Common use of COMMUNICATION REGARDING DORS COMSUMERS Clause in Contracts

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTY, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTY.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY BENEDICTINE SCHOOL OF EXCEPTIONAL CHILDREN, INC. staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY BENEDICTINE SCHOOL OF EXCEPTIONAL CHILDREN, INC. and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYBENEDICTINE SCHOOL OF EXCEPTIONAL CHILDREN, INC. , or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY BENEDICTINE SCHOOL OF EXCEPTIONAL CHILDREN, INC. representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • · Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • · When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY BENEDICTINE SCHOOL OF EXCEPTIONAL CHILDREN, INC. services; • · At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYBENEDICTINE SCHOOL OF EXCEPTIONAL CHILDREN, INC.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY BAYSIDE COMMUNITY NETWORK, INC staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY BAYSIDE COMMUNITY NETWORK, INC and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYBAYSIDE COMMUNITY NETWORK, INC, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY BAYSIDE COMMUNITY NETWORK, INC representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY BAYSIDE COMMUNITY NETWORK, INC services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTY.BAYSIDE COMMUNITY NETWORK, INC

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY SUNRISE COMMUNITY OF MARYLAND, INC. staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY SUNRISE COMMUNITY OF MARYLAND, INC. and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYSUNRISE COMMUNITY OF MARYLAND, INC., or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY SUNRISE COMMUNITY OF MARYLAND, INC. representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • · Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • · When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY SUNRISE COMMUNITY OF MARYLAND, INC. services; • · At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYSUNRISE COMMUNITY OF MARYLAND, INC.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY NORTHERN CHESAPEAKE REGION staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY NORTHERN CHESAPEAKE REGION and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYNORTHERN CHESAPEAKE REGION, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY NORTHERN CHESAPEAKE REGION representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY NORTHERN CHESAPEAKE REGION services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTY.NORTHERN CHESAPEAKE REGION

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY MID ATLANTIC HUMAN SERVICE CORPORATION staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY MID ATLANTIC HUMAN SERVICE CORPORATION and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYMID ATLANTIC HUMAN SERVICE CORPORATION, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY MID ATLANTIC HUMAN SERVICE CORPORATION representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY MID ATLANTIC HUMAN SERVICE CORPORATION services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTY.MID ATLANTIC HUMAN SERVICE CORPORATION

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY XXXXXXX XXXXXXX EDUCATION AND COMMUNITY SERVICES, INC staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY XXXXXXX XXXXXXX EDUCATION AND COMMUNITY SERVICES, INC and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTY, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY XXXXXXX XXXXXXX EDUCATION AND COMMUNITY SERVICES, INC representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost cost-effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY XXXXXXX XXXXXXX EDUCATION AND COMMUNITY SERVICES, INC services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYXXXXXXX XXXXXXX EDUCATION AND COMMUNITY SERVICES, INC.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX OF XXXXXXXXX COUNTY staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX OF XXXXXXXXX COUNTY and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX OF XXXXXXXXX COUNTY, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX OF XXXXXXXXX COUNTY representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX OF XXXXXXXXX COUNTY services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX OF XXXXXXXXX COUNTY.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY BALTIMORE, INC staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYBALTIMORE, INC, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY BALTIMORE, INC representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY BALTIMORE, INC services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYBALTIMORE, INC 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC BALTIMORE, INC (see Appendix 2 – Program Services and Fee Schedule). • New/revised fees may be applied to persons served already enrolled in the program effective on the official date of the increase. • New/revised fees may not be applied retroactively. 2. Responsibility for payment. DORS will not be responsible for the payment of any fees charged by THE ARC BALTIMORE, INC for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at THE ARC BALTIMORE, INC If a DORS consumer fails to attend on the starting date, THE ARC BALTIMORE, INC Director or designee will inform the DORS counselor immediately. The Director or designee shall also contact the DORS consumer to schedule a new appointment with THE ARC BALTIMORE, INC at no cost to DORS. 4. Missed appointment or no show/withdrawal after the 1st week. After the first week, adjustments in the weekly fee shall be made should a DORS consumer be absent for more than three consecutive days. THE ARC BALTIMORE, INC shall report absences early and all dates of absence must be reported on the monthly progress reports to the DORS counselor. 5. Term of enrollment and continuation of billing. A DORS consumer is considered to be enrolled until completion of the prescribed program as stipulated by the authorization or until the DORS counselor notifies THE ARC BALTIMORE, INC through the Director, that the DORS consumer is to be suspended or terminated from the program. Billing will continue until such notification is made except that five consecutive days of absence will constitute an automatic suspension by THE ARC BALTIMORE, INC and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to THE ARC BALTIMORE, INC Director by the person’s DORS Counselor. 6. Compliance with laws prohibiting discrimination. DORS will purchase services for persons served only from community programs which comply with federal and state laws prohibiting discrimination in employment or in the provision of public services, including: Title VII of the Civil Rights act of 1964; Title V of the Rehabilitation Act of 1973, as amended; and Titles I, II and III of the Americans with Disabilities Act. (See Appendix 1.) 