01/21/2004 Agreement
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
January 29, 2004
TO:
Louis Latorre, Director
Social Services Division
ATTN:
FROM:
Dotti Albury, Administrative Assistant
In-Home Services
Pamela G. Hanc~
Deputy Clerk 0
At the January 21, 2004, Board of County Commissioner's Meeting the Board granted
approval and authorized execution of the following:
Memorandum of Understanding between Monroe County (Monroe County Social
Services/In-Home Services Program) and HoIfiecare Medical Equipment.
.IMemorandum of Understanding between Monroe County (Monroe County Social
Services/In-Home Services Program) and Summitt Home Respiratory Services.
Enclosed are two duplicate originals of each of the above-mentioned for your handling.
Should you have any questions please do not hesitate to contact tbis office.
cc: County Administrator wlo documents
County Attorney
Finance
File ./
MEMORANDUM OF UNDERSTANDING
This Memorandum of Understanding is entered this .2t day of ~I\<...t:t:\.t~ ~
2003, by and between Monroe County (County) and Summitt Home Resp. (Provider).
WHEREAS, Monroe County has entered into a contract with the Alliance for Aging,
Inc. to provide case management services for the Home and Community Based Services
Aged and Disabled Adult Medicaid Waiver and Assisted Living for Frail Elderly Medicaid
Waiver programs; and
WHEREAS, the County is required to develop and implement a plan of care for each
consumer, reevaluate the plan periodically, refer consumers to qualified service providers,
issue written service authorizations to service providers, evaluate the quality of services and
service documentation by the service provider, and monitor service providers for adherence
to authorized care plans and authorized reimbursement rates; and
WHEREAS, County needs assurances from Provider that the Provider will cooperate
with County in its performance of its duties under its case management contract;
NOW THEREFORE, the Parties agree as follows:
1. Provider has been listed by the Alliance for Aging, Inc. on the choice of provider
list.
2. Provider shall accept referrals from County for the Home and Community Based
Service Medicaid Waiver consumers who chooses the Provider for services under
this program.
3. Provider shall supply only those services specifically outlined in the plan of care
and authorized by County.
4. Provider shall adhere to a separate referral agreement between the area Alliance
on Aging for Planning and Service.
5. Provider shall immediately notify County of staffmg shortfalls which will
negatively impact provision of service to Medicaid Waiver consumers.
6. Provider shall make available such reports to the County as are required for the
case management agency in the DOEA Client Services Manual as well as the
Aged/Disabled Adult Waiver Guidelines and the Medicaid Provider
Reimbursement Handbook.
7. County shall adhere to the provisions of the Home and Community Based Waiver
Case Management Referral Agreement between it and the Alliance for Aging, Inc.
8. County shall develop and implement a plan of care for the consumer.
9. County shall refer consumers to any qualified service provider as selected by the
consumer.
10. County shall monitor service provider for adherence to authorized care plans and
authorized reimbursement rates as well as evaluate quality of services and
service documentation by the Provider.
11. Provider covenants and agrees to indemnify and hold harmless Monroe County
Board of County Commissioners from any and all claims for bodily injury
(including death), personal injury, and property damage (including property
owned by Monroe County) and any other losses, damages, and expenses
(including attorney's fees) which arise out of, in connection with, or by reason of
services provided by the Provider or any of its Subcontractor(s) to any .of the
clients whom are referred by County to Provider and which are occasioned by the
negligence, errors, or other wrongful act or omission of the Provider or its
Subcontractors in any tier, their employees, or agents.
12. Should County determine that the Provider is in breach of any of its obligations
under this agreement or failing to provide satisfactory services under a care plan,
County shall notify the Alliance for Aging, Inc. and the Provider of such breach or
deficiency.
WHEREFORE, the parties hereto have caused the above presents to be executed by their
duly authorized representatives.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
BY:~ (~
Mayor
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