HomeMy WebLinkAbout890152.tiff mEmORAFIDUm
C. W. Kirby, Chairman
IllikTo Board of County Commissioners Date February 8, 1989
COLORADO From WR Executivees Waiter J. Speckman , Eti Director, Human Resources
_-- --___--Purchase of Services Agreements for Area Agency on Aging
Subject: -- _-- _ --_.--.
Enclosed for Board approval are three Home Health Care Agreements.
a. Agreement between the Weld County Area Agency on Aging and
Rehabilitation and Visiting Nurse Association (RVNA) Home Care
Services, Inc. for 2,800 hours of home health aide and homemaker
aide services at $8.20 per hour for direct services,for non-case
management clients, and $5.75 per hour for travel time.
b. Agreement between the Weld County Area Agency on Aging and PVNA
Home Health Care Services, Inc. , for home health aide homemaker
aide service and nursing assessments for case management clients.
AAA will reimburse RVNA $8.20 per hour for direct home health aide
services, $5.75 per hour for travel time and $20.00 per nursing
assessment.
c. Agreement between the Weld County Area Agency on Aging and
Nurse Placement Service, Inc. AAA will reimburse Nurse
Placement $8.20 per hour for direct home health aide service,
$5.75 per hour for travel time and $20.00 per nursing assessment.
Please telephone Linda Piper„ or myself, at 353-3816 if you
have any questions.
891152
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Purchase of Services Agreement
THIS AGREEMENT, made and entered into this 3rd day of January, 1989, by and
between Weld County Area Agency on Aging, Division of Human Resources, Weld County
Government, hereinafter referred to as "AAA," and RVNA Home Care Services, Inc. ,
hereinafter referred to as "RVNA."
WITNESSETH
WHEREAS, AAA develops and administers the Area Plan for a comprehensive and
coordinated system of services, and
WHEREAS, AAA serves as the advocate and focal point for older persons in Weld
County, and
WHEREAS, AAA desires to provide in home services to the frail , at risk
elderly in order to promote maximum independence for these elderly, and
WHEREAS, RVNA is a private, non-profit organization existing for the purpose
of providing home health care services to people of Weld County, and
WHEREAS, AAA desires to purchase home health aide/homemaker aide services
from RVNA.
NOW THEREFORE, it is mutually agreed:
1. AAA will purchase approximately 2,800 units (one unit equals one hour) of
home health aide and homemaker aide services for Weld County elderly in need of
support to remain independent in their own homes.
2. AAA will reimburse RVNA at a cost of $8.20 per hour of direct home health
aide/homemaker aide services to the client.
3. AAA will reimburse RVNA at a cost not to exceed $5.75 per hour for travel
time. (Travel time is defined as travel from home office to client location and
return to home office.. The reimbursement rate will vary and will be contingent
upon the average cost per hour for all home health aides/homemaker aides within
the RVNA agency.
890152
4. RVNA agrees to support the goal of a comprehensive and coordinated system
of services by maintaining regular participation on the Long Term Care
Coordinating Committee.
5. The services of this Agreement are to commence within thirty (30) days
after the signing of this Agreement and shall be undertaken in such sequence as to
assure completion of all services required hereunder by December 31 , 1989.
6. AAA agrees to reimburse RVNA for all eligible project costs up to but not
exceeding the sum of $23,000.00.
7. RVNA agrees to provide a minimum of 10% in-kind or cash match based on
the total award as per the grant proposal .
8. RVNA agrees to document and report any project income received as a
result of services provided under this Agreement.
9. RVNA agrees to develop and utilize an advisory board which meets
regularly and is composed of members who represent the project participants and
Weld County.
10. RVNA agrees to include the following statement in any written materials
(pamphlets, brochures, announcements , etc.) or in any verbal presentations: "MOW
is supported, in part, by funds provided by the Weld County Area Agency on Aging
through the Older Americans Act."