7. Financial participation of persons served. THE ARC BALTIMORE, INC may not require or accept any payment from the DORS consumer or the person’s family, or a third party for those services unless, prior to providing the services, the amount of the person’s responsibility has been: 8. Psychological evaluation required for THE ARC BALTIMORE, INC admission. If a psychological evaluation is required for admission to THE ARC BALTIMORE, INC, THE ARC BALTIMORE, INC shall not require DORS to purchase a psychological evaluation if the counselor has available existing documentation of the individual’s disability. 9. Payment for services not approved or accredited by DORS. DORS shall not pay for any program services (e.g., vocational services) which have not been approved or accredited by DORS or a DORS-approved national accrediting organization, and for which a DORS fee has not been established under this Cooperative Agreement.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY EMERGE, INC staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY EMERGE, INC and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYEMERGE, INC, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY EMERGE, INC representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY EMERGE, INC services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYEMERGE, INC 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and EMERGE, INC (see Appendix 2 – Program Services and Fee Schedule). • New/revised fees may be applied to persons served already enrolled in the program effective on the official date of the increase. • New/revised fees may not be applied retroactively. 2. Responsibility for payment. DORS will not be responsible for the payment of any fees charged by EMERGE, INC for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at EMERGE, INC If a DORS consumer fails to attend on the starting date, EMERGE, INC Director or designee will inform the DORS counselor immediately. The Director or designee shall also contact the DORS consumer to schedule a new appointment with EMERGE, INC at no cost to DORS. 4. Missed appointment or no show/withdrawal after the 1st week. After the first week, adjustments in the weekly fee shall be made should a DORS consumer be absent for more than three consecutive days. EMERGE, INC shall report absences early and all dates of absence must be reported on the monthly progress reports to the DORS counselor. 5. Term of enrollment and continuation of billing. A DORS consumer is considered to be enrolled until completion of the prescribed program as stipulated by the authorization or until the DORS counselor notifies EMERGE, INC through the Director, that the DORS consumer is to be suspended or terminated from the program. Billing will continue until such notification is made except that five consecutive days of absence will constitute an automatic suspension by EMERGE, INC and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to EMERGE, INC Director by the person’s DORS Counselor. 6. Compliance with laws prohibiting discrimination. DORS will purchase services for persons served only from community programs which comply with federal and state laws prohibiting discrimination in employment or in the provision of public services, including: Title VII of the Civil Rights act of 1964; Title V of the Rehabilitation Act of 1973, as amended; and Titles I, II and III of the Americans with Disabilities Act. (See Appendix 1.) 7. Financial participation of persons served. EMERGE, INC may not require or accept any payment from the DORS consumer or the person’s family, or a third party for those services unless, prior to providing the services, the amount of the person’s responsibility has been: 8. Psychological evaluation required for EMERGE, INC admission. If a psychological evaluation is required for admission to EMERGE, INC, EMERGE, INC shall not require DORS to purchase a psychological evaluation if the counselor has available existing documentation of the individual’s disability. 9. Payment for services not approved or accredited by DORS. DORS shall not pay for any program services (e.g., vocational services) which have not been approved or accredited by DORS or a DORS-approved national accrediting organization, and for which a DORS fee has not been established under this Cooperative Agreement. 10. Amount of invoice for services. EMERGE, INC shall not xxxx XXXX for an amount in excess of the fees indicated in the current Cooperative Agreement. EMERGE, INC shall charge DORS a fee no greater than the fee charged other purchasers of their services, and may bill for services only for the authorized time period. 11. Number of referrals from DORS. This agreement does not obligate DORS to refer any specific number of individuals to EMERGE, INC Payments to EMERGE, INC will be based on bona fide actions only. 12. Provision of Services to DORS consumers. DORS shall at least annually determine if EMERGE, INC has provided the approved services to DORS consumers in assessing whether EMERGE, INC continues to be in an active status.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY NORTHERN CHESAPEAKE REGION staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY NORTHERN CHESAPEAKE REGION and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYNORTHERN CHESAPEAKE REGION, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY NORTHERN CHESAPEAKE REGION representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost cost-effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY NORTHERN CHESAPEAKE REGION services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYNORTHERN CHESAPEAKE REGION. I. FEES, BILLING AND FINANCIAL PROCEDURES 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC NORTHERN CHESAPEAKE REGION (see Appendix 3 – Program Services and Fee Schedule). • New/revised fees may be applied to persons served already enrolled in the program effective on the official date of the increase. • New/revised fees may not be applied retroactively. 2. Responsibility for payment. DORS will not be responsible for the payment of any fees charged by THE ARC NORTHERN CHESAPEAKE REGION for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at THE ARC NORTHERN CHESAPEAKE REGION. If a DORS consumer fails to attend on the starting date, THE ARC NORTHERN CHESAPEAKE REGION Director or designee will inform the DORS counselor immediately. The Director or designee shall also contact the DORS consumer to schedule a new appointment with THE ARC NORTHERN CHESAPEAKE REGION at no cost to DORS. 4. Missed appointment or no show/withdrawal after the 1st week. THE ARC NORTHERN CHESAPEAKE REGION shall report absences early and all dates of absence must be reported on the monthly progress reports to the DORS counselor. 5. Term of enrollment and continuation of billing. A DORS consumer is considered to be enrolled until completion of the prescribed program as stipulated by the authorization or until the DORS counselor notifies THE ARC NORTHERN CHESAPEAKE REGION through the Director, that the DORS consumer is to be suspended or terminated from the program. Billing will continue until such notification is made except that five consecutive days of absence will constitute an automatic suspension by THE ARC NORTHERN CHESAPEAKE REGION and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to THE ARC NORTHERN CHESAPEAKE REGION Director by the person’s DORS Counselor. 