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Item C32 flQA--- Louis LaTorre, Senior Director Social Services/tabt Revised 2/95 BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY , ~ " MEETING DATE: 5/17-18/00 DIVISION: COMMUNITY SERVICES BULK ITEM: YES _X_ NO DEPARTMENT: SOCIAL SERVICES AGENDA ITEM WORDING: APPROVAL OF AMENDMENT 003 TO 99-00 COMMUNITY CARE FOR THE ELDERLY CONTRACT #KG-971 BETWEEN THE ALLIANCE FOR AGING, INC., THE AREA AGENCY ON AGING FOR PLANNING AND SERVICES AREA 11 AND MONROE COUNTY BOARD OF COUNTY COMMISSIONERSI MONROE COUNTY SOCIAL SERVICES (MONROE COUNTY IN HOME SERVICE PROGRAM, THE CASE MANAGEMENT AGENCY). ITEM BACKGROUND: The purpose of this amendment is to change the contract clauses to extend the contract period, to replace Attachment II, decrease the total contract amount by $9,620.00 and adjust (increase and/or reduce) the Unit of Service goals for the individual services provided under this contract. PREVIOUS RELEVANT BOCC ACTION: Approved STAFF RECOMMENDATION: APPROVAL TOTAL COST: $554,538.00 BUDGETED: YES X NO COST TO COUNTY: $-0- REVENUE PRODUCING: YES_ NOx.. AMT.PER MONTH YEAR APPROVED BY: COUNTY ATTY.l NAGEMENT ...x DIVISION DIRECTOR APPROVAL: DOCUMENT A TlON: INCLUDED TO FOLLOW _,-'-__ NO .,. DISPOSITION: AGENDA ITEM#: AGENDA.DOC TABT '-<;; ?tt '/, "v. MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CONTRACT SUMMARY Contract #KG-97I AMENDMENT 003 Contract with:Alliance For Aging, Inc. Effective Date:July L 1999 Expiration Date:June 30, 2000 Contract Purpose/Description:Approval of Amendment 003 to 99-00 Community Care For The Elderly Contract #KG-971 to change the contract clauses to extend the contract period, to replace Attachment II, decrease the total contract amount by $9,620.00 and adjust (increase and/or decrease) the Unit of Service goals for the individual services jprovided under this contract. "V Contract Manager:Louis La Torre/tab! lAs72 (N ame) fl (Ext.) Social Services (Department) for BOCC meeting on 5/17-18/00 Agenda Deadline: 05103/00 CONTRACT COSTS Total Dollar Value of Contract: $554,538.00 Current Year Portion: $NIA Budgeted? Yes~ No 0 Account Codes: _-_ __-_ Grant: $554,538.00 NA-_-_-_ County Match: $-0- NA-_-_-_ NA-_-_-_ ADDITIONAL COSTS Estimated Ongoing Costs: $_/yr For: (Not included in dollar value above) (eg. maintenance, utilities, janitorial, salaries, etc.) CONTRACT REVIEW Changes tfltd2 Date Out Date In Needed _ /" Re:\/:'" ,: Division Director S/3/0U YesD NaGY' ,it s I slw oM.BlPuI.trng S/4/ YesDNo0 >4tl~ ~t<tcc 5/(uo County Attorney s/lf/iY7; Yes~~ .s:l{-O(J ~s A~:if3. · j .$J ~ (J/2// . ~. ~Z/. U ~~~3 ~ ~~~ Amendment 003 CONTRACT KG 971 PAGE 1 THIS AMENDMENT, entered into between the Alliance for Aging, Inc. hereinafter referred to as the "Alliance", and Monroe County Board of Commissioners, hereinafter referred to as the "Provider", amends contract KG 971. The purpose of this amendment is to change contract clauses to extend the contract period, to replace Attachment II, and to decrease the total contract amount by $9,620. 1. Section I.C. is hereby amended to read: c. Final Request for Payment 1. The provider must submit the final request for payment to the Alliance no later than September 15; if the provider fails to do 50, all right to payment is forfeited, and the Alliance will not honor any requests submitted after the aforesaid time period. 2. If the contract is terminated prior to the contract end date of September 30, 2000, then the provider must submit the final request for payment to the Alliance no more than 45 days after the contract is terminated; if the provider fails to do 50, all right to payment is forfeited, and the Alliance will not honor any requests submitted after the aforesaid time period. 2. Section II, Contract Amount, is hereby amended to read: To pay for contracted services according to the conditions of Attachment I in an amount not to exceed $554,538 subject to the availability of funds. 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. The schedule of funds awarded to the provider pursuant to this contract is in state grants and aids appropriations and consists of the following: Program Title Year Funding Source CFDA# Fund Amounts Community Care 1999 General Revenue N/A $554,538 for the Elderly TOTAL FUNDS CONTAINED IN THIS CONTRACT: $554,538 Amendment 003 CONTRACT KG 971 PAGE 2 3. Attachment I, Section II, Paragraph E, Method of Payment, is hereby amended to read: 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 client hour $38.9197 3,609 $140,461 Homemaker 1 hour $20.2575 7,594 $153,835 Personal Care 1 hour $23.1840 5,583 $129,436 Respite 1 hour $17.5197 3,607 $ 63,194 Chore 1 hour $27.1939 2,408 $ 65,483 Other TBA TBA $ 2,129 4. Section III.A. is hereby amended to read: A. Effective Date: 1. This contract shall begin on July 1, 1999 or on the date the contract has been signed by both parties, whichever is later. 