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1st Amendment 09/08/1999 Amendment 001 AMENDMENT TO 1999-2000 COMMUNITY CARE FOR THE ELDERLY CONTRACT THIS AMENDMENT, entered into between the Alliance for Aging, Inc. hereinafter referred to as the "Alliance", and Monroe County Board of Commissioners, hereinafter referred to as the "Provider", amends contract KG-971. 1. Section II, Contract Amount, is hereby amended to read: 2. Section III, Paragraph A.2., is hereby amended to read: To pay for contracted services according to the conditions of this contract in an amount not to exceed $556,601 subject to the availability of funds. The Allian~s .." performance and obligation to pay under this contract are contingent usn PI alUaJalr= appropriation by the Legislature. The costs of services paid under any $I~f; 8 FT1 contract or from any other source are not eligible for reimbursement un~s ~ ~ contract. g;,.,r- 0 C:-:l!: :::0 :.c?' c> :r:- ::0 ..... 0"- % fT' :<..:t: = n -r," > -, 0 r- c" 1ff'"'::O I" ,.., we This contract shall end on June 30, 2000 3. Attachment I, Section II A, is hereby amended to read: The approved Service Provider Application of Monroe County Board of Commissioners for Community Care for the Elderly funds for July 1, 1 999 to June 30, 2000, and any revisions thereto approved by the Alliance and located in the contract manager's file, are incorporated by reference in this contract between the Alliance and the provider, and prescribe the services to be rendered by the provider. 4. Attachment I, Section II S, is hereby amended to read: The services will be provided in a manner consistent with and described in the Service Provider Application for the Community Care for the Elderly funds for July 1, 1999 to June 30, 2000 of the Monroe County Board of Commissioners and the Department of Elder Affairs Client Services Manual. In the event the manual is revised, the contract will incorporate any such revision and the provider will be given a copy of the revision. 5. Attachment I, Section III, Paragraph E, is hereby amended to read: The Alliance shall make payment to the provider for provision of services up to a maximum number of units of service and at the rate{s) stated below: Service to be Unit of Unit Maximum Maximum Provided Service Rate Units Dollars Case Management 1 client hour $38.9197 3,730 $145,170 Chore 1 client hour $27.1939 2,475 $ 67,305 Homemaker 1 client hour $20.2575 7,945 $160,946 Personal Care 1 client hour $23.1840 5,530 $128,208 Respite 1 client hour $17.5197 3,025 $ 52,997 Other Episode TBA TBA $ 1,975 6. Attachment I, Section H, is hereby amended to read: H. Co-payment Collections 1. The Alliance will hold back 5 percent (5%) of the provider contract amount from the Requests for Payment within the first seven months of the contract year. The amount of funds so held back shall be released to a provider upon collection by the provider, by March 15, of 50 percent (50%) of the total co-payments projected for collection by the provider for the contract year. 2. Within three business days of March 15, the Alliance will determine which providers have collected, on or before March 15, 50 percent (50%) of their total projected annual co-payments. The Alliance will release to each such provider all funds so held back from such provider. The Alliance will reallocate all funds held back from providers who fail, by March 15, to collect 50 percent (50%) of their total projected annual co- payments. All such funds held back will be distributed pro rata only to providers who have collected, by March 15, 50 percent (50%) of their total annual projected co-payments. 3. The Alliance will certify to the Department, not later than April 1, that funds held back pursuant to this clause have not been distributed to providers who failed to meet their co-payment collection projections by March 15. Upon failure of the Alliance to so certify by April 1, the Department will reallocate such funds among the PSA's for distribution to providers who have collected at least 50 percent (50%) oftheir projected annual co-payments on or before March 15. 4. Co-payments include only the amounts assessed clients or the amounts clients opt to contribute in lieu of an assessed co-payment. The contribution must be equal to or greater than the assessed co-payment. 7. This amendment shall begin on September 1, 1999 or on the date on which the amendment has been signed by both parties, whichever is later. All provisions in the contract and any attachments thereto in conflict with this amendment shall be and are hereby changed to conform with this amendment. All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract are hereby amended to conform with this amendment. This amendment and all its attachments are hereby made a part of the contract. IN WITNESS WHEREOF, the parties hereto have caused this 3 page amendment to be executed by their undersigned officials as duly authorized. PROVIDER: Monroe County Board of Commissioners ALLIANCE FOR AGING, INC. SIGNED B~~A~~~.-,"",,--,,~~ .-SIGNED BY:~ (f\ '" ' .. -. ,- '\~\fC\ q =!r't.o~ NAME: 0-)\ lnJm\~ \4.0..(""'/ NAME: Ramona Frischman. Ed.D TITLE: M 4~Oe- TITLE: PRESIDENT DATE: rsl/9f DATE: 't{7-f,f q , I Sf: DANNY L. KOLHAGE, CLERk 8Y~.O Q. ~ . DEPUTY CLERK ~