6. Compliance with laws prohibiting discrimination. DORS will purchase services for persons served only from community programs which comply with federal and state laws prohibiting discrimination in employment or in the provision of public services, including: Title VII of the Civil Rights act of 1964; Title V of the Rehabilitation Act of 1973, as amended; and Titles I, II and III of the Americans with Disabilities Act. (See Appendix 1.) 7. Financial participation of persons served. THE ARC NORTHERN CHESAPEAKE REGION may not require or accept any payment from the DORS consumer or the person’s family, or a third party for those services unless, prior to providing the services, the amount of the person’s responsibility has been: 8. Psychological evaluation required for THE ARC NORTHERN CHESAPEAKE REGION admission. If a psychological evaluation is required for admission to THE ARC NORTHERN CHESAPEAKE REGION, THE ARC NORTHERN CHESAPEAKE REGION shall not require DORS to purchase a psychological evaluation if the counselor has available existing documentation of the individual’s disability. 9. Payment for services not approved or accredited by DORS. DORS shall not pay for any program services (e.g., vocational services) which have not been approved or accredited by DORS or a DORS-approved national accrediting organization, and for which a DORS fee has not been established under this Cooperative Agreement.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY NEW HORIZONS SUPPORTED SERVICES, INC. staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY NEW HORIZONS SUPPORTED SERVICES, INC. and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYNEW HORIZONS SUPPORTED SERVICES, INC., or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY NEW HORIZONS SUPPORTED SERVICES, INC. representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY NEW HORIZONS SUPPORTED SERVICES, INC. services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYNEW HORIZONS SUPPORTED SERVICES, INC.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY UNITED NEEDS AND ABILITIES, INC. staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY UNITED NEEDS AND ABILITIES, INC. and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYUNITED NEEDS AND ABILITIES, INC., or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY UNITED NEEDS AND ABILITIES, INC. representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY UNITED NEEDS AND ABILITIES, INC. services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYUNITED NEEDS AND ABILITIES, INC.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY CENTRAL CHESAPEAKE REGION staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY CENTRAL CHESAPEAKE REGION and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYThe Arc Central Chesapeake Region, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY CENTRAL CHESAPEAKE REGION representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY CENTRAL CHESAPEAKE REGION services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTY.CENTRAL CHESAPEAKE REGION

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY ST. PETER’S ADULT LEARNING CENTER, INC staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY ST. PETER’S ADULT LEARNING CENTER, INC and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYST. PETER’S ADULT LEARNING CENTER, INC, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY ST. PETER’S ADULT LEARNING CENTER, INC representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY ST. PETER’S ADULT LEARNING CENTER, INC services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYST. PETER’S ADULT LEARNING CENTER, INC 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and ST. PETER’S ADULT LEARNING CENTER, INC (see Appendix 2 – Program Services and Fee Schedule). • New/revised fees may be applied to persons served already enrolled in the program effective on the official date of the increase. • New/revised fees may not be applied retroactively. 2. Responsibility for payment. DORS will not be responsible for the payment of any fees charged by ST. PETER’S ADULT LEARNING CENTER, INC for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at ST. PETER’S ADULT LEARNING CENTER, INC If a DORS consumer fails to attend on the starting date, ST. PETER’S ADULT LEARNING CENTER, INC Director or designee will inform the DORS counselor immediately. The Director or designee shall also contact the DORS consumer to schedule a new appointment with ST. PETER’S ADULT LEARNING CENTER, INC at no cost to DORS. 4. Missed appointment or no show/withdrawal after the 1st week. After the first week, adjustments in the weekly fee shall be made should a DORS consumer be absent for more than three consecutive days. ST. PETER’S ADULT LEARNING CENTER, INC shall report absences early and all dates of absence must be reported on the monthly progress reports to the DORS counselor. 5. Term of enrollment and continuation of billing. A DORS consumer is considered to be enrolled until completion of the prescribed program as stipulated by the authorization or until the DORS counselor notifies ST. PETER’S ADULT LEARNING CENTER, INC through the Director that the DORS consumer is to be suspended or terminated from the program. Billing will continue until such notification is made except that five consecutive days of absence will constitute an automatic suspension by ST. PETER’S ADULT LEARNING CENTER, INC and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to ST. PETER’S ADULT LEARNING CENTER, INC Director by the person’s DORS Counselor. 6. Compliance with laws prohibiting discrimination. DORS will purchase services for persons served only from community programs which comply with federal and state laws prohibiting discrimination in employment or in the provision of public services, including: Title VII of the Civil Rights act of 1964; Title V of the Rehabilitation Act of 1973, as amended; and Titles I, II and III of the Americans with Disabilities Act. (See Appendix 1.) 7. Financial participation of persons served. ST. PETER’S ADULT LEARNING CENTER, INC may not require or accept any payment from the DORS consumer or the person’s family, or a third party for those services unless, prior to providing the services, the amount of the person’s responsibility has been: 8. Psychological evaluation required for ST. PETER’S ADULT LEARNING CENTER, INC admission. If a psychological evaluation is required for admission to ST. PETER’S ADULT LEARNING CENTER, INC, ST. PETER’S ADULT LEARNING CENTER, INC shall not require DORS to purchase a psychological evaluation if the counselor has available existing documentation of the individual’s disability. 9. Payment for services not approved or accredited by DORS. DORS shall not pay for any program services (e.g., vocational services) which have not been approved or accredited by DORS or a DORS-approved national accrediting organization, and for which a DORS fee has not been established under this Cooperative Agreement.