SY2009 2nd Addendum 11/19/2008
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
December 31, 2008
TO:
Community Services
ATTN:
FROM:
Dotti Albury,
In-Home Services Program
Pamela G. Hanc~
Deputy Clerk U
At the November 19,2008, Board of County Commissioners' meeting the Board granted
approval and authorized execution of Addendum #002 to the Contract between Monroe County
and Hospice of the Florida Keys, Inc. d/b/a Visiting Nurse Association.
Enclosed are three duplicate originals of each of the above-mentioned for your handling.
Should you have any questions, please do not hesitate to contact our office.
cc: County Attorney
Finance
File
ADDENDUM 002
THIS ADDENDUM is entered into this 19th day of November, 2008, A.D., between the
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS (hereinafter called the
"County"), and Hospice of the Florida Keys, Inc. d/b/a Visiting Nurses Association, (hereinafter
call the "Contractor").
WHEREAS on June 18, 2008, the parties entered a Contract for the purposes of providing in-
home services countywide.
The purpose of this Addendum is to make the following changes and clarification to said
contract:
I. Section 3 (Payments to the Contractor) of the Contract dated June 18,2008, shall be
amended to read:
A. The Contractor shall submit to the county an invoice with supporting
documentation acceptable to the Clerk on a weekly basis. Acceptability to the
Clerk is based on generally accepted accounting principles and such laws, rules
and regulations as may govern the Clerk's disbursement of funds.
B. Upon Monroe County's receipt of said invoices Monroe County Clerk's Otlice
shall submit payment to the Contractor no later than 6 weeks after receipt of
invoice(s).
I. Section 5 (Contractor's Responsibilities) of the Contract dated June 18, 2008, shall
be amended to read:
A. The Contractor will perform only authorized in-home services in the homes of
elderly and/or disabllid residents in the Areas I, 2, 3 and 4 for the unit rate(s)
specified herein. Only those in-home services that are specifically authorized by
the County as documented by the Social Services Department will be
reimbursable. In-Home Services will be provided by the Contractor in
accordance with DOEA definitions/specification, by agencies that hold necessary
licenses, and by individual workers qualified to perform such services as detailed
in Florida Department of Elder Affairs (DOEA) 2008 Client Services Manual
and the Home and Community Based Services, Draft handbook, January 2003,
the State ofFL Department of Children & Families (DCF) CFOP 140-8,
Community Care for Disabled Adults (CCDA), and in accordance with the
Agency for Health Care Administration (AHCA) guidelines as required and any
subsequent modifications thereto.
B. The in-home services Contractor will provide under these terms and conditions
are X respite care, X homemaker, X personal care, X chore, _
emergency home repair/housing improvement, and _ material aid as defmed
by DOEA in the 2003 and 2008 handbooks, DCF CFOP 140-8 for CCDA, and
AHCA guidelines as noted above and any subsequent revisions thereto.
C. The Contractor will provide in-home services during the term of this contract for
the unit rates as agreed upon and that follow: $19 .OO/unit for respite care,
$19.00/unit for homemaker, $25.00/unit for personal care, $25.00/unit for chore,
$ _unit for emergency home repairlhousing improvement, and $ -.Junit
for material aid. A unit for each service is defined by DOEA in the 2003 and
2008 draft handbooks, DCF CFOP 140-8 for CCDA, and AHCA guidelines as
noted above and any subsequent revisions thereto. The number of units of
services performed for each client must be preauthorized by the County
The Contractor will be reimbursed for all necessary travel for client's needs. This
can include travel to and in between client homes, from V.N.A. offices, shopping for
clients, etc. However, travel from worker's homes at the start of the work day and
travel to worker's homes at the end of the work day will not be reimbursed.
E. The Contractor will in all cases provide in-home services within the timeframes
required by DOEA as defined by DOEA in the 2003 and 2008 handbooks, DCF
CFOP 140-8 for CCDA, and AHCA guidelines as noted above and any subsequent
revisions thereto.
2. All changes in this addendum will be effective as of July 1, 2008. The remaining
terms ofthe Contract entered into June 18, 2008 and Addendum 1 to said contract,
not inconsistent herewith, shall remain in full force and effect.
lli_WITNESS WHEREOF, the parties have caused these presents to be executed in their
<:-:,~~~ive names.
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BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
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BY:~~ ~4 'oJ0i.A4.,e.d-
Mayor George R. Neugent
Attest:
HOSPICE OF THE FLORIDA KEYS
d/b/a VISITING NURSES ASSOCIA nON
By: 'AI~K UV'- _
L1 em, President/CEO
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