06/18/1997 Contract ?Vto cui� p
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BRANCH OFFICE CLERK OF THE CIRCUIT COURT BRANCH OFFICE
3117 OVERSEAS HIGHWAY MONROE COUNTY 88820 OVERSEAS HIGHWAY
MARATHON, FLORIDA 33050 500 WHITEHEAD STREET PLANTATION KEY, FLORIDA 33070
TEL. (305) 289 -6027 KEY i , V . • • 111 1 0 TEL. (305) 852-7145
FAX (305) 289 -1745 r... _ ..`, l _v e r FAX (305) 852 -7146
FAX (305) 295 -3660
TO: Peter Horton, Director
Division of Community Services
Attn: Gwen Rodriguez, Director
In -Home Services
FROM: Isabel C. DeSantis, Deputy Clerk ,.C
L7
Date: July 24, 1997
At the June 18, 1997 Commissioner's meeting, the Board
approved the following:
1997 -98 Home Care for the Elderly Grant /Contract HC -972
between Monroe County and the Alliance for Aging, Inc.
Continuation Grant /Contract for 1997 -98 for Community Care
for Disabled Adults Program between Monroe County and the State
of Florida Department of Children and Families, Contract No. KG-
019.
Amendment #3 to Contract KG -651E between Monroe County and
the Alliance for Aging, Inc., for advance /cost reimbursement.
1997 -98 Memorandum of Agreement for the Home Care for the
Elderly Subsidy Payment Spending Authority between Monroe County
and the Alliance for Aging, Inc.
SFY 1997 -98 Memorandum of Agreement for the Medicaid Waiver
Program Spending Authority between Monroe County and the Alliance
for Aging, Inc.
1997 -98 Community Care for the Elderly Grant /Contract KG-
751E, between Monroe County and the Alliance for Aging, Inc.
1997 -98 Alzheimer's Disease Initiative Grant and Contract
#KG -797 between Monroe County and the Alliance for Aging, Inc.
Enclosed are fully- executed duplicate originals of the above
documents for your use in these matters.
Should you have any questions, please do not hesitate to
call.
cc: County Attorney Finance
County Administrator, w/o document File
Ar ea Agenc on Aging for Dade and Monroe Counties
July 17, 1997
Louis LaTorre
Ia L IA �T C E Executive Director
F or Monroe County Social Services JR 18
AGING, 5100 College Road - Wing 111
Inc.
Key West, FL 33040
k sE1
SUBJECT: CONTRACT KG-751E
OFFICERS
Dear Louie:
WILLS N. MURRAY
President Enclosed please find an executed copy of your 1997 -98 CCE contract
RAMONA FR ➢SCH"iAN, Ed.D. with the Alliance which awards your agency a total of $531,990 to
`ice President provide the following:
COMM. MARY KAY REICH SERVICE UNITS CLIENTS TOTAL AWARD
Secretar
ROBERT EBERST Case Management 6,208 500 $179,784.00
Treasurer Chore 4,140 250 $106,704.00
IMMEDIATE PAST PRESIDENT Homemaker 4,786 250 $ 98,238.00
Personal Care 4,580 100 $ 98,947.00
CARLOS NOBLE Respite 2,706 25 $ 48,317.00
$531,990.00
BOARD MEMBERS
This will be a unit cost contract and you will be reimbursed at the
ALBERT AFTERMAN following rates up to the total amount awarded under each service
DONALD E. BAKER, Esq. category as follows:
ROSLYN BERRIN
CONCHY T. BRETOS
CAROLINA CALDER➢N SERVICE REIMBURSEMENT RATE
MICHAEL RIEDriiAPI
GRAY GRAY Case Management $28.960051
HON. ROBERT B. INGRAM Chore $25.773913
NORMA LEMBERG Homemaker $20.526117
BENJAMIN LEON
GENEVA MILLER Personal Care $21.604148
G
JEAN JONES PERDUE, M.D. Respite $17.855506
JULIA PRANSCHKE
MARTIN URRA
DR. FREEMAN T WYCHE
L. GEORGE YAP If you have any questions please call (305) 670 -6500 and ask for Loretta
Kushner xt 229) or me (Ext. 223).
EXECUTIVE DIRECTOR
Sincere ,
JOHN L. STOKESBERRY, M.Ed. � / '7 ' (
ti
Pedro Jove
Assistant Direc r
Enc.
9500 South Dadeland I..ulevard, Suite 400, Miami, ]Florida 33156, Tel .(13051) 670 - 6500, Suncom 455 -6500
Fax (305) 670 - 6516, TDD (3051 670 -7721
s 7
Contract No. KG -751E
1997 -98 COMMUNITY CARE FOR THE ELDERLY CONTRACT (FIXED RATE)
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THIS CONTRACT is entered into between the Alliance for Aging, Inc., hereinafter referred to as the " Al liance",
and Monroe County Board of Commissioners, hereinafter referred to as the "provider ".
The parties agree:
The Provider Agrees:
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A. Services to be Provided:
The approved Service Provider Application for the Community Care for the Elderly funds for
July 1, 1997 to June 30, 1998, and any revisions thereto approved by the Alliance and located
in the contract manager's file, are referenced as a part of this legal agreement between the
Alliance and the provider, and prescribe the services to be rendered by the provider.
B. Manner of Service Provision:
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, 1997 to June 30, 1998
of Monroe County Board of Commissioners and the Department of Elder Affairs Programs and
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.
C. Federal Laws and Regulations:
1. The provider shall comply with the provisions of 45 CFR, Part 74, and /or 45 CFR, Part
92, and other regulations, if applicable.
2. The provider shall comply with the provisions of the U.S. Department of Labor,
Occupational Safety and Health Administration (OSHA) code, 29 CFR, Part 1910.1030.
D. Civil Rights Certification:
The provider gives this assurance in consideration of and for the purpose of obtaining federal
grants, loans, contracts (except contracts of insurance or guaranty), property, discounts, or
other federal financial assistance to programs or activities receiving or benefiting from federal
financial assistance. The provider agrees to complete the Civil Rights Compliance
Questionnaire, DOEA forms 101 A and B, if services are provided to clients and if fifteen (15)
or more persons are employed.
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The Provider Assures that it will comply with:
1. Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C. 2000d et seq., which
prohibits discrimination on the basis of race, color, or national origin in programs and
activities receiving or benefiting from federal financial assistance.
2. Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794, which
prohibits discrimination on the basis of handicap in programs and activities receiving
or benefiting from federal financial assistance.
3. Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq.,
which prohibits discrimination on the basis of sex in education programs and activities
receiving or benefiting from federal financial assistance.
4. The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq., which
prohibits discrimination on the basis of age in programs or activities receiving or
benefiting from federal financial assistance.
5. Section 654 of the Omnibus Budget Reconciliation Act of 1981, as amended, 42
U.S.C. 9849, which prohibits discrimination on the basis of race, creed, color, national
origin, sex, handicap, political affiliation or beliefs in programs and activities receiving
or benefiting from federal financial assistance.
6. The Americans with Disabilities Act of 1990, 42 USC 12101, et. seq., which prohibits
discrimination against, and provides equal opportunities for individuals with disabilities,
in employment, public services, and public accommodations.
7. All regulations, guidelines, and standards as are now or may be lawfully adopted under
the above statutes.
8. The provider shall establish procedures to handle complaints of discrimination involving
services or benefits through this contract. The provider shall advise clients, employees,
and participants of the right to file a complaint, the right to appeal a denial or exclusion
from the services or benefits from this contract, and their right to a fair hearing.
Complaints of discrimination involving services or benefits through this contract may
also be filed with the Secretary of the Department of Elder Affairs or the appropriate
federal or state agency.
9. The provider further assures that all contractors, subcontractors, subgrantees, or
others with whom it arranges to provide services will comply with the above laws and
regulations.
E. Requirements of Section 287.058, Florida Statutes:
1. To submit bills for fees or other compensation for services or expenses in sufficient
detail for a proper pre -audit and post -audit thereof.
2. To submit bills for any travel expenses in accordance with Section 112.061, Florida
Statutes.
3. To provide units of deliverables, including reports, findings, and drafts as specified in
this contract and the Service Provider Application for the Community Care for the
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Elderly funds for July 1, 1997 to June 30, 1998, to be received and accepted by the
contract manager prior to payment.
4. To allow .public access to all documents, papers, letters, or other materials subject to
the provisions of Chapter 119, Florida Statutes, and made or received by the provider
in conjunction with this contract.
F. Withholdings and Other Benefits:
The Provider is responsible for Social Security and Income Tax withholdings.
G. Indemnification:
If the provider is a state or local governmental entity, pursuant to subsection 768.28(18)
Florida Statutes, the provisions of this section do not apply.
1. Provider agrees that it will indemnify, defend, and hold harmless the Alliance and all
of the Alliance's officers, agents, and employees from any claim, loss, damage, cost,
charge, or expense arising out of any acts, actions, neglect or omission by the
provider, its agents, employees, or subcontractors during the performance of the
contract, whether direct or indirect, and whether to any person or property to which
the Alliance or said parties may be subject, except that neither provider nor any of its
subcontractors will be liable under this section for damages arising out of injury or
damage to persons or property directly caused or resulting from the sole negligence of
the Alliance or any of its officers, agents, or employees.
2. Provider's obligation to indemnify, defend, and pay for the defense or, at the Alliance's
option, to participate and associate with the Alliance in the defense and trial of any
claim and any related settlement negotiations, shall be triggered by the Alliance's
notice of claim for indemnification to provider. Provider's inability to evaluate liability
or its evaluation of liability shall not excuse provider's duty to defend and indemnify
the Alliance, upon notice by the Alliance. Notice shall be given by registered or
certified mail, return receipt requested. Only an adjudication or judgment after the
highest appeal is exhausted specifically finding the Alliance solely negligent shall
excuse performance of this provision by providers. Provider shall pay all costs and fees
related to this obligation and its enforcement by the Alliance. The Alliance's failure to
notify provider of a claim shall not release provider of the above duty to defend.
H. Insurance and Bonding:
1. To provide adequate liability insurance coverage on a comprehensive basis and to hold
such liability insurance at all times during the existence of this contract. The provider
accepts full responsibility for identifying and determining the type(s) and extent of
liability insurance necessary to provide reasonable financial protections for the provider
and the clients to be served under this contract. Upon the execution of this contract,
the provider shall furnish the Alliance written verification supporting both the
determination and existence of such insurance coverage. Such coverage may be
provided by a self- insurance program established and operating under the laws of the
State of Florida. The Alliance reserves the right to require additional insurance where
appropriate.
2. To furnish an insurance bond from a responsible commercial insurance company
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covering all officers, directors, employees and agents of the provider authorized to
handle funds received or disbursed under this contract in an amount commensurate
with the funds handled, the degree of risk as determined by the insurance company
and consistent with good business practice.
3. If the provider is a state agency or subdivision as defined by section 768.28, Florida
Statutes, the provider shall furnish the Alliance, upon request, written verification of
liability protection in accordance with section 768.28, Florida Statutes. Nothing herein
shall be construed to extend any party's liability beyond that provided in section
768.28, Florida Statutes. (See also Indemnification Clause).
Abuse Neglect and Exploitation Reporting:
1. In compliance with Chapter 415, F.S., an employee of the provider who knows, or has
reasonable cause to suspect, that a child, aged person or disabled adult is or has been
abused, neglected, or exploited, shall immediately report such knowledge or suspicion
to the State of Florida's central abuse registry and tracking system on the statewide
toll -free telephone number (1- 800- 96ABUSE).
2. Pursuant to Section 430.205(5), Florida Statutes, the provider will ensure that those
elderly persons who are determined to be at risk of institutionalization and victims of
abuse, neglect, or exploitation and who are referred by adult protective services will
be given primary consideration for receiving Community Care for the Elderly Services.
J. Transportation Disadvantaged:
If clients are to be transported under this contract, the provider will comply with the provisions
of Chapter 427, Florida Statutes, and Rule Chapter 41 -2, Florida Administrative Code.
K. Purchasing:
Procurement of Products or Materials with Recycled Content:
Any products or materials which are the subject of, or are required to carry out this contract
shall be procured in accordance with the provisions of Section 403.7065 and 287.045, Florida
Statutes.
L. Sponsorship:
As required in Section 286.25, Florida Statutes, if the provider is a nongovernmental
organization which sponsors a program financed wholly or in part by state funds, including any
funds obtained through this contract, it shall in publicizing, advertising or describing the
sponsorship of the program, state: "Sponsored by Monroe County Board of Commissioners,
the Alliance for Aging, and the State of Florida, Department of Elder Affairs ". If the
sponsorship reference is in written material the words "State of Florida, Department of Elder
Affairs" shall appear in the same size letters and type as the name of the organization.
