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 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 For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC BALTIMORE, 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 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 BALTIMORE, INC services; • At other times to address specific issues as requested by DORS or THE ARC BALTIMORE, 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 BALTIMORE, ATHELAS INSTITUTE 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 ATHELAS INSTITUTE 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 BALTIMORE, ATHELAS INSTITUTE 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 BALTIMORE, ATHELAS INSTITUTE 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 BALTIMORE, ATHELAS INSTITUTE INC services; • At other times to address specific issues as requested by DORS or THE ARC BALTIMORE, ATHELAS INSTITUTE INC. 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC BALTIMORE, ATHELAS INSTITUTE INC (see Appendix 2 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 BALTIMORE, ATHELAS INSTITUTE 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 ATHELAS INSTITUTE INC. If a DORS consumer fails to attend on the starting date, THE ARC BALTIMORE, ATHELAS INSTITUTE 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, ATHELAS INSTITUTE 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, ATHELAS INSTITUTE 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, ATHELAS INSTITUTE 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, ATHELAS INSTITUTE INC and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to THE ARC BALTIMORE, ATHELAS INSTITUTE 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, ATHELAS INSTITUTE 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, ATHELAS INSTITUTE INC admission. If a psychological evaluation is required for admission to THE ARC BALTIMORE, ATHELAS INSTITUTE INC, THE ARC BALTIMORE, ATHELAS INSTITUTE 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 BALTIMOREDELMARVA COMMUNITY SERVICES, INC 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 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 BALTIMOREDELMARVA 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 BALTIMOREDELMARVA COMMUNITY SERVICES, INC 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 BALTIMOREDELMARVA COMMUNITY SERVICES, INC INC. services; • At other times to address specific issues as requested by DORS or THE ARC BALTIMOREDELMARVA COMMUNITY SERVICES, INC. 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC BALTIMOREDELMARVA COMMUNITY SERVICES, INC INC. (see Appendix 2 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 BALTIMOREDELMARVA COMMUNITY SERVICES, INC INC. for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at THE ARC BALTIMOREDELMARVA COMMUNITY SERVICES, INC INC. If a DORS consumer fails to attend on the starting date, THE ARC BALTIMOREDELMARVA COMMUNITY SERVICES, INC 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 BALTIMOREDELMARVA COMMUNITY SERVICES, INC INC. at no cost to DORS. 4. Missed appointment or no show/withdrawal after the 1st week. After the first weekDELMARVA COMMUNITY SERVICES, adjustments in the weekly fee shall be made should a DORS consumer be absent for more than three consecutive daysINC. 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 BALTIMOREDELMARVA COMMUNITY SERVICES, INC 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 BALTIMOREDELMARVA COMMUNITY SERVICES, INC INC. and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to THE ARC BALTIMOREDELMARVA COMMUNITY SERVICES, INC 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 BALTIMOREDELMARVA COMMUNITY SERVICES, INC 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 BALTIMOREDELMARVA COMMUNITY SERVICES, INC INC. admission. If a psychological evaluation is required for admission to THE ARC BALTIMOREDELMARVA COMMUNITY SERVICES, INC., THE ARC BALTIMOREDELMARVA COMMUNITY SERVICES, INC 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 ▇▇▇▇ ▇▇▇▇ 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 BALTIMORE, INC 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 PENN-MAR For purposes of this agreement, a staffing is defined as a meeting initiated by DORS, THE ARC BALTIMORE, INC, 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 BALTIMORE, INC 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 BALTIMORE, INC PENN-MAR HUMAN SERVICES’ services; • At other times to address specific issues as requested by DORS or THE ARC BALTIMOREPENN-MAR HUMAN SERVICES, INCA DIVISION OF PENN-MAR ORGANIZATION 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC BALTIMORE, INC 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 THE ARC BALTIMORE, INC PENN-MAR HUMAN SERVICES 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.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 BALTIMORE, INC 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 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 BALTIMORE, INCNORTHERN 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 BALTIMORE, INC 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 BALTIMORE, INC NORTHERN CHESAPEAKE REGION services; • At other times to address specific issues as requested by DORS or THE ARC BALTIMORENORTHERN CHESAPEAKE REGION. I. FEES, INCBILLING AND FINANCIAL PROCEDURES 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC BALTIMORE, INC NORTHERN CHESAPEAKE REGION (see Appendix 2 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 BALTIMORE, INC 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 BALTIMORE, INC NORTHERN CHESAPEAKE REGION. If a DORS consumer fails to attend on the starting date, THE ARC BALTIMORE, INC 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 BALTIMORE, INC NORTHERN CHESAPEAKE REGION 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 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 BALTIMORE, INC 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 BALTIMORE, INC NORTHERN CHESAPEAKE REGION and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to THE ARC BALTIMORE, INC 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 BALTIMORE, INC 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 BALTIMORE, INC NORTHERN CHESAPEAKE REGION admission. If a psychological evaluation is required for admission to THE ARC BALTIMORE, INCNORTHERN CHESAPEAKE REGION, THE ARC BALTIMORE, INC 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 BALTIMOREEMERGE, 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 