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0 <br />A`1TnaM,7r I <br />STATES SENT OF AGREEZ FS <br />The Indian River County Health Unit and the Indian River County Board of County <br />Commissioners agree to the following special conditions as they relate to the <br />provision of primary care services and the implementation of their contract with <br />the Department of'Health and Rehabilitative Services. <br />1. To give priority in service delivery to persons with family incomes below <br />100 percent of the most current federal non-farm poverty guidelines, and <br />to follad the department's eligibility criteria; <br />2. To serve persons below 100 percent of the most current federal non-farm <br />poverty guidelines at no charge; .. <br />3. To establish a sliding fee schedule for determining the level of payment <br />for clients with family incomes between 100 and 200 percent of the most <br />current federal non-farm poverty guidelines if the project plans to serve <br />persons in this income category. Such a fee schedule shall progress in 20 <br />percent increments between 100 and 200 percent; <br />4. To register all primary care clients in the department's client <br />registration system and to issue a "primary care participant" card to all <br />registered clients; <br />5. To provide client specific and aggregate reports as required by the <br />department; <br />6. To follow departmental accounting procedures with respect to the funds <br />awarded in the contract with the department; <br />7. To develop a consolidated or unified record for primary care clients con- <br />sistent with guidelines established by the department; <br />8. To participate in the evaluation of the primary care project under the <br />department's direction as specified in 154.011(2), F.S.; <br />9. To ensure that subcontractors in the primary care project abide by the <br />same conditions as those placed on the provider. <br />10. The Indian River County Board of Commissioners will provide the sum of <br />$84,000 as its contribution to the development and implementation of the <br />Primary Care Program. <br />Itilard D. Be , M.D., Director <br />Indian River C6unty Public Health Unit <br />Don C. Scurlo c, <br />Indian River County Boa of County <br />Commissioners <br />