11. RVNA understands that AAA is required to conduct periodic evaluations of
the activities conducted under this Agreement and to monitor on an ongoing basis
the performance of RVNA to insure that the funds made available by this Agreement
are expended in keeping with the purposes for which they were awarded; and RVNA
accordingly agrees to cooperate fully with the AAA in the conduct of such evalu-
ation and monitoring, including the keeping and supplying of such information, and
providing access to documents and records to the AAA for the purpose of audit; and
further agrees to do all things necessary to enable AAA to fulfill its obligation
to the State of Colorado and the United States Government.
890152
12. Any changes , including any increase or decrease in the amount of RVNA
compensation, and including changes in budget allocations which are mutually
agreed upon by and between the AAA and RVNA, shall be incorporated in written
amendments to this Agreement and in appropriate revisions to the grant proposal .
13. RVNA. understands and agrees that the following provisions are part of the
official application and as such become binding upon commencement of the project.
a. Agrees that the project will be carried out in accordance with the
Federal program and fiscal regulations, the policies and procedures established
for grants by the State Agency, and the terms and conditions of the project
application approved by AAA in making this award of funds; specifically, agreeing
to abide by the dollar amounts as shown in the budget by program and cost cate-
gories.
b. Understands that if there is Federal/State cash unearned at the time
the project is terminated, this amount must be returned to the AAA unless the AAA
otherwise stipulates.
c. Understands that the project' s fiscal affairs are subject to audit.
It costs are disallowed, the proportion of Federal/State funds disallowed must be
returned to the AAA.
d. Understands that this award is made for the period and amounts stated
in this Agreement. This Agreement in no way implies further funding which is
contingent upon the availability of funds and approval of future project applica-
tions.
e. Agrees to keep records and make reports on the forms required by the
AAA and in accordance with guidelines issued by the State of Colorado and the
Administration on Aging, specifically:
. To submit a monthly financial and programmatic reports to the AAA
by the 10th of the following month;
890152
• To submit a final financial report within 45 days after the end of
the project year;
▪ To submit other reports to the AAA as requested.
f. Agrees to advise the AAA of needed program and financial changes and
await approval from the AAA prior to change implementation.
14. This Agreement may be terminated upon thirty (30) days written notice by
either party. This Agreement shall be terminated immediately in the event of loss
of funding to the Area Agency on Aging.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the
day first written above.
BOARD OF COUNTY COMMISSIONERS RVNA HOME CARE SERVICES., INC.
OF WELD COUNTY
C. W. Kirby, Chai an Ka edirounds, re'R sident
WELD COUNTY DIVISION OF
HUMAN RESOURCES
/
WpeN" Li. Speckman, Executive Director
AR3E�A/ AGENCY ON AGING
'lc.-
Linda E. Piper, Director
ATTEST: Uj
Weld County Clerk and Recorder
and Clerk to the Board/ �
BY: 7Dep ty ourty Clerk
890152
PURCHASE OF SERVICES AGREEMENT
THIS AGREEMENT, made and entered into this 3rd day of January, 1989, by
and between the Weld County Area Agency on Aging, Division of Human Resources,
Weld County Government, hereinafter referred to as "AAA," and RVNA HOME CAPE
SERVICES, hereinafter referred to as "RVNA."
WITNESSETH:
WHEREAS, AAA is a public, non-profit agency designed to provide
comprehensive case management services for Weld County elderly who are at risk
of losing their ability to remain independent in the community, and
WHEREAS, AAA desires to achieve maximum efficiency and effectiveness among
all agencies serving the high risk elderly, and
WHEREAS, RVNA is a private, non-profit organization existing for the
purpose of providing nursing care, rehabilitation, and home health aide/
homemaker aide services to people of Weld County, and
WHEREAS, AAA and RVNA desire to work together to promote the case
management approach to service delivery for high risk elderly.