M. Use of Funds For Lobbying Prohibited:
To comply with the provisions of Section 216.347, Florida Statutes, which prohibit the
expenditures of contract funds for the purpose of lobbying the Legislature, a judicial branch or
a state agency.
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N. Public Entity Crime; Denial or revocation of the right to transact business with public entities.
It is the intent of the legislature to place the following restrictions on the ability of persons
convicted of public entity crimes to transact business with the Alliance per section 287.133,
Florida Statutes:
A person or affiliate who has been placed on the convicted vendor list following a conviction
for a public entity crime may not submit a bid on a contract to provide any goods or services
to a public entity, may not submit a bid on a contract with a public entity for the construction
or repair of a public building or public work, may not submit bids on leases of real property to
a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor,
or consultant under a contract with any public entity, and may not transact business with any
public entity in excess of the threshold amount provided in s. 287.017 for CATEGORY TWO
for a period of 36 months form the date of being placed on the convicted vendor list.
0. Employment
If the provider is a non - governmental organization, it is expressly understood and agreed that
the provider will not knowingly employ unauthorized alien workers. Such employment
constitutes a violation of the employment provisions as determined pursuant to section
274A(e) of the Immigration Nationality Act (INA), 8 U.S.C. s.1324 a (e)(section 274A(e) ").
Violation of the employment provisions as determined pursuant to section 274A(e) shall be
grounds for unilateral cancellation of this contract.
P. Audits and Records:
1. To maintain books, records, and documents (including electronic storage media) in
accordance with generally accepted accounting procedures and practices which
sufficiently and properly reflect all revenues and expenditures of funds provided by the
Alliance under this contract.
2. To assure that these records shall be subject at all reasonable times to inspection,
review, audit, copy, or removal from premises by state personnel and other personnel
duly authorized by the Alliance, as well as by federal personnel, if applicable.
3. To maintain and file with the Alliance such progress, fiscal and inventory and other
reports as the Alliance may require within the period of this contract. Such reporting
requirements must be reasonable given the scope and purpose of this contract.
4. To submit management, program, and client identifiable data, as specified in the
Department of Elder Affairs Programs and Services Manual. To assure through
contractual provision in their subcontracts with direct service providers program
specific data is recorded and submitted in accordance with Department of Elder Affairs
information system instructions.
5. To provide a financial and compliance audit to the Alliance as specified in
ATTACHMENT I and to ensure that all related party transactions are disclosed to the
auditor.
6. To include these aforementioned audit and record keeping requirements in all approved
subcontracts and assignments.
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7. This contract is funded from a grants and aids appropriation.
Q. Retention of Records:
1. To retain all client records, financial records, supporting documents, statistical records,
and any other documents (including electronic storage media) pertinent to this contract
for a period of five (5) years after termination of this contract, or if an audit has been
initiated and audit findings have not been resolved at the end of five (5) years, the
records shall be retained until resolution of the audit findings.
2. Persons duly authorized by the Alliance and federal auditors, pursuant to 45 CFR, Part
92.42(e), (1), and (2), shall have full access to and the right to examine or duplicate
any of said records and documents during said retention period or as long as records
are retained, whichever is later.
R. Monitoring:
1. To provide progress reports, including data reporting requirements as specified by the
Alliance. These reports will be used for monitoring progress or performance of the
contractual services as specified in the approved Community Care for the Elderly
Service Provider Application for July 1, 1997 to June 30, 1998.
2. The Alliance will perform the required administrative monitoring of service providers in
accordance with the department's unit rate contract monitoring checklist.
3. To permit persons duly authorized by the Alliance to inspect any records, papers,
documents, facilities, goods and services of the provider which are relevant to this
contract, and /or interview any clients and employees of the provider to be assured of
satisfactory performance of the terms and conditions of this contract. Following such
inspection the Alliance will deliver to the provider a list of its concerns with regard to
the manner in which said goods or services are being provided. The provider will
rectify all noted deficiencies provided by the Alliance within the time set forth by the
Alliance, or provide the Alliance with a reasonable and acceptable justification for the
provider's failure to correct the noted shortcomings. The Alliance shall determine
whether such failure is reasonable and acceptable. The provider's failure to correct or
justify within a reasonable time as specified by the Alliance may result in the
withholding of payments, being deemed in breach or default, or termination of this
contract.
4. To perform required program and administrative monitoring of service providers.
Submission of monitoring reports will be in accordance with the Department of Elder
Affairs Programs and Services Manual and the department's Administrative Monitoring
Instrument.
S. Safeguarding Information:
Not to use or disclose any information concerning a recipient of services under this contract
for any purpose except upon written consent of the recipient, or the recipient's authorized
representative.
T. Assignments and Subcontracts:
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1. Alliance approval of the provider's Service Application for the Community Care for the
Elderly funds for July 1, 1997 to June 30, 1998 shall constitute Alliance approval of
the provider subcontracts if the subcontracts follow the service and funding
information identified in the approved Service Provider Application. No such approval
by the Alliance of any assignment or subcontract shall be deemed in any event or in
any manner to obligate the Alliance beyond the total dollar amount agreed upon in this
contract. All such assignments or subcontracts shall be subject to the conditions of
this contract (except Section I, Paragraph K.1., and Section II., Paragraph B.) and to
any conditions of approval that the Alliance shall deem necessary.
2. Unless otherwise stated in the contract between the Alliance and the provider,
payments made by the Alliance to the provider must be within seven (7) working days
after receipt by the Alliance of full or partial payments from the Department of Elder
Affairs in accordance with section 287.0585, Florida Statutes. Failure to pay within
seven (7) working days will result in a penalty charged against the Alliance and paid
to the provider in the amount of one -half of one (1) percent of the amount due, per day
from the expiration of the period allowed herein for payment. Such penalty shall be in
addition to actual payments owed and shall not exceed fifteen (15) percent of the
outstanding balance due.
U. Final Request for Payment:
1. To submit the final request for payment to the Alliance no more than forty -five (45)
days after the contract ends or is terminated; if the provider fails to do so, all right to
payment is forfeited, and the Alliance will not honor any requests submitted after the
aforesaid time period. Any payment due under the terms of this contract may be
withheld until all reports due from the provider, and necessary adjustments thereto,
have been approved by the Alliance.