2. This contract shall end on September 30,2000. 5. Attachment I, Section III, Paragraph D., is hereby amended to read: D. Contract Amendments 1. The provider agrees to implement the distribution of funds as detailed in the Service Provider Application and the budget summary. Any changes in the contract amount or between case management and services require a contract amendment. 2. This contract is for services provided during the 1999/2000 State Fiscal Year beginning July 1, 1999 through June 30, 2000, however, the contract is in effect through September 30, 2000 in order to provide for maximization of resources and to allow for greater flexibility to pay for the services rendered by June 30, 2000. Services provided after June 30, 2000 cannot be reimbursed under this contract. 3. The provider will submit a draft closeout report by August 15, 2000. Any contract amendments after August 15, 2000 determined necessary by the Alliance will be based on the draft closeout reports. Amendment 003 CONTRACT KG 971 PAGE 3 4. The final expenditure report and request for payment will be due to the Alliance no later than September 15, 2000. No expenditure reports or requests for payment will be accepted after September 15, 2000. 6. Attachment 1/, Contract Report Calendar is hereby deleted and replaced with the revised Contract Report Calender, attached hereto. 7. This amendment shall begin on the date on which the amendment has been signed by both parties. All provisions in the contract and any attachments thereto in conflict with this amendment shall be and are hereby changed to conform with this amendment. All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract are hereby amended to conform with this amendment. This amendment and all its attachments are hereby made a part of the contract. Amendment 003 CONTRACT KG 971 PAGE 4 IN WITNESS WHEREOF, the parties hereto have caused this 5 page amendment to be executed by their undersigned officials as duly authorized. PROVIDER: MONROE COUNTY BOARD ALLIANCE FOR AGING, INC. OF COMMISSIONERS FOR DADE AND MONROE COUNTIES SIGNED BY: SIGNED BY: NAME: NAME: MARTY URRA TITLE: TITLE: PRESIDENT DATE: DATE: FEDERAL ID NUMBER: 59-6000749 PROVIDER FISCAL YEAR ENDING DATE: 09/30 Amendment 002 AMENDMENT TO 1999-2000 COMMUNITY CARE FOR THE ELDERLY CONTRACT THIS AMENDMENT, entered into between the Alliance for Aging, Inc. hereinafter referred to as the "Alliance", and Monroe County Board of Commissioners hereinafter referred to as the "Provider", amends contract KG-971. 1. Section II, Contract Amount, is hereby amended to read: To pay for contracted services according to the conditions of Attachrnentl in an amount not to exceed $564,158 subject to the availability of funds. 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. The schedule of funds awarded to the provider pursuant to this contract is in state grants and aids appropriations and consists of the following: Program Title Year Funding Source CFDA# Fund Amounts Community Care 99-00 General Revenue N/A $564,158 for the Elderly TOT AL FUNDS CONTAINED IN THIS $564,158 CONTRACT: 2. Attachment I, Sectioll III, Paragraph E, Method of Payment, is hereby amended to read: 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 Maxim urn Provided Service Rate Units Dollars Case Management 1 client hour $38.9197 3,730 $145,170 Chore 1 hour $27.1939 2,474 $ 67,278 Personal Care 1 hour $23.1840 5,637 $130,688 Respite 1 hour $17.5197 3,200 $ 56,063 Homemaker 1 hour $20.2575 8,038 $162,830 Other TBA TBA TBA $ 2,129 .: ........... ,.- t 3. This amendment shall begin on January 1,2000 or on the date on which the amendment has been signed by both parties, whichever is later. All provisions in the contract and any attachments thereto in conflict with this amendment shall be and are hereby changed to conform with this amendment. All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract are hereby amended to conform with this amendment. This amendment and all its attachments are hereby made a part of the contract. IN WITNESS WHEREOF, the parties hereto have caused this 2 page amendment to be executed by their undersigned officials as duly authorized. PROVIDER: MONROE COUNTY B~r. ?