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2nd Amendment 03/20/2002 CLERK OF THE CIRCUIT COURT MONROE COUNTY BRANCH OFFICE MARAmON SUB COURTHOUSE 3117 OVERSEAS HIGHWAY MARAmON, FLORIDA 33050 TEL. (305) 289-6027 PAX (305) 289-1745 MONROE COUNTY COURmOUSE 500 WHITEHEAD STREET KEY WEST, FLORIDA 33040 TEL. (305) 292-3550 PAX (305) 295-3663 BRANCH OFFICE PLANTATION KEY GOVERNMENT CENTER 88820 OVERSEAS HIGHWAY PLANTATION KEY, FLORIDA 33070 TEL. (305) 852-7145 PAX (305) 852-7146 MEMORANDUM DATE: April 3, 2002 FROM: Louis Latorre, Director Social Services Division Pamela G. Hanc~ Deputy Clerk (~~y TO: At the March 20, 2002, Board of County Commissioners meeting the Board granted approval and authorized execution of the following: Amendment 001 to Contract KZ-197 for the Alzheimer's Disease Initiative for Fiscal Year 7/1/01 thru 6/30/02 between the Alliance for Aging, Inc. and the Monroe County Board of County Commissioners/Monroe County Social Services (Monroe County In Home Service Program, the Case Management Agency). ./ Amendment 002 to Contract KH-172 for the Home Care for the Elderly for Fiscal Year 7/1/01 thru 6/30/02 (Case Management only) between the Alliance for Aging, Inc. and the Monroe County Board of County Commissioners/Monroe County Social Services (Monroe County In Home Service Program, the Case Management Agency). Amendment 002 to Contract KC-171 for the Community Care for the Elderly Contract for Fiscal Year 7/1/01 thru 6/30/02 between the Alliance for Aging, Inc. and the Monroe County Board of County Commissioners/Monroe County Social Services (Monroe County In Home Service Program, the Case Management Agency). Amendment 001 to Agreement No. PA-229 (Master Agreement) for Fiscal Year 7/1/01 thru 6/30/02 between the Alliance for Aging, Inc. (Area Agency on Aging for Miami-Dade and Monroe Counties) and the Monroe County Board of County Commissioners/Monroe County Social Services (Monroe County In Home Service Program). Enclosed are three duplicate originals, executed on behalf of Monroe County, for your handling. Please be sure that the fully executed "Monroe County Clerk's Original" is returned as soon as possible. Should you have any questions please feel free to contact our office. Cc: County Administrator w/o documents County Attorney Finance . File Monroe ~ty; Clerk' ~ Original.. AMENDMENT 002 Contract KH-172 Page 1 THIS AMENDMENT, entered into between the Alliance for Aging, Inc. hereafter referred to as the "Alliance," and the Monroe County Board of Commissioners, hereafter referred to as the "recipient," amends contract KH-172. The purpose of this amendment is to award third quarter funding in the amount of $9,126.25 (includes a decrease in funds based on the state appropriation for SFY 2001/2002), add new contract clauses and revise contract clauses. Corresponding services are adjusted according to the adjustments in funding. 1. Section II. is hereby amended to read: II. The Alliance Agrees: Contract Amount: To pay for contracted services according to the conditions of Attachment I in an amount not to exceed $42,416.75, subject to the availability of funds. The Alliance's performance and obligation to pay under this contract is contingent upon an annual appropriation by the Legislature passed through the Department of Elder Affairs. The costs of services paid under any other contract or from any other source are not eligible for reimbursement under this contract. The funds awarded to the recipient pursuant to this contract are in the state grants and aids appropriations and consists of the following: Program Title Year Funding Source CSFA# Fund Amounts Home Care for 2001 General Revenue 65001 $42,416.75 the Elderly TOTAL FUNDS CONTAINED IN THIS CONTRACT: $42,416.75 2. ATTACHMENT I, Section II.,A. Is hereby amended to read: II. SERVICES TO BE PROVIDED A. Services: 1. The recipient's service application for state fiscal year 2001, 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 recipient, and prescribe the services to be rendered by the recipient. 