NOW, THEREFORE, it is mutually agreed:
1. AAA will purchase services from RVNA for the purpose of providing
home health aide/homemaker aide services to case management clients as such
services are needed to meet the client' s plan of care.
2. AAA will reimburse RVNA at a cost of $8.20 per hour of direct home
health aide/homemaker aide service to the client.
3. AAA will reimburse RVNA $20.00 per physical assessment. The physical
assessment must be completed by an L.P.N . or R.N. RVNA will complete the
physical assessment within three (3) working days of the referral date. The
physical assessment request will be made by the case manager on behalf of the
Case Management client.
890152
4. AAA will reimburse RVNA at a cost not to exceed $5.75 per hour for
travel time. (Travel time is defined as travel from home office to client
location and return to the home office. The reimbursement rate will vary and
will be contingent upon the average cost per hour for all home health
aides/homemaker aides within the RVNA agency. )
5. AAA will review all RVNA requests for case management services to
determine if the client meets the eligibility criteria for such services.
6. AAA will coordinate closely with RVNA in the writing and
implementation of client care plans.
7. AAA will adhere to the core steps of case management which will include
screening, functional assessment, service plan development, service plan
implementation, service plan review and monitoring, and termination planning.
8. RVNA agrees to assist AAA with assessments in cases where preexisting
health assessments do not exist. AAA requests for assessment assistance will
be rotated among three participating home health care agencies in a fair and
equitable manner.
9. RVNA understands that client choice will be respected when care plans
are developed that require home health care services when a preexisting home
health agency is not involved with the client.
10. RVNA agrees to complete a Direct Service Purchasing Request form and
receive approval from the AAA prior to implementation of client services.
11. RVNA agrees to keep records and make reports on forms required by AAA
and in accordance with guidelines issued by the State of Colorado and the
Administration on Aging, specifically: to submit monthly financial
reimbursement request forms to AAA by the 10th of each month.
12. AAA agrees to reimburse RVNA no later than two weeks following the
submittal of the reimbursement request.
890152
13. RVNA understands that AAA is required to conduct periodic evaluation
of the activities conducted under this Agreement and to monitor on an ongoing
basis the performance of RVNA to ensure that quality services are being
provided as directed in the care plan.
14. Any changes, including increases or decreases of amount of compensation
for agreed upon services, shall be incorporated in written amendments to this
Agreement.
15. The project will be carried out in accordance with the federal program and
fiscal regulations, the policies established for grants by the State Agency,
and the terms and conditions of the project application approved by AAA in
making this award of funds, specifically, abiding by the dollar amounts as
shown in the budget by program and cost categories.
16. This Agreement will he in effect through December 31, 1989. This
Agreement may be terminated upon 30 days written notice by either party, and
shall be terminated immediately in the event of loss of funding to AAA.
IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement
as of the day, month, and year first above written.
THE BOARD OF COUNTY COMMISSIONERS RVNA HOME CARE SERVICES, INC.
OF WELD COUNTY, COLORADO
P s r,
t. W. Kirby, Chair an Kay1e G7&Iounds, President
WELD COUNTY DIVISION OF HUMAN t_
RESOURCES /' '! 7" ¶:7
�� \ ATTEST: Weld Ctfunty Clerk and Recorder
Wafer 3 Sbeskman and Clerk to the Boa d
Executive Director
( eputy County I, rk
/ 77. 44 C
Linda E. Piper, Director
Area Agency on Aging 890152 52
PURCHASE OF SERVICE AGREEMENT
THIS AGREEMENT, made and entered into this 3rd day of January, 1989, by
and between the Weld County Area Agency on Aging, Division of Human Resources,
Weld County Government, hereinafter referred to as "AAA," and Nurse Placement
Service, Inc. , hereinafter referred to as "Nurse Placement."