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 BALTIMOREEMERGE, 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 BALTIMOREEMERGE, 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 BALTIMOREEMERGE, INC services; • At other times to address specific issues as requested by DORS or THE ARC BALTIMOREEMERGE, INC 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC BALTIMOREEMERGE, 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 BALTIMOREEMERGE, INC for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at THE ARC BALTIMOREEMERGE, INC If a DORS consumer fails to attend on the starting date, THE ARC BALTIMOREEMERGE, 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 BALTIMOREEMERGE, 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 BALTIMOREEMERGE, 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 BALTIMOREEMERGE, 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 BALTIMOREEMERGE, INC and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to THE ARC BALTIMOREEMERGE, 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 BALTIMOREEMERGE, 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 BALTIMOREEMERGE, INC admission. If a psychological evaluation is required for admission to THE ARC BALTIMOREEMERGE, INC, THE ARC BALTIMOREEMERGE, 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 ▇▇▇▇ ▇▇▇▇ 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 BALTIMORE, 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 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 BALTIMORE, NORTHSTAR 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 BALTIMORE, 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 BALTIMORE, NORTHSTAR SPECIAL SERVICES INC services; • At other times to address specific issues as requested by DORS or THE ARC BALTIMORE, NORTHSTAR SPECIAL SERVICES INC 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC BALTIMORE, 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 THE ARC BALTIMORE, NORTHSTAR SPECIAL SERVICES INC for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at THE ARC BALTIMORE, NORTHSTAR SPECIAL SERVICES INC If a DORS consumer fails to attend on the starting date, THE ARC BALTIMORE, 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 THE ARC BALTIMORE, 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. THE ARC BALTIMORE, 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 THE ARC BALTIMORE, 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 THE ARC BALTIMORE, NORTHSTAR SPECIAL SERVICES INC and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to THE ARC BALTIMORE, 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. THE ARC BALTIMORE, 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 THE ARC BALTIMORE, NORTHSTAR SPECIAL SERVICES INC admission. If a psychological evaluation is required for admission to THE ARC BALTIMORE, NORTHSTAR SPECIAL SERVICES INC, THE ARC BALTIMORE, 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 ▇▇▇▇ ▇▇▇▇ 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 BALTIMORESHURA, 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 SHURA, 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 BALTIMORESHURA, 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 BALTIMORESHURA, 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 BALTIMORESHURA, INC services; • At other times to address specific issues as requested by DORS or THE ARC BALTIMORESHURA, INC. 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC BALTIMORESHURA, INC (see Appendix 2 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 BALTIMORE▇▇▇▇▇, INC for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at THE ARC BALTIMORESHURA, INC INC. If a DORS consumer fails to attend on the starting date, THE ARC BALTIMORESHURA, 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 BALTIMORESHURA, 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 BALTIMORESHURA, 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 BALTIMORESHURA, INC and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to THE ARC BALTIMORESHURA, 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 BALTIMORESHURA, 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 BALTIMORESHURA, INC admission. If a psychological evaluation is required for admission to THE ARC BALTIMORESHURA, INC, THE ARC BALTIMORESHURA, 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 BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC 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 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 DORS▇▇▇▇, THE ARC BALTIMOREHEAD 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 BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC 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 BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC INC. (HIRRS) services; • At other times to address specific issues as requested by DORS or THE ARC BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (HIRRS) 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC 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 THE ARC BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC INC. (HIRRS) for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at THE ARC BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC INC. (▇▇▇▇▇) If a DORS consumer fails to attend on the starting date, THE ARC BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC 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 THE ARC BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC 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. THE ARC BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC 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 THE ARC BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC 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 THE ARC BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC INC. (HIRRS) and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to THE ARC BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC 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 BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC 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 THE ARC BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC INC. (HIRRS) admission. If a psychological evaluation is required for admission to THE ARC BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC. (▇▇▇▇▇), THE ARC BALTIMOREHEAD INJURY REHABILITATION AND REFERRAL SERVICES, INC 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.

