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85-309 WHITE - CITV CLERK PINK - FINANCE G I TY OF SA I NT PA U L Council y/�' /} CANARV - DEPARTMENT File NO. �/� �D/ BLUE - MAYOR 1 . . ncil Resolution Presented By / L �Referred To �'/ /VF}'l�C�� Committee: Date °L�S�J Out of Committee By Date Resolved, that the proper City Officials are hereby authorized and directed to execute an agreement with the County of Ramsey whereby the City will furniah health supervision services to individuals in their homes as requested, with reimbursement forthcoming from said County according to the terms of said agreement, a copy of which is to be kept on file and of record in the Department of Finance and Management Services. COUIVCILMEIV Requested by Department of: Yeas Nays Dr'�� Community Services Masanz [n Favor Nicosfa .,�L' f/�� Scheibel � __ Against BY ---rT(L�f�Z ��w��GC%!c-� Tedesco Wilson FEB 2 8 1965 Form A �o�ea c�ty Atror y Adopted by Council: Date � Certified Y s e Counc' , cretar / BY ` � By' c dlpp y Mavor: Date �_I/iR �t —� A ro by Mayor for S uncil � B PU81.iSttF�D P�y��?� � 1985 . ? � ��-�9 COl�i[JNITY SERVICES DEPARTt�tENT � Gary J. Pechma��rONTACT . 292-7716 PNONE � �� ' Janua 8 1985 DATE ��✓� � rY � (Routing and_ Expl�at�d�i,�S�et� � r , .. Assign Number for Routing Order (Clip All Locations for Mayo�ral �ignat'�r�'�:� '� o� rH-- � � Department Di rector � ��P,ar:�r r<<N, c>,��,�'r�vE� AND MANRG�f�,r.IV7 5��„,*;�. � Ci ty AttOrney p�-��-�� ---- �A�'d 1� �� Director of Management/Ma�yor 4 Finance and Management Services Director C�� A�T�RN� _ 5 City Clerk � � . OF �`�; �t-�.. -�o DEi' �,t�i, :i��i t � � Budget Di rector A�� N��N Gtr�:Etv r ��.Y.�,_�:_� w►hat Will be Achieved by Taking Action on the Attached Materials? (Purpose/Rationale): Resolution to authorize city signatures on a contract between the Division of .Pub�.ic Health and Ramsey County. The Division of Public Health in Saint Paul is not an authorized Home . Health Care Agency. The Division will supply home care supervision under contract with � R.amsey County and will be reimbursed by Ramsey County. Financial , Budgetary and Personnel Impacts Anticipated: . The County will gay the City for services provided each patient at a. rate of 90% of the amount reimbursed to the County. No personnel actions are anticipated. funding Source and Fund Activity Number Charged or Credited: 33244 & 3324$t {�EC��`�Q ,.. . J�wv �� 'I,� Attachments (List and Number all Attachments): ��5�� Cqpy of Agreement and Resolution . � • w DEPARTMENT REVIEW CITY ATTORNEY REVIEW ' � Yes No Council Resolution Required? Resolutian Required? Yes No Yes No Insurance Required? � Insurance Sufficient? Yes Pta �j�- Yes No Insurance Attached? � Revision of October, 1982 (See Reverse Side for 'Instructions) . r . '. � ' • � �� q �i��'.:l "✓d� (1 � • CONTRACT This contract is entered into this day of , ,- by and between Ramsey County Public Health Department, hereinafter re£erred to as County, and the City of Saint Paul, Division of Public Health, hereinafter referred to as City. WHEREAS, the County is certified by the United States Department of Health and Human Services, pursuant to the Health Insurance for the aged, P.L. 89-97, July 30, 1965, codifiec7 in 42 U.S.C.A. Sections 1395-1396 d, commonly known anci hereafter referrec7 to as Medicare, as a home health agency provider of services; and WHEREAS, the County also furnishes health supervision services to individuals and families, and receives payment under Medical Assistance and other public health and welfare programs; and