HomeMy WebLinkAbout920714.tiff RESOLUTION
RE: APPROVE AGREEMENT TO PROVIDE ADMINISTRATIVE SERVICES FOR COLORADO OLD-AGE
PENSIONERS' DENTAL PROGRAM WITH THE RURAL AND PRIMARY HEALTH POLICY AND
PLANNING DIVISION OF THE COLORADO HEALTH DEPARTMENT AND AUTHORIZE CHAIRMAN
TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado,
pursuant to Colorado statute and the Weld County Home Rule Charter, is vested
with the authority of administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Agreement to Provide
Administrative Services for Colorado Old-Age Pensioners' Dental Program between
the Rural and Primary Health Policy and Planning Division of the Colorado Health
Department and the Weld County Department of Social Services, commencing July 1,
1992, and ending June 30, 1993, with the further terms and conditions being as
stated in said agreement, and
WHEREAS, after review, the Board deems it advisable to approve said
agreement, a copy of which is attached hereto and incorporated herein by
reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, ex-officio Board of Social Services, that the Agreement to
Provide Administrative Services for Colorado Old-Age Pensioners' Dental Program
between the Rural and Primary Health Policy and Planning Division of the Colorado
Health Department and the Weld County Department of Social Services be, and
hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is,
authorized to sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 3rd day of August, A.D. , 1992, nunc pro tunc
July 1, 1992.
Ada,a, BOARD OF COUNTY COMMISSIONERS
ATTEST: � � WELD COUNTY, COLORADO
Weld County Clerk to the Board EXCUSED DATE OF SIGNING (AYE)
Geo ge Kennedy, Chairman
BY: f /% � Geo
Deputy Cl rk to the Board onstance L. Harbert, Pro-Tem
APPROVED AS 0 FORM: .":"7/X1-17
/ C. W. Kirb d/
(\ County Attorney Gords
W. H. Webster
k/l /A/�M�IX/d"
920714
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AGREEMENT TO PROVIDE ADMINISTRATIVE SERVICES
FOR COLORADO OLD-AGE PENSIONERS ' DENTAL PROGRAM
THIS AGREEMENT is made and entered into this pc day of
, 1992, by and between the RURAL AND PRIMARY
HEALTH OLICY AND PLANNING DIVISION OF THE COLORADO STATE HEALTH
DEPARTMENT, on behalf of the State of Colorado, whose address is
4210 E. 11th Avenue, Denver, CO 80203, hereinafter referred to as
"State, " and THE COUNTY OF WELD, STATE OF COLORADO, by and on
behalf of the Weld County Department of Social Services, whose
address is 915 Tenth Street, Greeley, CO 80631, hereinafter
referred to as "County. "
WITNESSETH:
WHEREAS, the Colorado State legislature has appropriate
$306,238 . 00 for care and administration of the Colorado Old-Age
Pensioners ' Dental Program for the fiscal year 1992/1993, and
WHEREAS, said appropriations became available July 1, 1992,
and
WHEREAS, State requires assistance in certain areas of the
State of Colorado to receive and process applications and to
determine eligibility of recipients, and
WHEREAS County has the resources and inclination to provide
said assistance in Weld County, Colorado.
NOW, THEREFORE, in consideration of the mutual promises and
covenants contained herein, the parties hereto agree as follows :
1. SERVICES PROVIDED BY COUNTY:
County agrees to provide the following services for the
Colorado Old-Age Pensioners ' Dental Program for the fiscal
year 1992/1993:
A. Receive applications from prospective patients .
B. Determine eligibility of applicants .
C. Assist old-age pensioners in making dental appointments
with dentists who are participating in the program.
D. Assist old-age pensioners in obtaining transportation to
the dental office when necessary.
E. Determine the amount of co-payment to be made by patient.
Page 1 of 3 Pages
920714
F. Assist old-age pensioners in obtaining funds for the co-
payment when indicated.
G. Maintain records of patients, services provided, and
funds incumbered and spent.
H. Provide regular reports to State of persons served,
services rendered, and funds incumbered and spent.
2 . PAYMENT BY STATE:
State agrees to pay County a sum not to exceed $800 . 00 in
consideration of the services provided by County as outlined
in paragraph 1 . , above, in the following manner:
A. County shall submit to State a signed monthly (no less
than quarterly) statement in duplicate, requesting
reimbursement for services . All such statements must be
affirmed by the Dental Health Section of the Colorado
State Health Department that such services were indeed
performed.
