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278817 WHITE - CITY CLERK w^f-� yy PINK - FINANCE � /�l�,(�' / n COUIICII /l1��9 � CANARY - DEPARTMENT G I T Y O F S A I N T 1 �U L � �v BLUE - MAYOR File N . ncil Resolution Presented By Referred To Committee: Date Out of Committe�"��By Date RESOLVED, that the proper City officials are hereby authorized to execute an Agreement with the County of Ramsey whereby the City will provide health supervision services for the Ramsey County Nursing Service; a copy of said Agreement to be kept on file and of record in the Department of Finance & Management Services. �< COUNCILMEIV Requestgd by Department of: Yeas Nays H t Fletcher Communit $ervices Le " e Levine In Favor Ma ox Masanz M on nowa er N��� - __ Against BY — Tedesco $��ibel Wilson T�� JUN 1 01981 Form pproved by City tt ney Adopted by Council: �ate — 4 CertifiE:d Ya s ounc l . cre BY � By Appr d :Vlavor. Date _ N 1 J ��1 Appro y Mayor for S ' s n t�i Council By r _ _.—� B uBUSH� JUN 1� 1982 -� � � � �� � � . � :������.`� COPJTRACT This contract is entered into this Ist day of January, 1982 by and between Ramsey County Nursing Service, hereinafter referred to as County, and the City of Saint Paul , Division of Health, hereinafter referred to as City. WHEREAS, the County is certified by the United States Denartment of Health, Education and Welfare, pursuant to the Health Insurance for the aqed, P.L. 89-97, July 30, 1965, codified in 42 U.S.C.A. Sections 1395-1396 d, commonly known and hereafter referred 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 program which provides health supervision services to individuals at risk of contracting a disease or contributing to the spread of communicable disease, NOW, THEREFORE, each of the parties hereto does hereby agree as follows: I. PERIOD OF AGREEMENT This agreement shall become effective upon the date identified above and shall continue for one (1) year from the date of corranencement of services hereunder and renewed annually until terminated as provided in Article VI, TERMINATION. II. RESPONSIBTLITIES OF CITY City will : A. Keep and maintain a qualified staff of certified public health nurses to perform the services provided for in this contract. 'a � • -2- ���' r� � ,�, � ..�,���;. 8 B. Furnish health supervision services to individuals in their homes as requested by the PJursing Supervisor of the Division of Public Health of the City of Saint Paul . C. �Jork under the direct�on of the �lursing Supervisor to develop a plan for administering or furnishing services. D. Provide the services set forth in Paragraph B above to patients within the scope of the plan developed as set 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. 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 populattan to receive health supervisian services in the home that arill be reimbursed under this agreement. B. Approve the program plans or protocols for the delivery of the services to the target population. C. Bi11 Medical Assistance or other organizations for payment for the services rendered to the identified 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 furnished by the City. . -3- 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) days written notice. Charges which have accrued for services rendered shall survive any termination af this agreement. B. If for any reason the provisions of Medical Assistance are changed to the extent that this contract could not be fulfilled either party may terminate this contract by giving thirty (30) days written notice to the other party hereto. VI. GENERAL 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 construe� as limiting the right of independent operation of either the County or the City or of the affiliation or contract with any other institution or -4- 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 employment will be acquired 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-emaloyee relationship unless required by law. Payment of federal income tax, FICA 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 performance of this contract. Receipt Codes: 33248-3106-000 33244-3104-000 � �� AGREED TO as of the day and year first above written. �� � �� � COUNTY SEY TY OF S IN U"L :: G � ""\ O `� _e� ` J� � ttU �� ,� Ro t J. Or , Ch irma eorg tim r, ayor � un Board ission Q� c U dm � W o ° Q • Harry E apr�shall ,Chief le k Department of Finance and Management a"` � QA � o�r� ��Y ��� � � Z � � APPROVED AS TO FORM: .�- - _ � '� .