflicts in any manner or degree with the performance of its service hereunder, or which would .o preven~,~or tend to prevent, the satisfactory performance of the Centerts service hereunder in an impartial and unbiased manner. TheCenter -=---~-.: .... ~ further covenants that in the performance of this ocntract no person having any~ such interest shall be employed by the Center as an agent, ~ subcontractor or otherwise.