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY CHIMES INC staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY CHIMES INC and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYCHIMES INC, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY CHIMES INC representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY CHIMES INC services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYCHIMES INC 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and CHIMES INC (see Appendix 2 – Program Services and Fee Schedule). • New/revised fees may be applied to persons served already enrolled in the program effective on the official date of the increase. • New/revised fees may not be applied retroactively. 2. Responsibility for payment. DORS will not be responsible for the payment of any fees charged by CHIMES INC for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at CHIMES INC If a DORS consumer fails to attend on the starting date, CHIMES INC Director or designee will inform the DORS counselor immediately. The Director or designee shall also contact the DORS consumer to schedule a new appointment with CHIMES INC at no cost to DORS. 4. Missed appointment or no show/withdrawal after the 1st week. After the first week, adjustments in the weekly fee shall be made should a DORS consumer be absent for more than three consecutive days. CHIMES INC shall report absences early and all dates of absence must be reported on the monthly progress reports to the DORS counselor. 5. Term of enrollment and continuation of billing. A DORS consumer is considered to be enrolled until completion of the prescribed program as stipulated by the authorization or until the DORS counselor notifies CHIMES INC through the Director that the DORS consumer is to be suspended or terminated from the program. Billing will continue until such notification is made except that five consecutive days of absence will constitute an automatic suspension by CHIMES INC and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to CHIMES INC Director by the person’s DORS Counselor. 6. Compliance with laws prohibiting discrimination. DORS will purchase services for persons served only from community programs which comply with federal and state laws prohibiting discrimination in employment or in the provision of public services, including: Title VII of the Civil Rights act of 1964; Title V of the Rehabilitation Act of 1973, as amended; and Titles I, II and III of the Americans with Disabilities Act. (See Appendix 1.) 7. Financial participation of persons served. CHIMES INC may not require or accept any payment from the DORS consumer or the person’s family, or a third party for those services unless, prior to providing the services, the amount of the person’s responsibility has been: 8. Psychological evaluation required for CHIMES INC admission. If a psychological evaluation is required for admission to CHIMES INC, CHIMES INC shall not require DORS to purchase a psychological evaluation if the counselor has available existing documentation of the individual’s disability. 9. Payment for services not approved or accredited by DORS. DORS shall not pay for any program services (e.g., vocational services) which have not been approved or accredited by DORS or a DORS-approved national accrediting organization, and for which a DORS fee has not been established under this Cooperative Agreement. 10. Amount of invoice for services. CHIMES INC shall not xxxx XXXX for an amount in excess of the fees indicated in the current Cooperative Agreement. CHIMES INC shall charge DORS a fee no greater than the fee charged other purchasers of their services, and may xxxx for services only for the authorized time period. 11. Number of referrals from DORS. This agreement does not obligate DORS to refer any specific number of individuals to CHIMES INC Payments to CHIMES INC will be based on bona fide actions only. 12. Provision of Services to DORS consumers. DORS shall at least annually determine if CHIMES INC has provided the approved services to DORS consumers in assessing whether CHIMES INC continues to be in an active status.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY DELMARVA COMMUNITY SERVICES, INC. staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY DELMARVA COMMUNITY SERVICES, INC. and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYDELMARVA COMMUNITY SERVICES, INC., or the client. A staffing will include the client, the individual requesting the meeting, family family, or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY DELMARVA COMMUNITY SERVICES, INC. representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive productive, and cost cost-effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY DELMARVA COMMUNITY SERVICES, INC. services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYDELMARVA COMMUNITY SERVICES, INC. 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and DELMARVA COMMUNITY SERVICES, INC. (see Appendix 3 – Program Services and Fee Schedule). • New/revised fees may be applied to persons served already enrolled in the program effective on the official date of the increase. • New/revised fees may not be applied retroactively. 2. Responsibility for payment. DORS will not be responsible for the payment of any fees charged by DELMARVA COMMUNITY SERVICES, INC. for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at DELMARVA COMMUNITY SERVICES, INC. If a DORS consumer fails to attend on the starting date, DELMARVA COMMUNITY SERVICES, INC. Director or designee will inform the DORS counselor immediately. The Director or designee shall also contact the DORS consumer to schedule a new appointment with DELMARVA COMMUNITY SERVICES, INC. at no cost to DORS. 4. Missed appointment or no show/withdrawal after the 1st week. DELMARVA COMMUNITY SERVICES, INC. shall report absences early and all dates of absence must be reported on the monthly progress reports to the DORS counselor. 5. Term of enrollment and continuation of billing. A DORS consumer is considered to be enrolled until completion of the prescribed program as stipulated by the authorization or until the DORS counselor notifies DELMARVA COMMUNITY SERVICES, INC. through the Director, that the DORS consumer is to be suspended or terminated from the program. Billing will continue until such notification is made except that five consecutive days of absence will constitute an automatic suspension by DELMARVA COMMUNITY SERVICES, INC. and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to DELMARVA COMMUNITY SERVICES, INC. Director by the person’s DORS Counselor. 6. Compliance with laws prohibiting discrimination. DORS will purchase services for persons served only from community programs which comply with federal and state laws prohibiting discrimination in employment or in the provision of public services, including: Title VII of the Civil Rights act of 1964; Title V of the Rehabilitation Act of 1973, as amended; and Titles I, II and III of the Americans with Disabilities Act. (See Appendix 1.) 7. Financial participation of persons served. DELMARVA COMMUNITY SERVICES, INC. may not require or accept any payment from the DORS consumer or the person’s family, or a third party for those services unless, prior to providing the services, the amount of the person’s responsibility has been: 8. Psychological evaluation required for DELMARVA COMMUNITY SERVICES, INC. admission. If a psychological evaluation is required for admission to DELMARVA COMMUNITY SERVICES, INC., DELMARVA COMMUNITY SERVICES, INC. shall not require DORS to purchase a psychological evaluation if the counselor has available existing documentation of the individual’s disability. 