2. A final receipt and expenditure report as a closeout report will be forwarded to the
Alliance within sixty (60) days after the contract ends or is terminated. All monies
which have been paid to the provider which have not been used to retire outstanding
obligations of the contract being closed out must be refunded to the Alliance along
with the final receipt and expenditure report.
V. Retum of Funds:
1. To return to the Alliance any overpayments due to unearned funds or funds disallowed
pursuant to the terms of this contract that were disbursed to the provider by the
Alliance.
a. The provider shall return any overpayment to the Alliance within forty (40)
calendar days after either discovery by the provider, or notification by the
Alliance, of the overpayment.
b. In the event that the provider or its independent auditor discovers an
overpayment has been made, the provider shall repay said overpayment within
forty (40) calendar days without prior notification from the Alliance. In the
event that the Alliance first discovers an overpayment has been made, the
Alliance will notify the provider by letter of such a finding.
2. Should repayment not be made in a timely manner, the Alliance will charge interest of
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one (1) percent per month compounded on the outstanding balance after forty (40)
calendar days after the date of notification or discovery.
I1. The Alliance Agrees:
A. Contract Amount:
Subject to the availability of funds, the Alliance will reimburse no more than a total dollar
amount of $531,990.00 for expenditures made in accordance with the approved budget for
Community Care for the Elderly funds to this contract. The Alliance's performance and
obligation to pay under this contract is contingent upon an annual appropriation by the
Legislature. The costs of services paid under any other contract or from any other source are
not eligible for reimbursement under this contract.
B. Contract Payment:
Pursuant to Section 215.422, Florida Statutes, the Alliance shall take no longer than 5 working
days to inspect and approve goods and services, unless bid specifications or the contract
specifies otherwise. With the exception of payments to health care providers for hospital,
medical, or other health care services, if payment is not available within 40 days, measured
from the latter of the date the invoice is received or the goods or services are received,
inspected and approved, a separate interest penalty set by the Comptroller pursuant to Section
55.03, Florida Statutes, will be due and payable in addition to the invoice amount. Payments
to health care providers for hospitals, medical or other health care services, shall be made not
more than 35 days from the date of eligibility for payment is determined, and the interest
penalty is set by Subsection 215.422(13), Florida Statutes. Invoices returned to a vendor due
to preparation errors will result in a payment delay. Invoice payment requirements do not start
until a properly completed invoice is provided to the Alliance.
C. Vendor Ombudsman:
A Vendor Ombudsman has been established within the Department of Banking and Finance.
The duties of this individual include acting as an advocate for vendors who may be
experiencing problems in obtaining timely payment(s) from a state agency. The Vendor
Ombudsman may be contacted at (904) 488 -2924 or by calling the State Comptroller's
Hotline, 1- 800 - 848 -3792.
III. Provider and Alliance Mutually Agree:
A. Effective Date:
1. This contract shall begin on July 1, 1997 or on the date on which the contract has
been signed by both parties, whichever is later.
2. This contract shall end on June 30, 1998.
B. Method of Payment:
1. This is a fixed rate - advance funding contract.
2. The Alliance shall make payment to the provider for a total dollar amount not to exceed
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$531,990.00, subject to the availability of funds.
3. 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 hour $28.960051 6,208 $179,784
Chore 1 hour $25.773913 4,140 $ 106,704
Homemaker 1 hour $20.526117 4,786 $ 98,238
Personal Care 1 hour $21.604148 4,580 $ 98,947
Respite 1 hour $ 17.855506 2,706 $ 48,317
4. Payment shall be on an advance basis in accordance with the Department of Elder
Affairs Programs and Services Manual and ATTACHMENT II. All request for payment
and expenditure reports that will be submitted to support requests for payment shall
be on DOEA forms 106C and 105C. Duplication or replication of both forms via data
processing equipment is permissible but replications must include all data elements in
the same format as included on department forms.
5. The provider may request a monthly advance for each of the first two months of the
contract period, based on anticipated cash needs. Detailed documentation justifying
cash needs for advances must be maintained in the contract managers file. All
payment requests for the third through the twelfth months shall be based on the
submission of monthly actual expenditure reports beginning with the first month of the
contract. The schedule for submission of advance requests is ATTACHMENT II to this
contract. Reconciliation and recouping of advances made under this contract are to
be completed by the time the final payment is made. All advance payments are subject
to the availability of funds.
6. Advance funds may be temporarily invested by the provider in an insured interest
bearing account. All interest earned on contract fund advances must be returned to
the Alliance at the end of the first quarter of the contract period.
7. The provider may request extraordinary cash in addition to the above advance requests
in accordance with DOEA Administrative Policy Memorandum Number A0012.
8. Any payment due by the Alliance under the terms of this contract may be withheld
pending the receipt and approval by the Alliance of all financial and programmatic
reports due from the provider and any adjustments thereto.
C. Termination:
1. Termination at Will
This contract may be terminated by either party upon no Tess than thirty (30) calendar
days notice, without cause, unless a lesser time is mutually agreed upon by both
parties, in writing. Said notice shall be delivered by certified mail, return receipt
requested, or in person with proof of delivery.
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2. Termination Because of Lack of Funds
In the event funds to finance this contract become unavailable, the Alliance may
terminate the contract upon no less than twenty -four (24) hours notice in writing to
the provider. Said notice shall be delivered by certified mail, return receipt requested,
or in person with proof of delivery. The Alliance shall be the final authority as to the
availability of funds.
3. Termination for Breach
Unless the provider's breach is waived by the Alliance in writing, or the provider fails
to cure the breach within the time specified by the Alliance, the Alliance may, by
written notice to the provider, terminate this contract upon no less than twenty -four
(24) hours notice. Said notice shall be delivered by certified mail, return receipt
requested, or in person with proof of delivery. If applicable, the Alliance may employ
the default provisions in Chapter 60A- 1.006(3), Florida Administrative Code. Waiver
of breach of any provisions of this contract shall not be deemed to be a waiver of any
other breach and shall not be construed to be a modification of the terms of this
contract. The provisions herein do not limit the Alliance's right to remedies at law or
to damages.
D. Suspension:
1. Reasonable Cause
The Alliance may, for reasonable cause, temporarily suspend the use of funds by a
provider pending corrective action, or pending a decision of terminating the contract.
Reasonable cause is such cause as would compel a reasonable person to suspend the
use of funds pursuant to this contract; it includes, but is not limited to, the provider's
failure to permit inspection of records, or to provide reports, or to rectify deficiencies
noted by the Alliance within the time specified by the Alliance, or to utilize funds as
agreed in this contract, or such other cause as might constitute breach of any of the
terms of this contract.