WITNESSETH:
WHEREAS, AAA is a public, non-profit agency designed to provide
comprehensive case management services for Weld County elderly who are at risk
of losing their ability to remain independent in the community, and
WHEREAS, AAA desires to achieve maximum efficiency and effectiveness among
all agencies serving the high risk elderly, and
WHEREAS, Nurse Placement is a private, for profit organization existing
for the purpose of providing nursing care, rehabilitation, and home health
aide/homemaker aide services to people of Weld County, and
WHEREAS, AAA and Nurse Placement desire to work together to promote the
case management approach to service delivery for high risk elderly.
NOW, THEREFORE, it is mutually agreed:
1. AAA will purchase services from Nurse Placement for the purpose of
providing home health aide/homemaker aide services to case management clients
as such services are needed to meet the client's plan of care.
2. AAA will reimburse Nurse Placement at a cost of $8.20 per hour of direct
home health aide/homemaker aide service to the client.
3. AAA will reimburse Nurse Placement $20.00 per physical assessment. The
physical assessment must be completed by an L.P.N. or R.N. Nurse Placement
will complete the physical assessment within three (3) working days of the
referral date. The physical assessment request will be made by the case
manager on behalf of the Case Management client.
890152
4. AAA will reimburse Nurse Placement at a cost not to exceed $5.75 per hour
for travel time. (Travel time is defined as travel from home office to client
location and return to the home office. The reimbursement rate will vary and
will be contingent upon the average cost per hour for all home health
aides/homemaker aides within the Nurse Placement agency. )
5. AAA will review all Nurse Placement requests for case management services
to determine if the client meets the eligibility criteria for such services.
6. AAA will coordinate closely with Nurse Placement in the writing and
implementation of client care plans.
7. AAA will adhere to the core steps of case management which will include
screening, functional assessment, service plan development, service plan
implementation, service plan review and monitoring, and termination planning.
8. Nurse Placement agrees to assist AAA with assessments in cases where
preexisting health assessments do not exist.. AAA requests for assessment
assistance will be rotated among three participating home health care agencies
in a fair and equitable manner.
9. Nurse Placement understands that client choice will be respected when care
plans are developed that require home health care services when a preexisting
home health agency is not involved with the client.
10. Nurse Placement agrees to complete a Direct Service Purchasing Request
form and receive approval from the AAA prior to implementation of client
services.
11. Nurse Placement agrees to keep records and make reports on forms required
by AAA and in accordance with guidelines issued by the State of Colorado and
the Administration on Aging, specifically: to submit monthly financial
reimbursement request forms to AAA by the l.Oth of each month.
12. AAA agrees to reimburse Nurse Placement no later than two weeks following
the submittal of the reimbursement request.
890152
13. Nurse Placement understands that AAA is required to conduct periodic
evaluation of the activities conducted under this Agreement and to monitor on
an ongoing basis the performance of Nurse Placement to ensure that quality
services are being provided as directed in the care plan.
14. Any changes, including increases or decreases of amount of compensation
for agreed upon services, shall be incorporated in written amendments to this
Agreement.
15. The project will be carried out in accordance with the federal program and
fiscal regulations, the policies established for grants by the State Agency,
and the terms and conditions of the project application approved by AAA ir:
making this award of funds, specifically, abiding by the dollar amounts as
shown in the budget by program and cost categories.
16. This Agreement will be in effect through December 31, 1989. This
Agreement may be terminated upon 30 days written notice by either party, and
shall be terminated immediately in the event of loss of funding to AAA.
IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement
as of the day, month, and year first above written.
THE BOARD OF COUNTY COMMISSIONERS NURSE PLACEMENT SERVICE, INC.
OF WELD COUNTY, COLORADO
J�
C. W. it Chair an --Mira ira rig g tTi , cute irector
WELD COUNTY DIVISION OF HUMAN
RESOURCES( �— c-j
ATTEST: Weld C my Clerk and Recorder
a ter J. pec man and Clerk to the Boa
Executive Director
eputy ounty Cl k
7 6
Linda E. Piper, Director
Area Agency on Aging
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