9. Payment for services not approved or accredited by DORS. DORS shall not pay for any program services (e.g., vocational services) which have not been approved or accredited by DORS or a DORS-approved national accrediting organization, and for which a DORS fee has not been established under this Cooperative Agreement. 10. Amount of invoice for services. DELMARVA COMMUNITY SERVICES, INC. shall not xxxx XXXX for an amount in excess of the fees indicated in the current Cooperative Agreement. DELMARVA COMMUNITY SERVICES, INC. shall charge DORS a fee no greater than the fee charged other purchasers of their services and may bill for services only for the authorized time period. 11. Number of referrals from DORS. This agreement does not obligate DORS to refer any specific number of individuals to DELMARVA COMMUNITY SERVICES, INC. Payments to DELMARVA COMMUNITY SERVICES, INC. will be based on bona fide actions only. 12. Provision of Services to DORS consumers. DORS shall at least annually determine if DELMARVA COMMUNITY SERVICES, INC. has provided the approved services to DORS consumers in assessing whether DELMARVA COMMUNITY SERVICES, INC. continues to be in an active status. 13. Contents of Invoices. All invoices must be made out to the Division of Rehabilitation Services and include the vendor’s name, remittance address, federal taxpayer identification number (if the vendor does not have a federal identification number, include the vendor’s Social Security Number), the participant’s name, a description of the details of the goods and/or services provided, the date that the goods and/or services were rendered, the date of the invoice, the authorization number, and an invoice number. Invoices are to be faxed to the DORS office which originated the Authorization/Purchase Order, and reference only one (1) Consumer per invoice. 14. Report submitted with invoice. DELMARVA COMMUNITY SERVICES, INC. invoices requesting payment for services must be submitted simultaneously with a report as described in the Reports section of this Agreement. Invoices must be faxed or emailed to the DORS office which originated the Authorization/Purchase Order and reference only one (1) Consumer per invoice. Invoices submitted without required reports will be returned to DELMARVA COMMUNITY SERVICES, INC., which will increase processing time for payment. Numbers of days DELMARVA COMMUNITY SERVICES, INC. is open per week: 5 Normal hours of operation for DELMARVA COMMUNITY SERVICES, INC.: 8:30 am – • The Director or designee is responsible for the overall supervision of the persons served and the coordination of the various departmental functions in relation to the person’s program. • The Director or designee is expected to monitor the program of the persons served and keep the DORS counselors informed as to progress and problems, if any. • Supervision of the DORS consumer shall include: o Maintenance of attendance and progress reports. o Direct instruction/evaluation of course content. o Interpretation and enforcement of the policies, rules and regulations pertaining to the orderly operation of DELMARVA COMMUNITY SERVICES, INC. programs. o Reporting any irregularities in the program of the DORS consumer. • Criminal Background Check: o DELMARVA COMMUNITY SERVICES, INC. is responsible for ensuring that its employees, agents, volunteers, and contractors, who provide services to DORS consumers under this cooperative agreement, are fingerprinted and have a background check consistent with Family Law Article, Annotated Code of Maryland, Section 5-551 through 5-557 and CARF Employment and Community Services Standards Manual. The DORS counselor shall make periodic visits to and contact with DELMARVA COMMUNITY SERVICES, INC. during the course of the program of the DORS consumer. The counselor shall: • Review reports of progress. • Maintain contact with the DORS consumer. • Monitor the program of the DORS consumer. • Review the progress of the DORS consumer with appropriate staff.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY BAY SHORE SERVICES, INC. staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY BAY SHORE SERVICES, INC. and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYBAY SHORE SERVICES, INC., or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY BAY SHORE SERVICES, INC. representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY BAY SHORE SERVICES, INC. services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYBAY SHORE SERVICES, INC. 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and BAY SHORE SERVICES, INC. (see Appendix 2 – Program Services and Fee Schedule). • New/revised fees may be applied to persons served already enrolled in the program effective on the official date of the increase. • New/revised fees may not be applied retroactively. 2. Responsibility for payment. DORS will not be responsible for the payment of any fees charged by BAY SHORE SERVICES, INC. for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at BAY SHORE SERVICES, INC. If a DORS consumer fails to attend on the starting date, BAY SHORE SERVICES, INC. Director or designee will inform the DORS counselor immediately. The Director or designee shall also contact the DORS consumer to schedule a new appointment with BAY SHORE SERVICES, INC. at no cost to DORS. 4. Missed appointment or no show/withdrawal after the 1st week. After the first week, adjustments in the weekly fee shall be made should a DORS consumer be absent for more than three consecutive days. BAY SHORE SERVICES, INC. shall report absences early and all dates of absence must be reported on the monthly progress reports to the DORS counselor. 5. Term of enrollment and continuation of billing. A DORS consumer is considered to be enrolled until completion of the prescribed program as stipulated by the authorization or until the DORS counselor notifies BAY SHORE SERVICES, INC. through the Director, that the DORS consumer is to be suspended or terminated from the program. Billing will continue until such notification is made except that five consecutive days of absence will constitute an automatic suspension by BAY SHORE SERVICES, INC. and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to BAY SHORE SERVICES, INC. Director by the person’s DORS Counselor. 6. Compliance with laws prohibiting discrimination. DORS will purchase services for persons served only from community programs which comply with federal and state laws prohibiting discrimination in employment or in the provision of public services, including: Title VII of the Civil Rights act of 1964; Title V of the Rehabilitation Act of 1973, as amended; and Titles I, II and III of the Americans with Disabilities Act. (See Appendix 1.) 7. Financial participation of persons served. BAY SHORE SERVICES, INC. may not require or accept any payment from the DORS consumer or the person’s family, or a third party for those services unless, prior to providing the services, the amount of the person’s responsibility has been: 8. Psychological evaluation required for BAY SHORE SERVICES, INC. admission. If a psychological evaluation is required for admission to BAY SHORE SERVICES, INC., BAY SHORE SERVICES, INC. shall not require DORS to purchase a psychological evaluation if the counselor has available existing documentation of the individual’s disability. 