~~OMM~SIONERS SIGNED BY:C,;,;,;' ""'v'../;"~''''''''''''.1~J~~ t/ NAME: ~fr."r Ie V r r~e ma.. n / TITLE: fnq vor / Cha/,rn a. 1'1 , / DATE: O/-/9-(X) DATE: ALLIANCE FOR AGING, INC. SIGNED BY: ~A ~ Martin Urra NAME: RAMONA FRISCHMAN. ED.D TITLE: PRESIDENT 2-23-00 /~~~ (SEAl) ,/ ... - - \ ATrEST:DANNYI "~'H~C"""'.'... (. '....... . .'. . '. .. . ... _ . \ l., ,. ,'~""" \ A I.....f2C~~ ;. (:r~.:. [:,' ...:~~~~ . (- Amendment 001 AMENDMENT TO 1999-2000 COMMUNITY CARE FOR THE ELDERLY CONTRACT THIS AMENDMENT, entered into between the Alliance for Ag,ing, Inc. hereinafter referred to as the "Alliance", and Monroe County Board of Commissioners, hereinafter referred to as the "Provider", amends contract KG-971.. 1 . Section 1/, Contract Amount, is hereby amended to .read: To pay for contracted services according to the conditions of this contract in an amount not to exceed $556,601 subject to the availability of funds. The Alliance's performance and obligation to pay under this contract are 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. 2. Section 1//, Paragraph A.2., is hereby amended to read: This contract shall end on June 30, 2000 3. Attachment /, Section 1/ A, is hereby amended to read: The approved Service Provider Application of Monroe County Board of Commissioners for Community Care for the Elderly funds for July 1, 1999 to June 30, 2000, and any revisions thereto approved by the Alliance and located in the contract manager's file, are incorporated by reference in this contract between the Alliance and the provider, and prescribe the services to be rendered by the provider. 4. Attachment /, Section // B, is hereby amended to read: 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, 1999 to June 30, 2000 of the Monroe County Board of Commissioners and the Department of Elder Affairs Client 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. 5. Attachment /, Section 1//, Paragraph E, is hereby amended to read: 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 client hour $38.9197 3,730 $145,170 Chore 1 client hour $27.1939 2,475 $ 67,305 Homemaker .. 1 client hour $20.2575 7,945 $160,946 Personal Care 1 client hour $23.1840 5,530 $128,208 Respite 1 client hour $17.5197 3,025 $ 52,997 Other Episode TBA TBA $ 1,975 6. Attachment I, Section H, is hereby amended to read: H. Co-payment Collections 1. The Alliance will hold back 5 percent (5%) of the provider contract amount from the Requests for Payment within the first seven mo'nths of the contract year. The amount of funds so held back shall be released to a provider upon collection by the provider, by March 15, of 50 percent (50%) of the total co-payments projected for collection by the provider for the contract year. 2. Within three business days of March 15; the Alliance will determine which providers have collected, on or before March 15, 50 percent (50%) of their total projected arumal 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 March 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 March 15,50 percent (50%) of their total annual projected co-payments. 3. The Alliance will certify to the Department, not later than April 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 March 15. Upon failure of the Alliance to so certify by April1, 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 March 15. 4. Co-payments include only the amounts assessed clients or the amounts clients opt to contribute in lieu of an assessed co-payment. The contribution must be equal to or greater than the assessed co-payment. 7. This amendment shall begin on September 1, 1999 or on the date on which the amendment has been signed by both parties, whichever is later. All provisions in the contract and any attachments thereto in conflict with this amendment shall be and are hereby changed to conform with this amendment. All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract are hereby amended to conform with this amendment. This amendment and all its attachments are hereby made a part of the contract. . -, { IN WITNESS WHEREOF, the parties hereto have caused this 3 page amendment to be executed by their undersigned officials as duly authorized. PROVIDER: Monroe County Board of Commissioners ALLIANCE FOR A.GING, INC. SIGNED BY: \-....... - ~\~.. . - ~~~,.~/~'--~.."'":~\......._. .. IG. NED BY:~. . ui_.. ~. . .