2. The Alliance may prohibit the provider from receiving further payments and may
prohibit the provider from incurring additional obligations of funds. The suspension
may apply to any part, or to all of the provider's obligations.
3. To suspend operations of the provider, the Alliance will notify the provider in writing
by Certified Mail of: the action taken, the reason(s) for such action; and the conditions
of the suspension. The notification will also indicate: what corrective actions are
necessary to remove the suspension; the provider's right to an administrative hearing;
and, give the provider the appropriate time period to request an administrative hearing
before the effective date of the suspension (unless provider actions warrant an
immediate suspension).
E. Notice and Contact:
1. The name, address and telephone number of the contract manager for the Alliance for
this contract is:
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John L. Stokesberry, Executive Director
9500 South Dadeland Boulevard
Suite 400
Miami, Florida 33156
(305) 670 -6500 SC 455 -6502
2. The name, address and telephone number of the representative of the provider
responsible for administration of the program under this contact is:
Louis LaTorre
5100 College Road - Wing 111
Key West, FL 33040
(305) 292 -4420
3. In the event that different representatives are designated by either party after
execution of this contract, notice of the name and address of the new representative
will be rendered in writing to the other party and said notification attached to originals
of this contract.
F. Renegotiation or Modification:
1. Modifications of provisions of this contract shall only be valid when they have been
reduced to writing and duly signed. The parties agree to renegotiate this contract if
revisions of any applicable laws, or regulations make changes in this contract
necessary.
2. The rate of payment and the total dollar amount may be adjusted retroactively to
reflect price level increases and changes in the rate of payment when these have been
established through the appropriations process and subsequently identified in the
Alliance's operating budget.
G. Special Provisions:
1. Match
The total match for this contract period will be at least $59,110.00. The provider's
match will be made in the form of cash and /or inkind resources. At the end of the
contract period, all Community Care for the Elderly funds expended must be properly
matched.
2. State Laws and Regulations
a. The provider agrees to comply with applicable parts of Rule 58C -1, Florida
Administrative Code promulgated for administration of Sections 430.201
through 430.207, Florida Statutes and the Department of Elder Affairs
Programs and Services Manual.
b. The provider agrees to comply with the provisions of Sections 97.021 and
97.058, Florida Statutes, and all rules related thereto in the Florida
Administrative Code.
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3. Nonexpendable Property
a. Nonexpendable property is defined as tangible property of a nonconsumable
nature that has an acquisition cost of $500 or more per unit, and an expected
useful life of at least one year; and hardback bound books that are not
circulated to students or the general public, the value or cost of which is $100
or more. Hardback books with a value or cost of $25 or more should be
classified as an OCO expenditure only if they are circulated to students or to
the general public.
b. All such property, purchased under this contract or purchased by the Alliance
and received by the provider shall be listed on the property records of the
provider. Said listing shall include a description of the property, model number,
manufacturer's serial number, funding source, information needed to calculate
the federal and /state share, date of acquisition, unit cost, property inventory
number and information on the location, use and condition, transfer,
replacement or disposition of the property.
c. All such purchased property shall be inventoried annually. An inventory report
will be submitted to the Alliance upon request by the Alliance.
d. Title (ownership) to all nonexpendable property acquired with funds from this
contract or otherwise purchased by the Alliance shall be vested in the Alliance
upon completion or termination of the contract.
e. At no time shall the provider dispose of nonexpendable property except with
the permission of, and in accordance with instructions from the Alliance.
f. A budget amendment is required prior to the purchase of any item of
nonexpendable property not specifically listed in the originally approved budget.
g. Information Technology Resources
The provider must adhere to the Department of Elder Affairs' procedures and
standards when purchasing Information Technology Resources (ITR) as part of
this contract. An ITR worksheet is required for any computer related item
costing $500.00 or more, including data processing hardware, software,
services, supplies, maintenance, training, personnel and facilities. The provider
agrees to secure prior written approval through the contract manager from the
department's Management Systems director for the purchase of any ITR. The
provider will not be reimbursed for any purchases made prior to this written
approval on the ITR worksheet.
4. Reports
The provider agrees to submit an annual report as described in the Department of Elder
Affairs Programs and Services Manual by August 17, 1998.
5. Copyright Clause
Where activities supported by this contract produce original writing, sound recordings,
pictorial reproductions, drawings or other graphic representation and works of any
12
similar nature, the Alliance has the right to use, duplicate and disclose such materials
in whole or part, in any manner, for any purpose whatsoever and to have others acting
on behalf of the Alliance do so.
If the materials so developed are subject to copyright, trademark or patent, then legal
title and every right, interest, claim or demand of any kind in and to any patent,
trademark, copyright, or application for the same, will vest in the State of Florida,
Department of State, for the exclusive use and benefit of the state. Pursuant to
Section 286.021, Florida Statutes, no person, firm or corporation, including parties to
this contract, shall be entitled to use the copyright, patent or trademark without the
prior written consent of the Department of State.
6. Grievance and Appeal Procedures
In accordance with ATTACHMENT IV, Minimum Guideines for Recipient Grievance
Procedures, the provider will have procedures for handling complaints from persons
who complain that service has been denied, terminated or reduced improperly.
7. Investigation of Allegations
Any report that implies criminal intent on the part of a service provider agency and
referred to the state attorney must be sent to the Alliance. The provider must
investigate allegations regarding falsification of client information, service records,
payment requests, and other related information.
8. Signature
All contracts and amendments of the provider with the Alliance must be signed by the
President of the Board of Directors of the provider or any other officer or member of
the board as designated by the Board of Directors.
9. Disaster
In preparation for the threat of an emergency event as defined in the State of Florida
Comprehensive Emergency Management Plan, the Department of Elder Affairs may
exercise authority over an area agency or service provider in order to implement
preparedness activities to improve the safety of the elderly in the threatened area and
to secure area agency and service provider facilities in order to minimize the potential
impact of the event. These actions will be within the existing roles and responsibilities
of the area agency and its service providers.
In the event the President of the United States or the Governor of the State of Florida
declares a disaster or a state of emergency, the Department of Elder Affairs may
exercise authority over an area agency or service provider in order to implement
emergency relief measures and /or activities.