� �,, .? � D n of Co n y S i ces LL �-�' � _ _'� f fa �r � G.�-''°. . istant County ttorney -c �s�y � �ie0 � ��� �.� ss�stant i t ttorney - �cg � ' �[���. 1 COPdTRACT This contract is entered into this lst day of Januar , 1982 by and between Ramsey County Nursing Service, hereinafter referred to as County, and the City of Saint Paul , Division of Health, hereinafter referred to as City. WHEREAS, the County is certified by the United States Department of Health, Education and Welfare, pursuant to the Health Insurance for the aqed, P.L. 89-97, July 30, 1965, codified in 42 U.S.C.A. Sections 1395-1396 d, commonly known and hereafter referred 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 program which provides health supervision services to individuals at risk of contracting a disease or contributing to the spread of corr�nunicable disease, ! NOW, THEREFORE, each of the parties hereto does hereby agree as follows: I. . PERIOD OF AGREEMENT This agreement shall become effective upon the date identified above and shall continue for one (1) year from the date of corrmencement of services hereunder and renewed annually until . terminated as provided in Article VI, TERMINATION. II. RESPONSIBILITIES OF CITY City will : A. Keep and maintain a qualified staff of certified public health nurses to perform the services provided for in this contract. - � � -2- 2'�����.�' B. Furnish health supervision services to individuals in their homes as requested by the Nursing Supervisor of the Division of Public Health of the City of Saint Paul . E. Work under the direction of the Nursing Supervisor to develop a plan for administering or furnishing services. D. Provide the services set forth in Paragraph B above to patients within the scope of the plan developed as set 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. 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 wi11 : A. Define the population to receive health supervision services in the home that wi11 be reimbursed under this agreement. B. Approve the program plans or protocols for the delivery of the services to the target population. C. Bill Medical Assistance or other organizations for payment for the services rendered to the identified 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 furnished by the City. ' �Ga� /V�� / . _ _ • . � -3- 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 corr�nencement. 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) days 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 fu7filled either party may terminate this contract by giving thirty (30) days written notice to the other party hereto. VI. GENERAL 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. 6. Nothing in this agreement shall be construed as limiting the right of independent operation of either the County or the City or of the affiliation or contract with any other institution or . � . . . 2'����,.'� -4- agency while the agreement is in effect. G. 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 employment will be acquired 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 by law. Payment of federal income tax, FICA 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 performance � � of this contract. � C � r� Receipt Codes: 33248-3106-000 �� � 33244-3104-000 � � � � �, AGREED TO as of the day and year first above written. � a� 0o i �� ¢o� o COUNTY EY CITY OF SAINT U � Qm�` � f ` W� � ob rt . Ort hai a e L mer, ayor Q�� � C Board of 's ioners ��`� .� Z -a � Harry E arsha l ,Chief Cle k Department of Finance and Management � �; � ,-.a '�/�'1 s��8'y' APPROVED AS TO FORM: �iYw�. Depa t o orr�nu i y S i ces sistant County ttor � ��_-� ssistant ity ttorney M ��.......� K / � . ` � . �I'���� CONTRACT This contract is entered into this Ist day of January, 1982 by and between Ramsey County Nursing Service, hereinafter referred to as County, and the City of Saint Paul , Division of Health, hereinafter referred to as City. WHEREAS, the County is certified by the United States De�artment of Health, Education and Welfare, pursuant to the Health Insurance for the aqed, P.L. 89-97, July 30, 1965, codified in 42 U.S.C.A. Sections 1395-1396 d, commonly known and hereafter referred 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 1�1HEREAS, the City has a health promotion and disease prevention and control program which provides hea7th supervision services to individuals at risk of contracting a disease or contributing to the spread of communicable disease, NOW, THEREFORE, each of the parties hereto does hereby agree as follows: I. PERIOD OF AGREEMENT This agreement shall become effective upon the date identified above and shall continue for one (1) year from the date of corrIInencement of services hereunder and renewed annually until . terminated as provided in Article VI, TERMINATION. II. RESPONSIBILITIES OF CITY City will : A. Keep and maintain a qualified staff of certified public health nurses to perform the services provided for in this contract. � . � � � -2- ���C�`��.