- . ,\nrrnf'r"\ (l ~......... J...J '" / h e../"" " " 'a 1-1 arvtf NAME: Ramona Frischman. Ed.D N\ >4yt)e- q/~ /19' / / I NAME: TITLE: TITLE: PRESIDENT DATE: DATE: 9/2 fo r q q 1._'-:'........ VII "t-I.;)UI I - :;':;'-UU 1\iIUI~ L.L.t: contraCt.Wpd I' Pag~~ ~ 07/01/99Contract Number KG971 COMMUNITY CARE FOR THE ELDERLY. . STANDARD-CONTRACT TillS CONTRACT is entered into between the Alliance for Aging~ Inc., hereinafter referred to as the "Alliance", and the Monroe County Board of Corrunissioners. hereinafter referred to as the "provider". This contract is subject~o all provisions contained in the MASTER AGREEMENT executed between the Alliance and the Provider, Agreement No. P A29, and its successor, incorporated herein by reference. The parti!s agree: I. Provider Agrees: A. Services to be Provided: To" plan, develop, and accomplish the services delineated, or otherwise cause the planning, development, and accomplishment of such services and activities, under the conditions specified and in . the. manner prescribed in Attachment]. of this agreement. B. Requirements of Section 287.058, Florida Statutes: These requirements are herein incorporated by reference. C. Final Request for Payment 1. The provider must submit the final request for payment to the Alliance no more than 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 req1leSts 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 theret~ 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. ll. The Alliance Agrees: Contract Amount To 'pay for contracted services according to the coooltions of AttachmentL in an amount not to exceed $278,301 subject to the availability of funds. The Alliance's performance and obligation to pay under this contract is contingent upon an annual appropriation hy the Legislature. The costs of services paid under any other contract or from any other source are not eligible for reimbursement under this contract. The schedule of funds .awarded to the provider pursuant to this contract is in state grants and aids appropriations and consists of the following: - - - ~.. ..,..--.. - ""-VU 1\lIUI~ L.L.t: comracr.wpa I: __ ,'.-, ,. f -Pa9'e'2l ---oJ Program Title Year Funding Source CFDA# Fund Amounts Community Care 1999 General Revenue N/A $278,301 for the Elderly . . TOTAL FUNDS CONTAINED IN'IHlS CONTRACT: $278,301 07/01/99Contract Number KG971 III. Provider and Alliance Mutually Agree: A. Effective Date: 1. This contract shall begin on Julv I. 1999 or on the date the contract has been signed by both parties, .whichever is later. 2. This contract shall end on December 31. 1999. B. Termination and Suspension The causes and remedies fortermination or susPension of this contract shall follow the same procedures as outlined in Section III. B. And Section III. C. of the Master Agreement. C. Notice, Contact, and Payee Information: 1. The name, address, and telephone nUmber of the contract'manager for the Alliance for this contract IS: John L. Stokesberrv Alliance for Aging, Inc. 9500 S. Dadeland Boulevard, Suite 400 Miami, Florida 33156 305-670-6500 2. The name, address, and telephone nwnber of the representative of the provider responsible for administration of the program under this contract is: Louis LaTorre Monroe County Social Services 5100 College Road - Wing III Key West, R. 33040 (305) 292-4420 . 3. In the event 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. . 4. TPe 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: . Ut::t:: vllllfJ::>UII - ::I::I-UU iVlUN CeE contract. wpd ' ~h ~ -:. _ ---- ..-- ...-....- -.-.----=-.--- .( Page 3 1 -..J 07/01/99Contract Number KG971 Monroe County Board of Commissioners 5100 College Road - Wing III Key West, FL 33040 IN WITNESS THEREOF, the parties hereto have caused this 9 page contract to be executed by their - undersigned officials as duly authorized. PROVIDER: MONROE COUNTY BOARD OF COMMISSIONERS ALLIANCE FOR AGING, INC. BOARD PRESIDENT OR AUTHORIZED DESIGNEE SIGNE~~~"~~AN""'" ._____~ BY: . SIGNED BY: KOsmf\\G\ ~(\)l)~ NAME: II )'.\h~ \min~ \toxu~ .TITLE: ~o+- DATE: ~ -d, \- C\ ~ NAME: RAMONA FRISCHMAN, EdD. TITLE: BOARD PRESIDENT DATE: '6./ ~ (q, ~ FEDERAL ID NUMBER: 59-6000749 PROVIDER FISCAL YEAR END DATE: September 30 (SEAL) ATTEST: DANNY l KOLHAGE, ClERK BY ~L.~C . R)L',-=-\U,-,____' . DEPUTY CLERK c- t-:) ....,"'''' .....""t-''''Vll - :;;':;;'-UU IVIUN ~~l= contracLwpa . --. -- - .--..,-._-~ .....-.~_.:-:--_..- ..~.