In either of these cases, only the Secretary or Deputy Secretary or his or her designee
of the Department of Elder Affairs shall have such authority to order the
implementation of such measures. All actions directed by the Department under this
section shall be for the purpose of ensuring the health, safety and welfare of the elderly
in the potential disaster area or actual disaster area.
13
10. Computer System Backup and Recovery
Each provider must anticipate and prepare for the loss of information processing
capabilities. The routine backing up of data and software is required to recover from
losses or outages of the computer system. Data and software essential to the
continued operation of agency functions must be backed up. The security controls
over the backup resources shall be as stringent as the protection required of the
primary resources.
11. Information and Referral
The provider will cooperate with the Alliance in the collection and maintenance of an
information and referral data base for the entire planning and service area.
12. Volunteers
The provider will promote the use of volunteers as prescribed in Section 430.07,
Florida Statutes. In addition, the provider will increase the use of volunteers in the
planning and service area by providing training, technical assistance and funding,
where possible.
13. Comprehensive Assessment Review and Evaluation for Long Term Care Services
(CARES) Program
Those persons who are functionally assessed by the Comprehensive Assessment
Review and Evaluation for Long Term Care Services (CARES) Program to be at
imminent risk of nursing home placement and referred to the Community Care for the
Elderly Program will have services started immediately. The Area Agency and lead
agencies must shelter an adequate portion of funds to serve these CARES referrals.
14. Business Hours
Area Agencies and Lead Agencies must at a minimum maintain business hours from
8:00 AM to 5:00 PM daily, Monday through Friday.
15. Medicaid Waiver
The provider will, through the assessment by case managers, identify Medicaid eligible
CCE clients who meet Medicaid Waiver criteria and refer them to CARES and SSI
related Payments (if applicable) for approval for Medicaid Waiver services.
Approximately 44% of the general revenue funds necessary to support approved
clients will be transferred to match the 56% federal funds in order to increase provider
Medicaid Waiver spending authority to serve the clients. The identified funding for this
transfer activity will be reported to the area agency for submission to the department
by October 15 of the fiscal year.
16. Client Information and Registration Tracking System (CIRTS)
a. The Alliance shall employ a Local Area Network (LAN) Administrator who shall
assure Area Agency on Aging compliance with the requirements of the "LAN
administrator Guidelines" adopted by the department. These "Guidelines"
delineate the roles and responsibilities of the Local Area Network Administrator.
14
The Alliance shall assure any other support necessary for full "LAN
Administrator Guidelines" compliance.
b. Area Agencies will ensure the collection and maintenance of Community Care
for the Elderly (CCE) client and service information on a monthly basis from the
Client Information and Registration Tracking System ( CIRTS). Maintenance
includes valid exports and backups of all data and systems according to
department standards.
c. Service Provider Agencies must enter all required data per the Department's
CIRTS Policy Guidelines for CCE clients and services in the CIRTS on a monthly
basis. The data must be entered into the CIRTS before the Service Provider
Agencies submit their request for payment and expenditure reports to the
Alliance. The Alliance shall establish time frames to assure compliance with
due dates for the requests for payment and expenditure reports to the
Department.
d. Service Provider Agencies will run monthly CIRTS reports and verify that client
and service data in the CIRTS is accurate. This report must be submitted to
the Area Agency with the monthly request for payment and expenditure report
and must be reviewed by the Area Agency before the service provider's
request for payment and expenditure reports can be approved by the Area
Agency.
e. Failure to ensure the collection and maintenance of the CIRTS data may result
in the Alliance enacting the "Suspension" clause of this contract (see Section
1I1, D.).
17. Co- payment Collections
a. Upon advancement of funds from the Department of Elder Affairs, the Alliance
will hold back from distribution and payment to providers, an amount equal to
5 percent (5 %) of the total award for the contract year. The amount of funds
so held back shall be released to a provider upon collection by the provider, by
February 15, of 50 percent (50 %) of the total co- payments projected for
collection by the provider for the contract year.
b. Within three business days of February 15, the Alliance will determine which
providers have collected, on or before February 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 February 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
February 15, 50 percent (50 %) of their total annual projected co- payments.
c. The Alliance will certify to the Department, not later than March 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 February 15. Upon
failure of the Alliance to so certify by March 1, the Department will reallocate
such funds among the PSA's for distribution to providers who have collected
at least 50 percent (50 %) of their projected annual co- payments on or before
February 15.
15
H. Name, Mailing and Street Address of Payee:
1. The name (provider name as shown on page 1 of this contract) and mailing address of
the official payee to whom the payment shall be made:
Monroe County Board of Commissioners
5100 College Road - Wing III
Key West, FL 33040
2. The name of the contact person, street address and telephone number where financial
and administrative records are maintained:
Louis LaTorre
5100 College Road - Wing III
Key West, FL 33040
(305) 292 -4420
•
16
I. All Terms and Conditions Included:
This contract and its attachments as referenced,
Attachment I: Financial and Compliance Audits
Attachment II: Advance /Reimbursement Schedule
Attachment III: Special Contract Provisions
Attachment IV: Minimum Guidelines for Recipient Grievance Procedures
contain all the terms and conditions agreed upon by the parties.
IN WITNESS THEREOF, the parties hereto have caused this 23 page contract to be executed by their
undersigned officials as duly authorized.
MONROE COUNTY BOARD ALLIANCE FOR AGING, INC. FOR
PROVIDER:OF COM SSIONERS DADE AND MONROE COUNTIES
SIGNE �•� SIGNED
BY: � �� / og i BY:
NAME: i � v (� S
J�4 NAME: WILLIS N. MURRAY
TITLE: / /9 y D I\ TITLE: PRESIDENT
DATE: O V -/$-17 DATE: e %/
FEDERAL ID NUMBER: 59- 6000749
P - it SCAL YEAR ENDING DATE: 9/30
(SE
a ATTEST: DANNY L. KOLHAGE, CLERK
, BY coral
� '" DEPUTY CLERK
APPROVED AS TO FOR
AND - • L SUFFICE
NNE A H a?
DATE
17
ATTACHMENT
FINANCIAL AND COMPLIANCE AUDITS
This attachment is applicable, if the provider or grantee hereinafter referred to as provider, is any local government entity, nonprofit
organization, or for - profit organization.
PART I: SINGLE AUDIT
This part is applicable if the provider is a local government entity or nonprofit organization and receives a total of $25,000 or more
from the Alliance during its fiscal year. The provider has "received" funds when it has obtained cash from the Alliance or when
it has incurred expenses which will be reimbursed by the Alliance.
