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1st Amendment 02/18/2004 DANNY L. KOLHAGE CLERK OF THE CIRCUIT COURT DATE: February 23, 2004 TO: Louis Latorre, Director Social Services Division ATTN: FROM: Dotti Albury Pamela G. Hanc~ Deputy Clerk V At the February 18, 2004, Board of County Commissioner's Meeting the Board granted approval and authorized execution of Amendment 0001 to Contract KG047, Community Care for Disabled Adults (CCDA) between the State of Florida, Department of Children and Families and the Monroe County Board of County Commissioners (Monroe County Social Services/In-Home Services Program) for Fiscal Year July 1,2003 through June 30, 2004. Enclosed are four duplicate originals, executed on behalf of Monroe County, for your handling. Please be sure to return the fully executed "Monroe County Clerk's Office Original" and the "Monroe County Finance Department's Original" as soon as possible. Should you have any questions please do not hesitate to contact this office. cc: County Administrator w/o document County Attorney Finance File / O!!~rY Ao~~~E (305) 294-4641 ("~'--- BOARD OF COUNTY COMMISSIONERS MAYOR Murray E. Nelson, District 5 Mayor Pro Tern David P. Rice, District 4 Dixie M. Spehar, District 1 George Neugent, District 2 Charles "Sonny" McCoy, District 3 . MEMORANDUM DATE: Belle DeSantis and/ or Pam Hancock, Deputy Clerk(s), Clerk of the Circuit Court Dotti Albury, Administrative Assistant, In-Home servic~ 3/12/2004 TO: FROM: RE: Amendment #0001 to Contract #KG047 On February 18, 2004 the Board of County Commissioner's granted approval and authorized execution of Amendment #0001 to Contract #KG047 (7/1/03 - 6/30/04) between the State of Florida Department of Children & Families and the Monroe County Board of County Commissioners/Monroe County Social Services to change the contract amount from $91,713.00 to $ 83,599.00 at a reduction of $8,114.00. Enclosed are two (2) fully executed originals of Amendment #0001 of contract KG047 between the Florida Department of Children And Families, and Monroe County. The "Monroe County Clerk's Original" and the "Monroe County Finance Division's Original". Thank you for your help, it is appreciated. Cc: Deloris Simpson, Senior Administrator, In-Home Services Enclosures l\\~4'1!'ll~ C@q~ ap,~'r. $)ffl~ Onmnal CONTRACT #KG047 AMENDMENT #0001 THIS AMENDMENT, entered into between the Florida Department of Children and Families, hereinafter referred to as the "department" , and Monroe County (Monroe County In Home Services), hereinafter referred to as the "provider", amends contract KG047. I. Standard Contract, Section II, Paragraph A is hereby amended to read: To pay for contracted services according to the terms and conditions of this contract in an amount not to exceed $83,599.00, subject to the availability of funds. The State of Florida's performance and obligation to pay under this contract is contingent upon an annual appropriation by the Legislature. Any costs or services paid for under any other contract for from any other source are not eligible for payment under this contract. 2. Attachment I, Section C, Paragraph I.a., l.b and I.c. are hereby amended to read: a. This is a fixed price (unit cost) contract. The department shall pay the provider for the delivery of service units provided in accordance with the terms of this contract for a total dollar amount not to exceed $83,599.00, subject to the availability of funds. b. The department shall make payments to the provider for provision of services up to the maximum number of units of service at the rates shown below: Service Units U nit Price Maximum # of Units Case Management $47.73 220 Personal Care $51.11 278 Homemaking $27.1 I 1,241 Home Delivered Meals $ 6.97 4,786 c. The provider's dollar match for this contract is $9,288.78. Case management and transportation services may be exempt from match requirement at the discretion of each district. 3. Attachment I, Section C, Paragraph 4 is hereby added: 4. Medicaid Billing The department and the provider specifically agree and acknowledge that the Medicaid program is the payor of last resort, and (I) in no event shall the provider bill the Medicaid program for services or expenses for Medicaid recipients for which the provider has already been paid by any other liable third party, and (2) provider services covered under the Florida Medicaid program for Medicaid recipients may be billed to the Medicaid program by the provider, unless the provider is already being paid by any other liable third party, and (3) authorized provider services to non-Medicaid recipients, or for non-Medicaid covered services, may only be billed to the department or any other non-Medicaid first or third party payor, and (4) the provider shall identify and report Medicaid earnings separate from all other fees, and (5) Medicaid earnings cannot be used as local match, and (6) the provider shall ensure that Medicaid payments are accounted for in compliance with federal regulations, and (7) in no event shall both Medicaid and the department be billed for the same service. 4. This amendment shall begin on March I, 2004, or the date on which the amendment has been signed by both parties, whichever is later. 5. All provisions in the contract and any attachments thereto in conflict with this amendment shall be and are hereby changed to conform with the amendment. 6. All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract. 7. This amendment and all its attachments are hereby made a part of this contract. IN WITNESS WHEREOF, the parties hereto have caused this 2 page amendment to be executed by their officials thereunto duly authorized. TITLE: Ma or PROVIDER: MONROE COUNTY (Monroe County In Home Services) SIGN~ BY: ~ <:.- NAM~: M rra E. Nelson DATE February 18, 2004 FEDERAL ID NUMBER: 590600074902 UZA E . HUTTON ASS1STAN1iOU~'; TTORNEY DatL ~ ~, FLORIDA DEPARTMENT OFC~S SIGN BY: NAME: r-...;) = = ..J::'" :) '. - "" TITLE: Charles M. Hoo@IIr-, 2' .l> r- ::::0...,2 ,." District AdminiSi~ J: :- 0 ~ ~ a~~~ U1 g -:("')~ :ii ::0 ~ :-1'~:: !Tl \"U'~"-,".'."', ",'" 'J ~;>l" U1 ,c,:J, ".,~.;,_,-'.",,',.. L'.j~::~'.Gli:;U"1 ft ':"2 .'1.:.,;... .......... .~. .jt.. .'J ~ ~~._.~..~ (J;\1 ':) DATE