~~ Page 4 . -.; 07/01/99Contract Number KG971 ATTACHMENT! COMMUNITY CARE FOR THE ELDERLY PROGRAM I. STATEMENT OF PURPOSE Community Care for the Elderly Program provides community-based services organized in a continuwn of care to assist aged 60 + elders at risk of nursing home placement to live in the least restrictive environment suitable to their needs. . II. SERVICES TO BE PROVIDED A. Services: The approved Service Provider Application of Monroe County Board of Commissioners for Community Care for the Elderly funds for July I, 1999 to December 31, 1999, and any revisions thereto approved by the Alliance and located in the contract manager's file, are incorporated by reference in this . contract 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, 1999 to December 31, 1999 of the_ Monroe County Board of Commissioners. and the Department of Elder Affairs Client 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. III. METHOD OF PAYMENT . A. This is a fixed rate - advance funding contract. All requests for payment and expenditure reports 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, provided all data elements are in the same format as included on department forms. B. . 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 offunds. I. uee ::JImpson - 88-00 MON eeE ccin!~act:wpa ,.....~-""'..""~ -....--- -~~~~~ .-- Page.'51 -....J 07/01/99Contract Number KG971 C. Advance funds may be temporarily invested by 1be 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. D. 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 prograriunatic reports due from the provider and any adjustments thereto. E. ,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 client hour $38.9197 1,865 $ 72,585 Chore 1 hour $27.1939 1,237.5 $ 33,653 Personal Care 1 hour $23.1840 2,765 $ 64,104 Respite 1 hour $17.5197 1,512.5 $ 26,499 Homemaker 1 hour $20.2575 3,972.5 $ 80,473 Other TBA TBA $ 987 F. Provider will implement a Modified Spending Authority With the exception of Case Management. Provider is to provide services based on clients' service plans and will not be restricted to providing the services as projected: Additional budget revisions/contractamendments will not be required to move funding among these services, with the exception of Case Management. Total Contract Amount cannot be exceeded. IV. SPECIAL PROVISIONS A. Match The provider will assure a match requirement of at least 10 percent of the cost for all services. The subcontract 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. B. .. Program Income Program Income earned may be spent in the same year as earned. Any program income funds not spent may be carried forward into the next fiscal year. Any prior year program income carried forward must be spent in the following year. C.. State Laws and Regulations 1. The provider agrees to comply with applicable parts ofRu1e Chapter 58C-l, Florida Administrative : LJC<:; -..JIII 't-'''VlI - ""-UU IVIUN ceE contract.wpa ..-...- - - - -- ._~ ~ 07/01/99Contract Number KG971 Code promulgated for administration of Sectioos 430.201 through 43(}.207, Florida Statutes, and the Department of Elder Affairs Client Services Manual. 2. 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. D. Reports The provider agrees to submit an annual report as described by the depaltment's Division of Long Tenn Care Policy by August 31,2000. . E. 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 provider lead agencies must shelter an adequate portion of funds to serve these CARES referrals. F. 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. .G. Medicaid Waiver The provider is encouraged, through the assessment by case managers, to 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. The assessment and provision of services ~hould always consider the most cost effective means of service delivery. Approximately 44% of the general revenue funds necessary to support approved client's services will be transferred to match the 56% federal funds in order to increase provider Medicaid Waiver funding to serve the clients. The identified funding for transfer activity will be reported to the Alliance for submission to the department, at least quarterly. H. . Co-payment Collections 1. The Alliance will hold back 3 percent (3%) of the provider contract amount from the Requestsfor Payment within the first five months of the contract year. The amount of funds so held back shall be released to a provider upon collection by the provider, by November 15, of 25 percent (25%) of the total co-payments projected for collection by the provider for the contract year. 2. Within three business days of November 15, the Alliance will determine if the provider collected, '-:.