The provider agrees to have an annual financial and compliance audit performed by independent auditors in accordance with the
current Government Auditing Standards ( "Yellow Book ") issued by the Comptroller General of the United States. Local
governments shall comply with Office of Management and Budget (OMB) Circular A -128, Audits of State and Local Governments.
Nonprofit providers receiving federal funds passed through the Alliance shall comply with the audit requirements contained in OMB
Circular A -133 , Audits of Institutions of Higher Learning and Other Nonprofit Institutions, except as modified herein. Such audits
shall cover the entire organization for the organization's fiscal year, not to exceed 12 months. The scope of the audit performed
shall include the financial audit requirements of the "Yellow Book ", and must include reports on internal control and compliance.
The audit report shall include a schedule of financial assistance that discloses each state contract by number. An audit performed
by the Auditor General shall satisfy the requirements of this attachment.
Compliance findings related to contracts with the Alliance shall be based on the contract requirements, including any rules,
regulations, or statutes referenced in the contract. Where applicable, the audit report shall include a computation showing whether
or not matching requirements were met. All questioned costs and liabilities due to the Alliance shall be calculated and fully disclosed
in the audit report with reference to the Alliance contract involved. These requirements do not expand the scope of the audit as
prescribed by the "Yellow Book ".
If the provider has received any funds from a grants and aids appropriation, the provider will also submit a compliance reports(s)
in accordance with the rules of the Auditor General, chapter 10.600, and indicate on the schedule of financial assistance which
contracts are funded from state grants and aids appropriations.
Copies of the financial and compliance audit report, management letter, and all other correspondence, if any, related to audits
performed by independent auditors, other than the Auditor General, shall be submitted within 180 days after the end of the
provider's fiscal year, unless otherwise required by Florida Statutes, to the following:
A. John L. Stokesbeny, Contract Manager for the Alliance (Two Copies)
9500 South Dadeland Boulevard, Suite 400
Miami, Florida 33156
B. Submit to this address only those reports prepared in accordance with OMB Circular A -133:
Federal Audit Clearinghouse
U.S. Bureau of the Census
Jeffersonville, Indiana 47132
C. Submit to this address only those reports prepared in accordance with the rules of the Auditor General, chapter 10.600:
Jim Dwyer
Office of the Auditor General
P.O. Box 1735
Tallahassee, Florida 32302
The provider shall ensure that audit working papers are made available to the Alliance, or its designee, upon request for a period
of five years from the date the audit report is issued, unless extended in writing by the Alliance.
DOEA -104A
9/30/92
18
PART II : GRANTS AND AIDS AUDIT /ATTESTATION
This part is applicable if the provider is awarded funds from a grants and aid appropriation, and is either (1) a local government
entity or nonprofit organization receiving a total of Tess than $25,000 from the Alliance during its fiscal year or (2) a for - profit
organization receiving any amount from the Alliance. The provider has "received" funds when it has obtained cash from the Alliance
or when it has incurred expenses which will be reimbursed by the Alliance.
If the amount received from grants and aids appropriation awards exceeds $100,000, the provider agrees to have an audit
performed by an independent certified public accountant and submit a compliance report(s) in accordance with the rules of the
Auditor General, chapter 10.600. The audit report shall include a schedule of financial assistance that discloses each state contract •
by number and indicates which contracts are funded from state grants and aids appropriations.
•
Compliance findings related to contracts with the Alliance shall be based on the contract requirements, including any rules,
regulations, or statutes referenced in the contract. Where applicable, the audit report shall include a computation showing whether
or not matching requirements were met. All questioned costs and liabilities due to the Alliance shall be calculated and fully disclosed
in the audit report with reference to the Alliance contract involved.
If the amount received from grants and aids appropriation awards exceeds $25,000, but does not exceed $100,000, the provider
may have an audit as described above or have a statement prepared by an independent certified public accountant which attests
that the provider has complied with the provisions of all contracts funded by a grants and aids appropriation.
If the amount received from grants and aids appropriation awards does not exceed $25,000, the provider will have the head of the
entity or organization attest, under penalties of perjury, that the organization has complied with the provisions of all contracts
funded by a grants and aids appropriation.
Copies of the audit report and all other correspondence, if any, related to audits performed by the independent auditor, or the
attestation statement, shall be submitted within 180 days after the provider's fiscal year end to the following:
A. John L.Stokesber y, Contract Manager for the Affiance (Two copies)
9500 South Dadeland Boulevard, Suite 400
Miami, Florida 33156
B. Jim Dwyer
Office of the Auditor General
•
P.O. Box 1735
Tallahassee, Florida 32302
The provider shall ensure that audit working papers are made available to the Alliance, or its designee, upon request for a period
of five years from the date the audit report is issued, unless extended in writing by the Alliance.
PART III: NO AUDIT REQUIREMENT
This part is applicable if the provider is not awarded funds from a grants and aids appropriation, and is either (1) a local government
entity or nonprofit organization receiving a total of Tess than $25,000 from the Alliance during its fiscal year or (2) a for - profit
organization receiving any amount from the Alliance. The provider has "received" funds when it has obtained cash from the Alliance
or when it has incurred expenses which will be reimbursed by the Alliance.
The provider has no audit or attestation statement required by this attachment.
DOEA -104B
9/30/92
19
ATTACHMENT 11
CONTRACT REPORT CALENDAR
ADVANCE BASIS CONTRACT
COMMUNITY CARE FOR THE ELDERLY
Submit to
Alliance on
Report This Date
Number Month Based On Date
1 July Advance* July 1
2 August Advance* July 1
3 September July Expenditure Report August 15
4 October August Expenditure Report September 15
5 November September Expenditure Report October 15
6 December October Expenditure Report November 15
7 January November Expenditure Report December 15
8 February December Expenditure Report January 15
9 March January Expenditure Report February 15
10 April February Expenditure Report March 15
11 May March Expenditure Report April 15
12 June April Expenditure Report May 15
13 July Adv. Recon. ** May Expenditure Report June 15
14 Aug. Adv. Recon. * * June Expenditure Report July 15
15 ** Final Request for Payment August 14
16 * * Closeout Report September 29
{
Legend: * Advance based on projected cash need.
** Submission of expenditure reports may or may not generate a payment request. If final
expenditure report reflects funds due back to the Alliance, payment is to accompany the
report. .