9. Payment for services not approved or accredited by DORS. DORS shall not pay for any program services (e.g., vocational services) which have not been approved or accredited by DORS or a DORS-approved national accrediting organization, and for which a DORS fee has not been established under this Cooperative Agreement. 10. Amount of invoice for services. BAY SHORE SERVICES, INC. shall not xxxx XXXX for an amount in excess of the fees indicated in the current Cooperative Agreement. BAY SHORE SERVICES, INC. shall charge DORS a fee no greater than the fee charged other purchasers of their services, and may bill for services only for the authorized time period. 11. Number of referrals from DORS. This agreement does not obligate DORS to refer any specific number of individuals to BAY SHORE SERVICES, INC. Payments to BAY SHORE SERVICES, INC. will be based on bona fide actions only. 12. Provision of Services to DORS consumers. DORS shall at least annually determine if BAY SHORE SERVICES, INC. has provided the approved services to DORS consumers in assessing whether BAY SHORE SERVICES, INC. continues to be in an active status. 13. Report submitted with invoice. BAY SHORE SERVICES, INC. invoices requesting payment for services must be submitted simultaneously with a report as described in the Reports section of this Agreement. Invoices submitted without required reports will be returned to BAY SHORE SERVICES, INC. which will increase processing time for payment.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY OF XXXXXX COUNTY, INC staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY OF XXXXXX COUNTY, INC and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX OF XXXXXX COUNTY, INC, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY OF XXXXXX COUNTY, INC representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY OF XXXXXX COUNTY, INC services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX OF XXXXXX COUNTY, INC 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC OF XXXXXX COUNTY, INC (see Appendix 2 – Program Services and Fee Schedule). • New/revised fees may be applied to persons served already enrolled in the program effective on the official date of the increase. • New/revised fees may not be applied retroactively. 2. Responsibility for payment. DORS will not be responsible for the payment of any fees charged by THE ARC OF XXXXXX COUNTY, INC for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at THE ARC OF XXXXXX COUNTY, INC If a DORS consumer fails to attend on the starting date, THE ARC OF XXXXXX COUNTY, INC Director or designee will inform the DORS counselor immediately. The Director or designee shall also contact the DORS consumer to schedule a new appointment with THE ARC OF XXXXXX COUNTY, INC at no cost to DORS. 4. Missed appointment or no show/withdrawal after the 1st week. After the first week, adjustments in the weekly fee shall be made should a DORS consumer be absent for more than three consecutive days. THE ARC OF XXXXXX COUNTY, INC shall report absences early and all dates of absence must be reported on the monthly progress reports to the DORS counselor. 5. Term of enrollment and continuation of billing. A DORS consumer is considered to be enrolled until completion of the prescribed program as stipulated by the authorization or until the DORS counselor notifies THE ARC OF XXXXXX COUNTY, INC through the Director that the DORS consumer is to be suspended or terminated from the program. Billing will continue until such notification is made except that five consecutive days of absence will constitute an automatic suspension by THE ARC OF XXXXXX COUNT, INC and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to THE ARC OF XXXXXX COUNTY, INC Director by the person’s DORS Counselor. 6. Compliance with laws prohibiting discrimination. DORS will purchase services for persons served only from community programs which comply with federal and state laws prohibiting discrimination in employment or in the provision of public services, including: Title VII of the Civil Rights act of 1964; Title V of the Rehabilitation Act of 1973, as amended; and Titles I, II and III of the Americans with Disabilities Act. (See Appendix 1.) 7. Financial participation of persons served. THE ARC OF XXXXXX COUNTY , INC may not require or accept any payment from the DORS consumer or the person’s family, or a third party for those services unless, prior to providing the services, the amount of the person’s responsibility has been: 8. Psychological evaluation required for THE ARC OF XXXXXX COUNTY, INC admission. If a psychological evaluation is required for admission to THE ARC OF XXXXXX COUNTY, INC, THE ARC OF XXXXXX COUNTY, INC shall not require DORS to purchase a psychological evaluation if the counselor has available existing documentation of the individual’s disability. 9. Payment for services not approved or accredited by DORS. DORS shall not pay for any program services (e.g., vocational services) which have not been approved or accredited by DORS or a DORS-approved national accrediting organization, and for which a DORS fee has not been established under this Cooperative Agreement.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY XXXXXXX XXXXXXX EDUCATION AND COMMUNITY SERVICES, INC. staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY XXXXXXX XXXXXXX EDUCATION AND COMMUNITY SERVICES, INC. and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTY, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY XXXXXXX XXXXXXX EDUCATION AND COMMUNITY SERVICES, INC. representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • · Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • · When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY XXXXXXX XXXXXXX EDUCATION AND COMMUNITY SERVICES, INC. services; • · At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYXXXXXXX XXXXXXX EDUCATION AND COMMUNITY SERVICES, INC.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY CHESAPEAKE CENTER, INC. staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY CHESAPEAKE CENTER, INC. and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYCHESAPEAKE CENTER, INC., or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY CHESAPEAKE CENTER, INC. representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY CHESAPEAKE CENTER, INC. services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYCHESAPEAKE CENTER, INC. 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and CHESAPEAKE CENTER, INC. (see Appendix 2 – Program Services and Fee Schedule). • New/revised fees may be applied to persons served already enrolled in the program effective on the official date of the increase. • New/revised fees may not be applied retroactively. 