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06/10/1998 t MEMORANDUM OF AGREEMENT BETWEEN THE ALLIANCE FOR AGING, INC. AND Monroe County Board of Commissioners PERTAINING TO MEDICAID WAIVER PROGRAM SPENDING AUTHORITY FOR SFY 98 -99 This Memorandum of Agreement outlines the Medicaid Waiver spending authority for Monroe County Board of Commissioners, hereinafter referred to as the "Provider ", for SFY 98 -99 and details the responsibilities and the expectations associated with this authority. 1. The Alliance For Aging has developed an allocation of Medicaid Waiver spending authority to each County within Planning and Service Area (PSA) 11 using a base amount equal to the 1997 -98 Spending Authority held by each provider, and by distribution of program Appropriations Act increases /decreases based on each County's proportion of the Medicaid eligible 60+ population. 2. The SFY 98 -99 Medicaid Waiver spending authority for the Provider is $204,574.00, (See Exhibit A). The Provider must not exceed allocated spending authority limits. The Provider is responsible for continued monitoring of providers with which they hold subcontracts /service agreements, hereinafter referred to as "subcontractors ", to facilitate compliance with this requirement. Failure of the Provider to remain within allocated spending authority limits will jeopardize future legislative program appropriations and may result in economic sanctions or provider dis- enrollment as a Medicaid Waiver Program provider. 3. The Provider will execute an agreement similar to this agreement with their subcontracted service provider agencies which outlines the subcontractors' responsibility to carefully follow clients' care plans /service authorizations and adhere to program limits. 4. The Provider will have to control subcontractor billings through care plans so that subcontracted providers do not over spend budget allocations. The Provider will have to monitor subcontractor billings to ensure care plans are adhered to. 5. The Alliance For Aging's Medicaid Waiver Specialist will work with the Provider to assure persons billed for are in fact on the master list, and otherwise monitor the master list for problems that could contribute to the Provider exceecein ° m r a-n spending authority. ° L. r ors° C — ''t o c ' •C' O :L7 r) r m = n n - • C r*t - MEMORANDUM OF AGREEMENT Page Two Monroe County Board of Commissioners & The Alliance For Aging 6. Medicaid will furnish client data monthly on paid provider claims. The Department of Elder Affairs will sort the data by PSA and forward management reports to Medicaid Waiver Specialists who will then utilize this data in working with providers. These reports will be helpful in identifying program spending patterns among waiver providers and will assist in the managing of program budgets. 7. Provider will submit Service Achievement Reports to Medicaid Waiver Specialist monthly. 8. The Department of Elder Affairs may provide an opportunity in October, 1998 for providers to reassess their caseloads for possible additional shifts of CCE funding to the Medicaid Waiver Program. Action on this issue will be dependent upon PSA client needs, the Department of Elder Affairs, the Alliance for Aging Board of Directors, and Legislative Appropriations Committee's concurrence. This Memorandum of Agreement will be in effect for the period July 1, 1998 through June 30, 1999 or until otherwise revised or terminated. PROVIDER: MONROE COUNTY ALLIANCE FOR AGING, INC. BOARD OF COMMISSIONERS (SEAL) ATTEST: DANNY L KOLHAGE, CLERK BOARD PRESIDENT OR BY AUTHORIZED DESIGNEE DE CL SIGNED SIGNED 0 BY: ��� ZC.. BY: N ' E: 1-- G%N NAME: Willis N. Murray TITLE: NI / !t -- TITLE: President APPROVED AS TO FORM / AND GAL SUFFI 1 Y DATE: Q l6 /�/ DATE: 6 rANNE U TTc . DATE ��Y-92 , . FEDERAL ID NUMBER: 59- 6000749 PROVIDER FISCAL YEAR ENDING DATE: 9/30 2 « ` F k r k k ■ z n N N 40 a ttl 0 u - irt & © co ° ® 2 # # e o ■ ■ 0 § 2c� • '0 2 5 1 } � 2c ° N 0) C 0 2 & 0 e e cn co al \��k { CO = 2 2 0 m o ki> CO e o ■ § a 03 z o c CT) I- v- o N J lo Cn 1 0 0 k a) )7 e ■ - - c 0 k } ICI ©■ ® I - e o ■ $ U LL w a .5 e # ' a) o c o 0 o + r 0 o 0 1- r, 2 N C k O o 4 R m c = ir) CO 0 2 2 2 & ) p • oi J La cc 0 I- ® 4> # k = k 0 _1 * ® p) .0 0 0 LL « � - § /0) § t. c 9 -0cto — co c o r o U w Q Tr 0 N N 2$ - § < 2 2 7 q 2 % Q _j g q q �2k2 .4 v C) N �$ - � N < 3 $ 2 % k a 2 v ! w ! o o � §Q # n k N k k 2 Ill @ LO c ® # $� • 01 2 ■5c et Tt e e e2 M 2 e 2 0 =§ o z k q 2 co N N N N 2 LU 2 } o = o _ { ca f q -0 �� r o N 0 co CD CO 03 -4 co N/ Jj ca « # ( 0 n 2 § « _ _ # 2 2 @ Q cc k k © i . 0 4 B La § >- � w 0 \ §� w w « ca to "0 w 0 = 0 0 W CC = 0 Z o o 7.1 } 0 � � 0 4 « P 13 §.c o 4 0 c 2 % 2 c 0 o 2. 2 0. $ 0 0 w 4- @ k « Q o G % = e 0 et B 5 § 5 w -I 0. - * ( (