Qualified Dentist. The Initiative will charge an annual membership fee of $300, per provider. This membership fee covers outreach and educational materials including a quarterly e- newsletter, initial readiness assessments and ongoing monitoring of the electronic health record effort. The Initiative may waive the first year membership fees. Upon signing this Agreement, the Initiative will invoice the provider for payment, if applicable. If the qualified dentist is eligible, the Initiative will provide approximately 32 hours of technical assistance per provider, up to five providers total, of the Initiative’s time for performing the Services. For provider offices that have more than five eligible providers, this fee includes ten hours per provider past the first five providers. Any services performed by the Initiative past these hours will be charged at an hourly rate of $110.00 per hour. A separate Scope of Work, approved by the provider, for such services will be developed in this instance before any chargeable work is done. The Initiative makes no guarantee that providers will achieve meaningful use, but will use reasonable efforts to work with the provider towards this goal. By signing this document, the provider agrees to cooperate in partnership with the Central Florida Health Information Technology Initiative to achieve “meaningful use” status by July 5, 2013, after which time this Agreement expires. After expiration of this Agreement, a separate Scope of Work, approved by the provider, for such services will be developed before any chargeable work is done. The provider listed below shall become a member of the Initiative upon the date of signature and is eligible for the Regional Extension Center services described above. This Agreement may be terminated by either Party upon thirty (30) days written notice to the other Party. In the event of such termination, the Parties agree to provide the other Party with any necessary information, documents or correspondence as may be required by the National Coordinator of DHHS. In providing services, the Initiative may inadvertently acquire or access protected health information. The Initiative will work with the provider and practice as necessary to execute a separate Business Associate Agreement which complies with HIPAA requirements. This Agreement is executed and entered into in the State of Florida and shall be construed, performed, and enforced in all respects in accordance with the laws, rules, and regulations of the Stat...