2. Responsibility for payment. DORS will not be responsible for the payment of any fees charged by CHESAPEAKE CENTER, INC. for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at CHESAPEAKE CENTER, INC. If a DORS consumer fails to attend on the starting date, CHESAPEAKE CENTER, INC. Director or designee will inform the DORS counselor immediately. The Director or designee shall also contact the DORS consumer to schedule a new appointment with CHESAPEAKE CENTER, INC. at no cost to DORS. 4. Missed appointment or no show/withdrawal after the 1st week. After the first week, adjustments in the weekly fee shall be made should a DORS consumer be absent for more than three consecutive days. CHESAPEAKE CENTER, INC. shall report absences early and all dates of absence must be reported on the monthly progress reports to the DORS counselor. 5. Term of enrollment and continuation of billing. A DORS consumer is considered to be enrolled until completion of the prescribed program as stipulated by the authorization or 6. Compliance with laws prohibiting discrimination. DORS will purchase services for persons served only from community programs which comply with federal and state laws prohibiting discrimination in employment or in the provision of public services, including: Title VII of the Civil Rights act of 1964; Title V of the Rehabilitation Act of 1973, as amended; and Titles I, II and III of the Americans with Disabilities Act. (See Appendix 1.) 7. Financial participation of persons served. CHESAPEAKE CENTER, INC. may not require or accept any payment from the DORS consumer or the person’s family, or a third party for those services unless, prior to providing the services, the amount of the person’s responsibility has been: 8. Psychological evaluation required for CHESAPEAKE CENTER, INC. admission. If a psychological evaluation is required for admission to CHESAPEAKE CENTER, INC., CHESAPEAKE CENTER, INC. shall not require DORS to purchase a psychological evaluation if the counselor has available existing documentation of the individual’s disability. 9. Payment for services not approved or accredited by DORS. DORS shall not pay for any program services (e.g., vocational services) which have not been approved or accredited by DORS or a DORS-approved national accrediting organization, and for which a DORS fee has not been established under this Cooperative Agreement.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX XXXXXXX COUNTY staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX XXXXXXX COUNTY and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX XXXXXXX COUNTY, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX XXXXXXX COUNTY representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX XXXXXXX COUNTY services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX XXXXXXX COUNTY.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY PENN-MAR HUMAN SERVICES staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: PENN-MAR For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTY, PENN- MAR HUMAN SERVICES or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY PENN- MAR HUMAN SERVICES representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY PENN-MAR HUMAN SERVICES’ services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYPENN-MAR HUMAN SERVICES, A DIVISION OF PENN-MAR ORGANIZATION 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and PENN-MAR HUMAN SERVICES (see Appendix 2 – Program Services and Fee Schedule). • New/revised fees may be applied to persons served already enrolled in the program effective on the official date of the increase. • New/revised fees may not be applied retroactively. 2. Responsibility for payment. DORS will not be responsible for the payment of any fees charged by PENN-MAR HUMAN SERVICES for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at PENN-

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY NORTHSTAR SPECIAL SERVICES INC staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY NORTHSTAR SPECIAL SERVICES INC and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC XXXXXXXXXX COUNTYNORTHSTAR SPECIAL SERVICES INC, or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY NORTHSTAR SPECIAL SERVICES INC representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY NORTHSTAR SPECIAL SERVICES INC services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYNORTHSTAR SPECIAL SERVICES INC 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and NORTHSTAR SPECIAL SERVICES INC (see Appendix 2 – Program Services and Fee Schedule). • New/revised fees may be applied to persons served already enrolled in the program effective on the official date of the increase. • New/revised fees may not be applied retroactively. 2. Responsibility for payment. DORS will not be responsible for the payment of any fees charged by NORTHSTAR SPECIAL SERVICES INC for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at NORTHSTAR SPECIAL SERVICES INC If a DORS consumer fails to attend on the starting date, NORTHSTAR SPECIAL SERVICES INC Director or designee will inform the DORS counselor immediately. The Director or designee shall also contact the DORS consumer to schedule a new appointment with NORTHSTAR SPECIAL SERVICES INC at no cost to DORS. 4. Missed appointment or no show/withdrawal after the 1st week. After the first week, adjustments in the weekly fee shall be made should a DORS consumer be absent for more than three consecutive days. NORTHSTAR SPECIAL SERVICES INC shall report absences early and all dates of absence must be reported on the monthly progress reports to the DORS counselor. 5. Term of enrollment and continuation of billing. A DORS consumer is considered to be enrolled until completion of the prescribed program as stipulated by the authorization or until the DORS counselor notifies NORTHSTAR SPECIAL SERVICES INC through the Director, that the DORS consumer is to be suspended or terminated from the program. Billing will continue until such notification is made except that five consecutive days of absence will constitute an automatic suspension by NORTHSTAR SPECIAL SERVICES INC and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to NORTHSTAR SPECIAL SERVICES INC Director by the person’s DORS Counselor. 6. Compliance with laws prohibiting discrimination. DORS will purchase services for persons served only from community programs which comply with federal and state laws prohibiting discrimination in employment or in the provision of public services, including: Title VII of the Civil Rights act of 1964; Title V of the Rehabilitation Act of 1973, as amended; and Titles I, II and III of the Americans with Disabilities Act. (See Appendix 1.) 7. Financial participation of persons served. NORTHSTAR SPECIAL SERVICES INC may not require or accept any payment from the DORS consumer or the person’s family, or a third party for those services unless, prior to providing the services, the amount of the person’s responsibility has been: 8. Psychological evaluation required for NORTHSTAR SPECIAL SERVICES INC admission. If a psychological evaluation is required for admission to NORTHSTAR SPECIAL SERVICES INC, NORTHSTAR SPECIAL SERVICES INC shall not require DORS to purchase a psychological evaluation if the counselor has available existing documentation of the individual’s disability. 