Amendment 01/01/1993AMENDMENT TO CONTRACT FOR IN -HOME SERVICES
THIS CONTRACT AMENDMENT entered this 1st day of
January , 199 3 between the Board of County Commis-
sioners of Monroe County, Florida (hereinafter "County"), ex-
ercising supervision and control over Monroe County In -Home
Services, the Community Care for the Elderly Nursiq Home Zivex-
sion Program and CCE Lead Agency for Monroe County==`(heretnafteY
"Lead Agency") and Hospice of the Florida Keys,_ Inc. rJd/b/a
Visiting Nurse Association of the Florida Keys (here;0,27"afte-r
"Provider").
WHEREAS, the parties have entered into a contract effective
December 1, 1991, and executed by County on February 19, 1992,
for the provision of Community Care for the Elderly Nursing Home
Diversion Program; and
WHEREAS, the boilerplate language in said agreement has
since been interpreted to require a single audit which was not
intended by the parties; and
WHEREAS, the parties deem it is in the best interest of both
to provide authorization for the procurement of additional
services to be rendered by Provider when Lead Agency experiences
staffing shortages; now, therefore
IN CONSIDERATION of the promises contained herein, the
parties do agree as follows:
1. Attachment I, Conditions, paragraphs D(7)(b), (c), (d),
(e) and (g) are hereby deleted and subparagraph (f) shall be
reconstituted as subparagraph (b).
2. Paragraph II-B is hereby added to provide as follows:
B. Additional Contracted Amount
Additional contracted amount rate agreement
per unit not to exceed a total of $5000 to
pay the Provider for additional contracted
"Fee for Service" according to the conditions
of Attachment I, and in an amount not to
exceed rates as specified in Attachment I
subject to the availability of funds. The
costs of services paid under this paragraph
shall be paid solely through the funds of
Lead Agency and not through the annual
appropriation by the Legislature referenced
in Paragraph A above.
3. Paragraph III-G is hereby added to provide as follows:
G. Medicaid Waiver Patients
Upon rendering services of any type to Home
and Community Based Medicaid Waiver patients,
Provider shall directly bill the State
Medicaid Office and seek no compensation from
County, Lead Agency or In -Home Services for
such services.
4. Attachment I, Conditions, paragraph B is hereby amended
to add subparagraph 6 as follows:
6. Additional units of service may be
requested by Lead Agency for specific clients
for a limited time as specified in the
specific request for services filed by Lead
Agency with Provider.
5. All provisions of the Contract inconsistent with the
foregoing amendments shall construed to be consistent herewith.
All other provisions of the Contract remain in full force and
effect.
IN WITNESS THEREOF, the parties hereto caused this Contract
Amendment to be executed by their undersigned officials as duly
authorized.
LEAD AGENCY:
(SEAL) BOARD OF COUNTY COMMISSIONERS
Attest: DANNY KOLHAGE, Clerk OF MONiQ COUNTY
By jMJ.r C. A)V 4WOliP By
Deputy er
DATE: December 9, 1992
(SEAL)
Attest:
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PROVIDER:
VISITING NURSE ASSOCIATION
OF THE FLORIDA KEYS
By /
Title
APPROVED AS TO FORM
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