WHEREAS, the City has a health promotion and disease prevention and control prgram which provides health supervision services to individuals at risk of contracting a disease or contributing to the spread of communicable disease, � NOW, TEEREFORE, each of the parties hereto does hereby agree as follows: I. PERIOD OF AGREEMENT This agreement shall become effective January 1, 1985 and shall continue until DECember 31, 1985 or until terminated as provided in Article V, TERMINATION. II. RESPONSIBILITIES OF CITY City will: A. Reep and maintain a qualified staff of certified pub�ic health nurses to perform the services provided for in this contract. B. Furnish health supernision services to individuals in their homes as requested by the Nursing Supervisor of the Division of Public Health of the City of Saint Paul. C. Work under the direction of the Nursing Supervisor to develop a plan for administering or furnishing services. D. Pro�ide the services set forth in Paragraph B above to patients within the scope of the plan developed as forth under Paragraph C above. E. Submit to the County a record of services delivered along with the plan for delivering services by the tenth day of the following. month. 1 - , _ . ��-� 3G l � , F. • Refer to the County clients in need of services on a long term basis or in need of services for an illness or disability. III. RESPONSIBILITIES OF THE COUNTY County will: A. Define the population to receive health supervisor services in the home that will be reimbursed under this agreement. B. Approve the program plans or protocols for the de].ivery of the services to the tarqet population. C. Bill Medical Assistance or other organizations for payment for the services rendered to the irlentified population. D. Coordinate the services rendered with the services of the County in order to provide continuity of care to the target population and limit duplication of services. E. Maintain a record of the plan of care and services rendered. F. Pay City in accord with Article IV, INVOICES AND PAYMENTS, for nursing services furnishecl by the City. IV. INVOICES AND PAYMENTS � A. Invoices for health supervision services shall be submitted to the County by the City on a monthly basis. B. County will pay City for the services provided each patient at a rate of 90$ of the amount reimbursed to the County. C. If payment for services to the County by any third party be refused in total or in part, the unreimbursed portion of the charge shall be the responsibility of the City. V. TERMINATION A. Except as provided in Paragraph B below, this agreement shall not be subject to termination by either party until the expiration of one (1) year from the date of commencement. Either party may terminate this agreement effective at any time after the expiration of said first year and upon giving of at least ninety (90) clays written notice. Charges which have accrued for services rendered shall survive any termination of this agreement. B. If for any reason the provisions of Medical Assistance are changed to the extent that this contract could not be £ulfilled, either party may terminate this contract by giving thirty (30) days written notice to �he other party hereto. 