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d <br />Special Terms and Conditions <br />(a) County(s) name; <br />(b) Time period for which the schedule is applicable; and <br />(c) Each contracted direct service (lE, GSE, cl, lTA, CDS) and its associated rate. <br />(2)FeeLimitations:]]re@foundontheCountyBestPracticessiteprovides <br />limitationsontheHourffiervice.r-ro,ilvratesmustb"Jiui'iur"byfour' <br />b. Budget and Spending plan, attached as Exhibit B: <br />(1) Budget amount listed in Exhibit B: The cg.unty may not exceed the state only revenue dollaramount or the total revenue dollar amount indicated on the program il;g;i'lg;rementincluded in Exhibit B. The waiver revenue dollar amount may be exceeded to accommodate <br />,"j',ilj:J*ing <br />from state-onlv employment and day reruiCed to waiveremptov*nt and day <br />(2) spending Plan:..DDA will provide the initial spending plan / program Agreement Budget / ExhibitB' Funding shall be distributed under state ana nreiiiaiJ in tnJrevenue section. The plannedexpenditures for consumer support are based on aunoiiteo clienG, in-eir J.ritv r"u"r and workhistory for a given point in time. To determine the Additional consumer support amount, theconsumer support amount is multiplied <br />9.v " <br />p.r."nt"g". in" rp.noing pJj'iinai onty oemodified by mutual agreement of the parties in writing ind snatt'not r."q'uio <br />" <br />prlgr",agreement amendment. <br />(a) Funds Designated for Additional Consumer Services: lf a County provides CommunityInformation and Education services under additional consumer services, then activities mustinclude outreach efforts to federaily recognized ro""i inu"". <br />(b) Funds Designated for Adult Day care consumers: Funds designated for Adult Day CareConsumers are available to Cliints who were served between December 19g6 andDecember 2003 in Adult Day Health agencies <br />"no <br />*"r" su.bsequentt/ oetermined ineligiblefor Level llor llllerviges (Aduft Day HJafth). I-uuet trlno iltservices are ticensedrehabilitation and skilled nursing services <br />"iong <br />*itn ;cialization. r-ever iiervices (AdultDay Care) are. supervised day frograms wherd frail and disabled adults can participate insocial, educational, and recreationll programs wiftrout ihe need for skilled ndislng, Theseclients may be referred to services d;fin;d in me rtatement of work, or to an Aoult Day careservice other than Level ll or lll. lf a client no longer neeos and wants services, the fundsare available for other ctients who are not part ofihe group of original Ctienls ioentirieobetween December 1996 and 2003. An Aiult Day Ca"re service shall only be provided byAdult Day Care agencies certified by the local Area ng.n"v on Aging. Adult Day careservice is not a waiver approved service. <br />Program Agreement Amendments: A County can request an amendment at any time. Anamendment for additional Client(s) may be supported when clients exceed the number used todevelop the contract. An amendment for additional service nouis auttrorized may be supportedwhen county provides evidence, An amendment requesiioi expenoitur"r ei"#o,ngiontract totaldue to hourly rates paid lo service provider may not 6e supportect as the counly is responsible tomanage contract and rates paid to their providers. <br />Exemptions: The DDA Assistant secretary may approve in writing an exemption to a specificprog ram agreement requirement. <br />DSHS Central Contract Services <br />1 769CS County Agreement O5-16-2029 <br />Page 13