Item G16
~~~
Louis LaTorre, Senior Director
Social Services/tabt
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
MEETING DATE: 11/20/02
DIVISION: COMMUNITY SERVICES
BULK ITEM:
YES X
NO
DEPARTMENT: SOCIAL SERVICES
AGENDA ITEM WORDING: Approval of the Renewal of Home and Community Based Services Waiver
Referral Agreement between the Alliance for Aging, Inc. and the Monroe County Board of County
Commissioners (Monroe County Social Services/In Home Serv~ces Program) for Fiscal Year July 1, 2002
through June 30, 2003.
ITEM BACKGROUND: The approval of the Waiver Referral Agreement will enable Monroe County In
Home Services to continue providing Case management services to Monroe County's elderly population under
the Medicaid Waiver Program.
PREVIOUS RELEVANT BOCC ACTION: August 21/22,2002
CONTRACT/AGREEMENT CHANGES: N/A
STAF~' RECOMMENDATION: Approval
TOT AL COST: -0- BUDGETED: YES_ NO X
COST TO COUNTY: -0-
REVENUE PRODUCING: YES
NO_ AMT.PERMONTH
YEAR
APPROVED BY: COUNTY ATTYl OMB/Purchasing l RISK MANAGEMENT -X
DIVISION DIRECTOR APPROVAL:
DOCUMENTATION:
INCLUDED X
TO FOLLOW
DISPOSITION:
AGENDA ITEM#:
NOT REQUIRED
0--}7
Revised 2/27/0 I
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACTSUlVIMARY
Contract with: Alliance for Aging, Inc. Contract #
Effective Date: 7/01/02
Expiration Date: 6/30/03
Contract Purpose/Description:
Approval of the Renewal of Home and Community Based Services Waiver Referral
Agreement between the Alliance for Aging, Inc. and the Monroe County Board of
County Commisssioners (Monroe County Social Services/In Home Services Program)
for Fiscal year July 1,2002 through June 30, 2003
Contract Manager: Deloris Simpson 4589 In-Home Services/Stop 1
(Name) (Ext. ) (Department/Stop #)
for BOCC meeting on 11/20/02 Agenda Deadline: 11/06/02
CONTRACT COSTS
Total Dollar Value of Contract: $ 0
Budgeted? YesO No ~ Account Codes:
Grant: $
County Match: $
Current Year Portion: $ n/a
- - -
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ADDITIONAL COSTS
Estimated Ongoing Costs: $_/yr For:
(Not included in dollar value above) (eg, maintenance, utilities, janitorial, salaries, etc.)
CONTRACT REVIEW
Changes
Dfte In Needed /'
Division Director (0 I bile; YesO Nol2r
Risk Management ~O-Ot8-(l.r-yesO NoG--
O,M.B./Purchasing \o\':26/ClYesO No~ ~
County Attorney IOI2-fI02..YesDNo~ ~
Date Out
Comments:
Otvffi Form Revised 2/27/01 MCP #2
HOME AND COMMUNITY BASED WAIVER
CASE MANAGEMENT REFERRAL AGREEMENT
This Referral Agreement, made this 1st day of July, 2002, between Alliance for Aging, Inc.,
the Area Agency on Aging for Planning and Service Area 11 and Monroe County, a case
management agency. This Referral Agreement is in effect for a period of time that is equal to
the Medicaid waiver provider's enrollment period with the State of Florida's Medicaid fiscal
agent. The purpose of this agreement is to enable eligible elderly participants to receive case
management services from qualified providers with oversight of the quality of care by the
Medicaid Waiver Specialist employed by the Area Agency on Aging. These services are
authorized in order that the participant may remain in the least restrictive setting and avoid or
delay premature nursing home placement. Services and care are to be furnished in a way that
fosters the independence of each participant to facilitate aging in place. All parties agree that
routines of care provision and service delivery must be consumer-driven to the maximum extent
possible. All parties agree to and will treat each participant with dignity and respect.
I. Objectives
A. To maintain a climate of cooperation and consultation with and between agencies, in
order to achieve maximum efficiency and effectiveness.
B. To participate together by means of shared information in the development and expansion
of services.
C. To promote programs and activities designed to prevent the premature institutionalization
of elders and disabled adults.
D. The parties of this Agreement will provide technical assistance and consultation to each
other on matters pertaining to actual service delivery and share appropriate assessment
information and care plans so duplication may not occur.
E. To establish an effective working relationship between the case management agency that
is responsible for the development of care plans and authorization of services available
under the waiver, the service provider that is responsible for the direct provision of those
services to consumers served under the waiver program, and the Area Agency on Aging
that is responsible for management and oversight of the waiver program.
II. Under this Agreement, the Area Agency on Aging agrees to the following:
A. To facilitate the enrollment of providers with the Medicaid Fiscal Agent.
B. To provide technical assistance and training to the case management agencies.
C. To provide on site monitoring of the case management agency at least semi-annually.
D. To monitor and project Provider expenditures to assure spending is maintained within
spending authority.
III. Under this Agreement, the Case Management Agency agrees to the following:
A. Assign qualified case managers as contained in the Aged and Disabled Adult Medicaid
Waiver to provide case management under the Medicaid Home and Community Based
IV. Under this agreement, the following services will be delivered by the Service provider
in accordance with the plan of care or service authorization:
Service Unit Rate CountylRegion Served
A.
B.
C.
D.
E.
V. Termination
In the event this agreement is terminated, the case management agency agrees to submit, at the
time notice of intent to terminate is delivered, a plan which identifies procedures to ensure
services to consumers will not be interrupted or suspended by the termination.
A. Termination at Will
This agreement may be terminated by either party upon no less 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 .
B. Termination Because of Lack of Funds
In the event funds to finance this agreement become unavailable, the area agency may
terminate this agreement upon no less than twenty-four (24) hours notice in writing to the
other party. Said notice shall be delivered by certified mail, return receipt requested, or
in person with proof of delivery. The area agency shall be the final authority as to the
availability of funds.
C. Termination for Breach
Unless a breach is waived by the area agency in writing, or the parties fail to cure the
breach within the time specified by the area agency, the area agency may, by written
notice to the parties, terminate the agreement 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 .
In witness whereof, the parties have caused this 3 page agreement to be executed by their
undersigned officials as duly authorized.
Area Agency on Aging
Case Management Agency
signature
signature
Steven Weisberg. M.S.
print name
President/CEO
print name
title
title
date
date