2. Reductions in services as a result of the decrease in funds shall be made by attrition of consumers as they are terminated from the HCE Program for reasons other than this funding reduction or because the HCE consumer is transferred to another funding source. This funding decrease shall not result in termination of existing HCE consumers as a means of managing the funding reductions. AMENDMENT 002 Contract KH-172 Page 2 3. Consumers may not be enrolled into a department state general revenue funded program, including HCE, who are also enrolled in a Medicaid capitated long term care health plan or program. These programs include the Frail Elder Program operated by United Health Care, the Channeling Program operated by Miami Jewish Home and Hospital for the Aged, the Long Term Care Community Diversion Program operating in Planning and Service Areas 7 and 9, and the Program of All Inclusive Care for the Elderly (PACE) program planned to begin operations in the Miami-Dade County area. 3. ATTACHMENT I, Section IV, Paragraph B.1. is hereby amended to read: B. Assessment and Prioritization for Service Delivery for New Consumers: The following are the criteria to prioritize new consumers for service delivery. It is not the intent of the department to remove existing clients from any services in order to serve new clients being assessed and prioritized for service delivery. 1. Priority Criteria for Service Delivery: a) individuals in nursing homes under Medicaid who could be transferred to the community; b) individuals in nursing homes whose Medicare coverage is exhausted and may be diverted to the community; c) individuals in nursing homes which are closing and can be discharged to the community; or, d) individuals whose mental or physical health condition has deteriorated to the degree self care is not possible, there is no capable caregiver and institutional placement will occur within 72 hours. 4. ATTACHMENT III, Budget Summary, Page 11, deleted and replaced with revised Page 11, attached hereto. This amendment shall begin on the date on which the amendment has been signed by both parties. All provisions in the contract and any of its attachments which may be in conflict with this AMENDMENT 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. This AMENDMENT and all its attachment are hereby a part of the contract. AMENDMENT 002 Contract KH-172 Page 3 IN WITNESS THEREOF, the parties hereto have caused this 4 page AMENDMENT to be executed by their undersigned officials as duly authorized. PROVIDER: MONROE COUNTY BOARD OF COMMISSIONERS SIGNED BY: ~ NAME: cf+4kJx~ M t:( ()y . TITLE: /lJlAYPR- , DATE: . ~//~/7- I I FEDERAL EMPLOYER ID NUMBER PROVIDER FISCAL YEAR END DATE Z NNX. ~ON DATE 7. o~ 0'/__ / ALLIANCE FOR AGING, INC. SI~N"-~ Lv< BYe. ~ ") NAME: Steven Weisberg. M.S. TITLE: President/CEO DATE: "tLiJ~ ~ 59-6000749 09/30 c) r:J :.z. J> 25 ~~ ~~2 fTl:x; -00( n' ~ (;;) r. ~;Q~'~ ~ . ~-:? :< :=; :1: ". ~.. r C) )> fl'1 r--..:> t:~ '.',:--~,:;) ('--...,) :r... '..'.J ::0 ." r rr1 o -r'1 o ;0 ::0 fT1 ("') a ::0 o N u :::t: ..r:- Cl AMENDMENT 002 Contract KH-172 Page 4 A TT ACHMENT III HOME CARE FOR THE ELDERLY PROGRAM BUDGET SUMMARY QUARTER DATES HCE Subsidies HCE Case* TOTAL Manaaement First 6/1-9/30/01 $15,736.00 $909.25 $16,645.25 Second 10/1-12/31/01 $15,736.00 $909.25 $16,645.25 Third 1/1-3/31/02 $8,217.00 $909.25 $9,126.25 Fourth 4/1-6/30/02 TOTALS > $39,689.00 $2,727.75 $42,416.75 * Case management budget line item can not be increased.