B. State shall pay County the sum of $25 per processed form,
not to exceed the total sum for the fiscal year
1992/1993, of $800.00. The form shall be considered
processed upon completion of the patient treatment and
receipt, by the Colorado Department of Health, Dental
Health Section, of the white and green copies of the
Authorization for Service forms signed by the Dental
Committee member, dated and signed by the dentist. In
the event the patient is required to be referred to
additional dentists for consultation and/or treatment,
only the original form processing will be considered for
payment.
C. To be considered for payment, billings for reimbursement
must be received by State within 60 days after the period
for which payment is being requested.
D. In January of each year, as spending patterns are
reviewed in order that all appropriated dollars may be
wisely expended. It is agreed that some portion of the
above allocation may be withdrawn as spending patterns
indicate that there will be money unused during State
fiscal year 1992/1993.
3 . NON-WAIVER OF IMMUNITIES/NO THIRD-PARTY LIABILITY:
No portion of this Agreement shall be deemed to constitute a
waiver of any immunities the parties or their officers may
Page 2 of 3 Pages
920714
possess, nor shall any portion of this Agreement be deemed to
have created a duty of care with respect to any persons not a
party to this Agreement.
WHEREFORE, the art- es hereto have signed this Agreement this
,424.1 day of , � , 1992 .
RURAL AND PRIMARY HEALTH POLICY
AND PLANNING DIVISION OF THE
COLORADO STATE HEALTH
DEPARTMENT, ON BEHALF OF THE
STATE OF COLORADO
By:
Lindy Ne s n, M.PH. , Director
S BSCRIBED AND SWORN to before me this day of
, 1992 .
W1TN .SS my hand and official seal .
(ai:::)/ah-Q -1 C-i 7./� T'.)
Notary Public
Expiration:
THE COUNTY OF WELD, STATE OF
ATTESTi� GGM% COLORADO, BY AND ON BEHALF OF
THE WELD COUNTY DEPARTMENT OF
CLERK TO THE BOARD OF SOCIAL SERVICES
WELD COUNTY COMMI ION'ERS
By: d By:
epu y Cl k - o the Board orge en AlPe airman
°8/o5/ca
APPROVED AS TO SUBSTANCE:
By:
i Gri go, p rec or
W 1 Codnty D artment
o 'Social Services
agree\dental.rmm
Page 3 of 3 Pages
920n4
ROY ROMER T'Iei slebin:
Main.....din Denver
aiQ
Governor (303)322-9076
Ptarmiyv Place,Denver
PATRICIA A.NOLAN,MD,MPH (303)320-1529
Executive Director First National Bank Building,Denver
(303)355-6559
l t Grand hmaion Office
COLORADO
4210 East 11th Avenue (303)248-7198
Denver, Colorado 80220-3716 Pueblo Office
DEPARTMENT Phone(303)320-8333 (719)543-8441
OFAHEALTH
July 24, 1992 D E C tI E
JUL 2 9 1992
Bruce T. Barker
Assistant County Attorney, Weld County ELD COUNTY
PO Box 1948 ATTORNEY'S OFFICE ,
Greeley, CO 80632
BE: Agreement to provide Administrative Services for the
Colorado Old Age Pensioners' Dental Program
Dear Bruce:
My apologies that the modified agreement for the Weld County
Department of Social Services to provide administrative services
for the Colorado Old Age Pensioners' Dental Program was delayed.
It has been reviewed and approved by the Directors of Primary &
Rural Health and Family & Community Health Services.
Additional delay was due to the envelope being inaccurately
addressed. Enclosed is my business card which has the current
address and telephone number. These both will be changing in
October of this year, since the entire Health Department will be
relocating. Changes of address and telephone numbers will be
announced to all participants of Colorado State Health Department
Programs.
It is requested that a copy of this agreement be returned to this
office after signatures are secured for George Kennedy, Chairman;
Judy Griego, Director and the Deputy Clerk to the Board.
If you have any questions, please feel free to contact me.
Cordially
yours,
Darlene Branson
Staff Assistant/OAP, Dental Program
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