9. Payment for services not approved or accredited by DORS. DORS shall not pay for any program services (e.g., vocational services) which have not been approved or accredited by DORS or a DORS-approved national accrediting organization, and for which a DORS fee has not been established under this Cooperative Agreement. 10. Amount of invoice for services. NORTHSTAR SPECIAL SERVICES INC shall not xxxx XXXX for an amount in excess of the fees indicated in the current Cooperative Agreement. NORTHSTAR SPECIAL SERVICES INC shall charge DORS a fee no greater than the fee charged other purchasers of their services, and may bill for services only for the authorized time period. 11. Number of referrals from DORS. This agreement does not obligate DORS to refer any specific number of individuals to NORTHSTAR SPECIAL SERVICES INC. Payments to NORTHSTAR SPECIAL SERVICES INC will be based on bona fide actions only. 12. Provision of Services to DORS consumers. DORS shall at least annually determine if NORTHSTAR SPECIAL SERVICES INC has provided the approved services to DORS consumers in assessing whether NORTHSTAR SPECIAL SERVICES INC continues to be in an active status. 13. Contents of Invoices. All invoices must be made out to the Division of Rehabilitation Services and include the vendor’s name, remittance address, federal taxpayer identification number (if the vendor does not have a federal identification number, include the vendor’s Social Security Number), the participant’s name, a description of the details of the goods and/or services provided, the date that the goods and/or services were rendered, the date of the invoice, the authorization number, and an invoice number. Invoices are to be faxed to the DORS office which originated the Authorization/Purchase Order, and reference only one (1) Consumer per invoice. 14. Report submitted with invoice. NORTHSTAR SPECIAL SERVICES INC invoices requesting payment for services must be submitted simultaneously with a report as described in the Reports section of this Agreement. Invoices must be faxed to the DORS office which originated the Authorization/Purchase Order and reference only one (1) Consumer per invoice. Invoices submitted without required reports will be returned to NORTHSTAR SPECIAL SERVICES INC, which will increase processing time for payment.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC XXXXXXXXXX COUNTY HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) staff communicate frequently. While written reports are an important, formal means to communicate progress, additional communication should occur on an as-needed basis to supplement formal reporting. Staff of THE ARC XXXXXXXXXX COUNTY HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) and staff of DORS are encouraged to communicate often by phone, teleconference, email or informally in person; such communication should be documented in the record. At times a more formal meeting, or “staffing” may be required, as follows: For purposes of this agreement, a staffing is defined as a meeting initiated by DORSXXXX, THE ARC XXXXXXXXXX COUNTYHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS), or the client. A staffing will include the client, the individual requesting the meeting, family or other advocates as appropriate, the DORS counselor, THE ARC XXXXXXXXXX COUNTY HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) representative, and/or other supervisory staff. Staffings will be convened at critical times within the provision of services for the following purposes: • Upon the request of the DORS consumer or, as appropriate, the person’s parent, family member, guardian, advocate or authorized representative; • When progress toward goals and objectives identified in the person’s Individualized Plan for Employment is not being achieved in a timely, productive and cost effective manner as reflected in reports of THE ARC XXXXXXXXXX COUNTY HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) services; • At other times to address specific issues as requested by DORS or THE ARC XXXXXXXXXX COUNTYHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) (see Appendix 2 – Program Services and Fee Schedule). • New/revised fees may be applied to persons served already enrolled in the program effective on the official date of the increase. • New/revised fees may not be applied retroactively. 2. Responsibility for payment. DORS will not be responsible for the payment of any fees charged by HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (XXXXX) If a DORS consumer fails to attend on the starting date, HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) Director or designee will inform the DORS counselor immediately. The Director or designee shall also contact the DORS consumer to schedule a new appointment with HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) at no cost to DORS. 4. Missed appointment or no show/withdrawal after the 1st week. After the first week, adjustments in the weekly fee shall be made should a DORS consumer be absent for more than three consecutive days. HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) shall report absences early and all dates of absence must be reported on the monthly progress reports to the DORS counselor. 5. Term of enrollment and continuation of billing. A DORS consumer is considered to be enrolled until completion of the prescribed program as stipulated by the authorization or until the DORS counselor notifies HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) through the Director, that the DORS consumer is to be suspended or terminated from the program. Billing will continue until such notification is made except that five consecutive days of absence will constitute an automatic suspension by HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (XXXXX) Director by the person’s DORS Counselor. 6. Compliance with laws prohibiting discrimination. DORS will purchase services for persons served only from community programs which comply with federal and state laws prohibiting discrimination in employment or in the provision of public services, including: Title VII of the Civil Rights act of 1964; Title V of the Rehabilitation Act of 1973, as amended; and Titles I, II and III of the Americans with Disabilities Act. (See Appendix 1.) 7. Financial participation of persons served. HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) may not require or accept any payment from the DORS consumer or the person’s family, or a third party for those services unless, prior to providing the services, the amount of the person’s responsibility has been: 8. Psychological evaluation required for HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) admission. If a psychological evaluation is required for admission to HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (XXXXX), HEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) shall not require DORS to purchase a psychological evaluation if the counselor has available existing documentation of the individual’s disability. 9. Payment for services not approved or accredited by DORS. DORS shall not pay for any program services (e.g., vocational services) which have not been approved or accredited by DORS or a DORS-approved national accrediting organization, and for which a DORS fee has not been established under this Cooperative Agreement.