-';'':-. -- -:- "''-'I~ IoJI,.,C COmraCLWpa_ -'-PagezJ 07/0l/99Contract Number KG971 on or before November 15, 25 percent (25%) of their total projected.-annUal co-payments. The Alliance will release to each such provider aU funds so held back from such provider. The Alliance will reallocate all funds held back from the providers if provider fails, by November 15, to collect 25 percent (25%) of their total projected annual co-payments. All such funds held back will be distributed pro rata only to providers who have colIected, by March IS, 50 percent (50%) of their total annual projected co-payments. 3. The Alliance will certify to the Department, that funds held back pursuant to this clause have not . been distributed to the provider if the provider failed to meet its co-payment collection projections by November 15. Upon failure of the Alliance to so' certify by April 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 March 15. 4. Co-payments include only the amOlmts assessed clients or the amounts clients opt to contribute in , lieu of an assessed co-payment. The contribution must be equal to or greater than the assessed .. 'co-payment. 5. In the event this contract is extended to twelve (12) months, ending June 30, this section will be amended to reflect the usual 5% holdback over seven months with the requirement for the provider to have collected 50% by March 15. I. Abuse Neglect and Exploitation The provider Will ensUre that pursuant to Section 430.205(5). Florida Statute, those elderly persons who are determined by adult protective services to be high risk elderly persons in need of services, pursuant to s.415.1045(2)(b), or to be victims of abuse, neglect, or exploitation who are in need of immediate services to prevent further harm and are referred by adult protective services, will be given primary consideration for receiving Community Care for the Elderly Services. As used in this subsection, "primary consideration" means that an assessment and services must commence within 72 hours after r~ferraI to the provider or as established in acrordance with Alliance contracts by local protocols developed between Alliance service providers and adult protective services. J. Outcome Achievement 1. The Alliance will assign the provider legislatively approved outcome measures. ~. Uee ~'mpson - 99-00 MON C'tEcoiitra~Cwpd~'- - -- p~ -- 07/01/99Contract Numbe~ KG971 2. The Alliance will track outcome achievement on ainonthly basi$. Teclmical assistance will be provided to service providers when achievement levels drop 1 % or more from the assigned outcome measures. Corrective action will. be required specifying actions the providers will take to bring achievement levels up to assigned amount if achievement drops 2% or more: 3. The Alliance will monitor implementation of provider strategies toward achieving outcomes as described in the Service Provider Application for Monroe County Board of Commissioners K. Care Plans Care plans will be costed out for each client Projected costs will be provided to fiscal officers to manage resources and compare to actual expenditures for the agency. il ""G", -.JlIlIfJ::>UlI - ~~-UU iVlUN ceE contract.wpd - 07/01/99Contract Number KG981 COMMUNITY CARE FOR THE ELDERLY PROGRAM CONTRACT REPORT CALENDAR ADVANCE BASIS CONTRACT ATTACHMENT II Alliance Submi t to Report On This Number Month Based On Date 1 JUly Advance* July 1 2 ~ugust Advance* July 1 3 September July Expenditure Report August 15 4 October August Expenditure Report September 15 5 Noyember September Expenditure Report October 15 6 December October Expenditure Report November 15 7 January November Expenditure Report. December 15 8 F~bruary 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 .;rune 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 August 29 Legend: * Advance based on proj ected cash need .," _ ** Submission of expenditure reports mayor 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 to the Alliance prior to July 1 or until the contract with the Alliance has been executed. Actual submission of the vouchers to the DOEA is dependent on the accuracy of the expenditure report. 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 I s fiscal reports covering actual expenditures should reflect an adjustment repaying advances for the first two months of the contract.