Authorized Agencies. 8 A. Agencies authorized to request services pursuant to the Contract are the following: 9 1. The Orange County Sheriff as to Persons described in Subparagraphs IV. A, IV.B, IV.D, 10 and IV.I of this Exhibit A. 11 2. The law enforcement agency which has made an arrest of a Person described in 12 Subparagraph IV.B of this Exhibit A. 13 3. The Orange County Probation Department and the Social Services Agency as to Persons 14 described in Subparagraph IV.C of this Exhibit A. 15 4. The Behavioral Health Care Services Function of the Orange County Health Care Agency 16 as to Persons described in Subparagraphs IV.D, IV.E, IV.H, and IV.K of this Exhibit A. 17 5. The Orange County Public Defender as to Persons described in Subparagraph IV.F of this 18 Exhibit A. 19 6. The Orange County Public Guardian as to Persons described in Subparagraph IV.G of this 20 Exhibit A. 21 7. The Public Health Services Function of the Orange County Health Care Agency as to 22 Persons described in Subparagraph IV.J of this Exhibit A. 23 8. The Orange County Fire Authority which dispatches medical transportation on behalf of 24 any authorized agency. 25 B. CONTRACTOR shall be responsible for ascertaining the identity of Persons requesting services 26 pursuant to the Contract and their position with the agencies listed above as being authorized signers 27 pursuant to the Authorized Signature List. COUNTY shall have no responsibility for the transportation 28 of Persons where agencies other than the above request such service. 29 C. CONTRACTOR shall be responsible for obtaining the Authorization for Medical 30 Transportation form filled out with all information from the service requester at the time of service. If 31 the form is not obtained, CONTRACTOR may not xxxx COUNTY or patient for the services. 32
Appears in 2 contracts
Samples: Medical Transportation Services, Contract for Provision of Medical Transportation Services
Authorized Agencies. 8 A. Agencies authorized to request services pursuant to the Contract are the following:
9 1. The Orange County Sheriff as to Persons described in Subparagraphs IV. A, IV.B, IV.D, 10 and IV.I of this Exhibit A.
11 2. The law enforcement agency which has made an arrest of a Person described in 12 Subparagraph IV.B of this Exhibit A.
13 3. The Orange County Probation Department and the Social Services Agency as to Persons 14 described in Subparagraph IV.C of this Exhibit A.
15 4. The Behavioral Health Care Services Function of the Orange County Health Care Agency 16 as to Persons described in Subparagraphs IV.D, IV.E, IV.H, and IV.K of this Exhibit A.
17 5. The Orange County Public Defender as to Persons described in Subparagraph IV.F of this 18 Exhibit A.
19 6. The Orange County Public Guardian as to Persons described in Subparagraph IV.G of this 20 Exhibit A.
21 7. The Public Health Services Function of the Orange County Health Care Agency as to 22 Persons described in Subparagraph IV.J of this Exhibit A.
23 8. The Orange County Fire Authority which dispatches medical transportation on behalf of 24 any authorized agency.
25 B. CONTRACTOR shall be responsible for ascertaining the identity of Persons requesting services 26 pursuant to the Contract and their position with the agencies listed above as being authorized signers 27 pursuant to the Authorized Signature List. COUNTY shall have no responsibility for the transportation 28 of Persons where agencies other than the above request such service.
29 C. CONTRACTOR shall be responsible for obtaining the Authorization for Medical 30 Transportation form filled out with all information from the service requester at the time of service. If 31 the form is not obtained, CONTRACTOR may not xxxx bill COUNTY or patient for the services. 32
Appears in 1 contract
Samples: Contract for Provision of Medical Transportation Services
Authorized Agencies. 8 9 A. Agencies authorized to request services pursuant to the Contract Agreement are the following:
9 10 1. The Orange County Sheriff as to Persons pPersons described in Subparagraphs IV. AsSubparagraphs V.A., IV.BV.B., IV.DV.D., 10 11 and IV.I V.I. of this Exhibit A.
11 12 2. The law enforcement agency which has made an arrest of a Person pPerson described in 12 Subparagraph IV.B 13 sSubparagraph V.B. of this Exhibit A.
13 14 3. The Orange County Probation Department and the Social Services Agency as to Persons 14 pPersons 15 described in Subparagraph IV.C sSubparagraph V.C. of this Exhibit A.
15 16 4. The Behavioral Health Care Services Function of the Orange County Health Care Agency 16 17 as to Persons pPersons described in Subparagraphs IV.DsSubparagraphs V.D., IV.EV.E., IV.HV.H., and IV.K V.K. of this Exhibit A.
17 18 5. The Orange County Public Defender as to Persons pPersons described in Subparagraph IV.F sSubparagraph V.F. of this 18 19 Exhibit A.
19 20 6. The Orange County Public Guardian as to Persons pPersons described in Subparagraph IV.G sSubparagraph V.G. of this 20 21 Exhibit A.
21 22 7. The Public Health Services Function of the Orange County Health Care Agency as to 22 Persons 23 pPersons described in Subparagraph IV.J sSubparagraph X.X. of this Exhibit A.
23 24 8. The Orange County Fire Authority which dispatches medical transportation on behalf of 24 any 25 authorized agency.
25 26 B. CONTRACTOR shall be responsible for ascertaining the identity of Persons pPersons requesting 27 services 26 pursuant to the Contract Agreement and their position with the agencies listed above as being authorized 28 signers 27 pursuant to the Authorized Signature List. COUNTY shall have no responsibility for the 29 transportation 28 of Persons pPersons where agencies other than the above request such service.
29 30 C. CONTRACTOR shall be responsible for obtaining the Authorization for Medical 30 31 Transportation form filled out with all information from the service requester at the time of service. If 31 32 the form is not obtained, CONTRACTOR may not xxxx COUNTY or patient for the services. 3233
Appears in 1 contract