� B. Furnish health supervision services to individuals in their homes as requested by the Nursing Supervisor of the Division of Public Health of the City of Saint Paul . E. Work under the direction of the �Jursing Supervisor to develop a plan for administering or furnishing services. D. Provide the services set forth in Paragraph B above to patients within the scope of the plan developed as set 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. 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 Count� will : A. Define the population to receive health supervision services in the home that wi11 be reimbursed under this agreement. B. Approve the program plans or protocols for the delivery of the services to the target population. C. Bill Medical Assistance or other organizations for payment for the services rendered to the identified 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, INYOICES AND PAYMENTS, for nursing services furnished by the City. ��U��. ! . . • ' -3- 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 far 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 unti7 the expiration of one (1) year from the date of corr�nencement. 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) days 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 fulfilled either party may terminate this contract by givinq thirty (30) days written notice to the other party hereto. VI. GENERAL 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. 6. Nothing in this agreement shall be construed as limiting the right of independent operation of either the County or the City or of the affiliation or contract with any other institution or `a , ' . ' • ���C_p.v�..� -4- ' agency while the agreement is in effect. G. 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 employment will be acquired 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-emoloyee relationship unless required by law. Payment of federal income tax, FICA 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 performance � of this contract. F � �6 Receipt Codes: 33248-3106-000 �`� � 33244-3104-000 '� �o� \ AGREED TO as of the day and year first above written. w� °'� °° g � c COUNTY EY CITY OF SAINT L � ��� � a�' � ob rt . Orth ai man e ge imer, ayor �m� �� C t Board f i ssi o s ��, c ai Z °� � Harry arshall ,Ch�e C erk Department of Finance and Management L= � �� �� �.�—y� ���3— APPROVED AS j.0 FORM: � �_ e t f o nity Servi s � UR NCE APp By ssistant County ttorney � �M LL .—�-� �� ssi stant i t ttorney Risk Manager , • „ , FXPLANAtiON OF ADMiNi�TRATIVE ORDERS, dM �81: 12 1975 : TI 5 AND ORd1NA1�CES Rev.: 9�/76 RESOLU ON j � Rev.: 5�"f/80 , _ , Rev.. 4/'30j81 . , , ���$�� .. ' . . REGE11/�D : Date: May 26, 1�82 J 1�'� � REC� MAY 2 81982 ' MAY 2 s 1952 CITY ATTO�NEY . TO: Mayor Geofige Lati e �' ; iVIAYOR�OFFICE FROM: Thomas J. �e)ley, D rec r,. Depariment of Community Services , _ ; , RE: Agreement �rvith the County of Ramsey . A�TIOPI REQUESTE�: Execut'rve a�prova) c�nd signature : PIJi�PQS� AND RAT�ONALE FOR THIS ACTIDN: � ` The Divisio� of Public Heaith is not certifisd as a home health ag�cy by the.Deparhr+ent � of Health ahd Human Services, whereas the Ramsey Co�nty Nursing Service. is. 1'n .arder for the Div�sion b collect for health supervision services, the RC Nursing `Service':must bill AAedical As�istance for those 'services provided by Division staff. Wlten the County receives` reimburseme�t from Medical Assistance, it forwarc� the Division's share. This crrar�gement hds existed `for sev�ral years. It encbles the Division to bett�er utili:zg nursir►g sfidff arrd fio :' ' receive pa�nent for some services that w�uld have b�en provide�d a�tyway. . ; . _ �1NAIdClAL IMPAC�: ,� < : The Divisior� will r�p�ive 9Q percent of the Medical Assistan�ce reimlaurs�n�nt received by th� Nuning�Service for servic�s provided by Division sfiaff. No-addition,al stdff�witl be required to �ulfil( this Agreement. ` ATTAeHMENTS; ' Agreement -�` 3 copies Counci f R�.s�lution , i .