2 • �d� :�r , VI. GENE'RAL PROVISIONS A. This agreement shall be governed by the laws of the State of Minnesota, and constitute the entire agreement for furnishing nursing services between the County and City. � B. Nothing in this agreement shall be construed as Zimiting the right of independent operation of either the County or the City or of the affiliation or contract with any ot�er institution or agency while the agreement is in effect. C. The parties to this agreement intend that the relation between them created by this agreement is that of employer- independent contractor. No Civil Service status or other rights of emplayment will be acguired by virtue of the Contractor's services. From any fees due the City there will be no deductions for any federal income tax or FICA payments, nor for any state income tax, nor for any other known purposes which are associated with an employer- employee relationship unless required bg law. Payment of federal income tax, FTCA payments and state income tax are the responsibility of the City. D. The City will defend, hold harmless and pay on behalf of the County of Ramsey, its officials and employees any demands, claims or suits arising out of the City's premises or �erformance of this contract. Receipt Codes: 33248-3105-000 33244-3104-000 AGREED TO as of the day and year first above written. 3 _ _._ . _ ,__ r _ . . _.,.; _�__.,__._ _ _ _.. . m� _.._....__...._ ,. ...�,__:_.T __..__ . _ � _ _..�.-----4�-�, ..�,..��...�,..�-,.�,,,�.�.:. . . . (;/- (J/ ✓�' 7 COUNTY OF RAMSEY CITY OF SAINT PAUL Approved: - � b Dep rt ent Head ' George atimer, Mayor Approved as to Form: ��X�� - �� Assistant County A orney Department of Finance and �\�-� � Management t,,�,.t� Funds are Available: /985�� Code: '�� -' C9��SO [�s� Department of Community Services By : / 3 8y �, Budget and Account ng . � Assistant Ci y Attorn � Insura A proved: � Risk Manager �y�� Chairman, Board f County Commissioners .�,-'��' ��!� � Chref Cl rk, County Board <�-'j ��/.�/ 4 _ . . . . _ __ . __. _ n_ .__. .__. ..� _�__ .: _ __�___ ,,,_.� _, _. :_.,. . � ,r.: ..... .. .__. �.,,� . . � - . . . � �-�..T.�.OS.tK,�Y•'�.,�G�'_ ��__�:��-�'�-�� I'Z'Y" O� S.�.XN�� .t7� ��.3�'j ' fr� ':.., � . . ::�: _1�,: , , :'`:-.�:_.�' ��.,- ;';=� ��;;il O�I�ICF OT` �l'kZIC CI'�L'X COU\CFL •-.�. • }:. �-:=i� S:' ��_= ',i r•,�� •,\. `'.'! ,'�:�: . ' . ,�.,�-,,, �� D a t e . February 2I, 1985 �>�:�--:. � ... CpMI�/1f�i � E F? c PO � �r . �' 0 ' S � tc�? Pu �1I C ��y Co�.finc;E � �r; Lt�rl = Ct�;;.�r;;�'ie� c�; FI\A.\'CE, bLAti�GE��;T F� PERSO\'ti'EL C�-�A I R J�.'�iES SC�?EIBEL Co^�� `�e-o�-``:e-;�F;oI� - It�^�s I a.z:d ? I. Resolu��on a,-►e::din; Sec�ion 5. D o� t.`:e Civil Se:trics Ruies per�ai.;*.in; to Re�i�s^ce and allowia� S oi::�s o� oni o e � aDpllCc^_Ilt. (Perso Y � �°=�== ed a��oint-e;.t £or e3cn ,� _ nne 1), ,�/.f�Cl �' L�}ll/lC�� `�� Cl�7�Z/ll��Gl/G� 2. Resolution a,:�endir.g Sec�ion 14 0= �e Civil Service Rules per��inin to � pronot_on re.^.�L`S.�a:12:It5.�l,�*r//yU' � � . C�d��'�:% �v/�ta�w� ��^�7r�L��'�l J.;e.; :.Z�II� cu'! a�roo,..e.i� WIi.11 R2.-1SZ': C � • .. . owZty c�he�eby t:�e City will • • . . �i fu�isn �,��uper:�i �,on serv�.ces to individuals in t�e�r homes as re�ues�ed. __ __ (Co:�.-�unz�y Se��Jicas) ��G�G�, 4. Discussion of cont_ ct conDliancs s;:af�ing for. the �u,�an Rign�s De�Q��;,;e:�t. 5. ��7�� G _ ResolLt�on �-;endin� � �_,. bv adding 536,630 to the Fin�ncinP � ��.e 8� oud��* ana to the Spending Plcn for Snecial projects-Data Processin�. '� � pi�' �/, NOT Ov PREPARED AGE\rDA: ��TD!/C�J' Resolution settin� a tax levy on the 1985 bonds sold (see belo�l) and by cop}• of the Resolution this Ievy �aill be certified to the County �uditor. , 1. G.O._ Urban Renewal SEries 1985, �500,000 2. G.O. �Vater Pollution Abatement Series 1985, �2,300,000 s. G.O. Capital Improvement Bonds Series 1985, 5�,I25,000 � . ��J�� CiT�' HALL SLVENTFi F=i.OQf� SAINT T'rlUL, �tt:�\'ESOT:I 551C? •t�,z••�+