Note # 1: Report #1 for Advance Basis Contracts cannot be submitted until the contract with the Alliance
has been executed.
Note # 2: A final request for payment may be submitted to the Alliance by the provider up to 45 days
after the contract has ended.
Note # 3: The last two months of the provider's fiscal reports covering actual expenditures should reflect
an adjustment repaying advances for the first two months of the contract.
20
ATTACHMENT 11I
SPECIAL CONTRACT PROVISIONS
In accordance with prescribed disaster preparedness and response guidelines developed by the Department of Elder
Affairs and /or the Alliance for Aging, all service providers agree to submit to the Alliance on an annual basis, and no
later than March 30th, a disaster preparedness and response plan which will include at a minimum, the following:
a. Activities undertaken to educate clients and the community regarding disaster preparedness and
response, and the needs of the elderly.
b. Activities undertaken to identify the special needs of clients and how these will be met in the event
of a disaster.
c. Activities undertaken to participate with local, municipal and county agencies to assist in the
development of local disaster preparedness and response plans which include the special needs of the
elderly.
d. Specific plans developed for the continuation and /or suspension and resumption of service in the event
of a disaster.
21
ATTACHMENT IV
MINIMUM GUIDELINES FOR RECIPIENT GRIEVANCE PROCEDURES
APPLICABLE TO ALL ACTIONS DEEMED TERMINATIONS, SUSPENSIONS, OR REDUCTIONS IN
SERVICE; TRANSFERS OR DISCHARGES; AND ADVERSE DETERMINATIONS RELATING TO
SCREENING OR ANNUAL REVIEW.
NOTICE OF DECISION OF ACTON TO BE TAKEN AND EXPLANATION OF THE GRIEVANCE PROCEDURE FOR
REVIEWING THAT DECISION
• Notice of decision and an explanation of the grievance procedure must be mailed no less than 30 calendar*
days prior to the date action will be taken. Prior notice is not applicable where the health or safety of the
individual is endangered if action is not taken immediately; however, notice must be made as soon thereafter
as practicable.
• The Notice must contain:
a statement of what action is intended to be taken;
the reasons for the intended action;
the specific law, rule, regulation, or change of law that requires the action;
an explanation of the individual's right to a grievance review if requested in writing and delivered within
14 calendar* days of the Notice postmark (assistance in writing, submitting and delivering the request
must be offered and available to the individual), the individual's right, after a grievance review, for
further appeal, the right to seek redress through the courts if applicable;
an explanation of the circumstances under which current benefits, if any, are continued if a grievance
review is requested, and until a final decision is made to discontinue services; and
a statement that the individual may represent herself or use legal counsel, a relative, a friend, or other
qualified representative in the requested review proceedings.
• All records of the above activities must be preserved and remain confidential.
GRIEVANCE REVIEW PROCEDURE UPON TIMELY RECEIPT OF A WRITTEN REQUEST FOR REVIEW
• Within 7 calendar* days of the receipt of a request for review, the provider must acknowledge receipt of the
request by a written statement delivered to the requester. This statement must also provide notice of:
the time and place scheduled for the review;
the designation of one or more impartial reviewers who have not been involved in the decision at issue;
the opportunity to examine, at a reasonable time before the review, the individual's own case
record, and to a copy of such case record at no cost to the individual;
the opportunity to informally present argument, evidence, or witnesses without undue interference
at a reasonable time before or during the review;
a contact person for any accommodations required under the Americans with Disabilities Act;
assistance, if needed, in order to attend the review; and
the stopping of the intended action until all appeals are exhausted.
• All grievance reviews must be conducted at a reasonable time, date and place by one or more impartial
reviewers who have not been directly involved in the initial determination of the action in question.
• The reviewer(s) must provide written notification to the requester within 7 calendar* days after the grievance
review of:
the decision, stating the reasons therefore in detail;
the effect the decision has on current benefits, if favorable, or the circumstances regarding
continuation of current benefits until all appeals are exhausted;
22
the individual's right to appeal an adverse decision to the Area Agency on Aging by written request
within 7 calendar* days;
the availability of assistance in writing, submitting and delivering the appeal to the appropriate agency;
the opportunity to be represented by herself or by legal counsel, a relative, a friend or other qualified
representative.
PROCEDURE FOR APPEALS OF A GRIEVANCE REVIEW DECISION UPON TIMELY RECEIPT OF A WRITTEN APPEAL
TO THE AREA AGENCY ON AGING
• Within 7 calendar* days of the receipt of a notice of appeal of a grievance review decision, the AAA must
acknowledge receipt of the notice of appeal by a written statement delivered to the appellant. This statement
must also provide notice of:
the time and place scheduled for the appeal;
the designation of one or more impartial AAA officials who have not been involved in the
decision at issue;
the opportunity to examine at a reasonable time before the appeal the individual's own case record -
to date, and to a copy of such case record at no cost to the individual;
the opportunity to informally present argument, evidence, or witnesses without undue interference
during the appeal;
assistance, if needed, in order to attend the appeal; and
the stopping of the intended action until all appeals are exhausted.
• All appeals of grievance reviews must be conducted at a reasonable time, date and place by one or more
impartial AAA officials who have not been directly involved in the initial determination of the action in question.
• The designated AAA official(s) must provide written notification to the requester within 7 calendar* days after
considering the grievance review appeal of:
the decision, stating the reasons therefore in detail;
the effect the decision has on current benefits, if favorable, or the circumstances regarding
continuation of current benefits until all appeals are exhausted;
the individual's right to appeal, if applicable; and
the availability of assistance in requesting a fair hearing, including a notice regarding accommodations
as required by the ADA.
{
Except for Medicaid Waiver actions, the decision of the AAA shall be the final decision. For Medicaid
Waiver actions, the written notification must also provide notice of the indnridual's right to appeal an
adverse decision to the Agency on Health Care Administration (AHCA) for a fair hearing procedure
(Medicaid Waiver actions only).
• All records of the above activities must be preserved and remain confidential.
• In computing any period of time prescribed or allowed by these guidelines, the last day of the period so computed
shall be included unless it is a Saturday, Sunday, or legal holiday, in which event the period shall run until the end of
the next day which is neither a Saturday, Sunday, or legal holiday.
NOTE: ALSO SEE 42 C.F.R. 431.200 -.246 and AHCA Rules 59G- 1.0101851, (981 and 1991, F.A.C., "Fair Hearings.
"Grievance," and "Grievance Procedure."
23