COMMUNICATION REGARDING DORS COMSUMERS. In order to facilitate a successful outcome for the consumer, it is critical that the DORS counselor and THE ARC BALTIMORECHESAPEAKE CENTER, INC 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 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 BALTIMORECHESAPEAKE 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 BALTIMORECHESAPEAKE CENTER, INC 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 BALTIMORECHESAPEAKE CENTER, INC INC. services; • At other times to address specific issues as requested by DORS or THE ARC BALTIMORECHESAPEAKE CENTER, INC. 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC BALTIMORECHESAPEAKE CENTER, INC 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 BALTIMORECHESAPEAKE CENTER, INC INC. for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at THE ARC BALTIMORECHESAPEAKE CENTER, INC INC. If a DORS consumer fails to attend on the starting date, THE ARC BALTIMORECHESAPEAKE CENTER, INC 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 BALTIMORECHESAPEAKE CENTER, INC 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 BALTIMORECHESAPEAKE CENTER, INC 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.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. THE ARC BALTIMORECHESAPEAKE CENTER, INC 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 BALTIMORECHESAPEAKE CENTER, INC INC. admission. If a psychological evaluation is required for admission to THE ARC BALTIMORECHESAPEAKE CENTER, INC., THE ARC BALTIMORECHESAPEAKE CENTER, INC 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 BALTIMORE, 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 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 BALTIMORE, CHIMES 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 BALTIMORE, 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 BALTIMORE, CHIMES INC services; • At other times to address specific issues as requested by DORS or THE ARC BALTIMORE, CHIMES INC 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC BALTIMORE, 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 THE ARC BALTIMORE, CHIMES INC for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at THE ARC BALTIMORE, CHIMES INC If a DORS consumer fails to attend on the starting date, THE ARC BALTIMORE, 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 THE ARC BALTIMORE, 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. THE ARC BALTIMORE, 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 THE ARC BALTIMORE, CHIMES INC through the Director, 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, CHIMES INC and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to THE ARC BALTIMORE, 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. THE ARC BALTIMORE, 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 THE ARC BALTIMORE, CHIMES INC admission. If a psychological evaluation is required for admission to THE ARC BALTIMORE, CHIMES INC, THE ARC BALTIMORE, 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 ▇▇▇▇ ▇▇▇▇ 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 ▇▇▇▇ 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 BALTIMOREST. 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 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 BALTIMOREST. 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 BALTIMOREST. 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 BALTIMOREST. PETER’S ADULT LEARNING CENTER, INC services; • At other times to address specific issues as requested by DORS or THE ARC BALTIMOREST. PETER’S ADULT LEARNING CENTER, INC 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC BALTIMOREST. 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 THE ARC BALTIMOREST. 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 THE ARC BALTIMOREST. PETER’S ADULT LEARNING CENTER, INC If a DORS consumer fails to attend on the starting date, THE ARC BALTIMOREST. 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 THE ARC BALTIMOREST. 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. THE ARC BALTIMOREST. 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 THE ARC BALTIMOREST. PETER’S ADULT LEARNING CENTER, INC through the Director, 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 BALTIMOREST. PETER’S ADULT LEARNING CENTER, INC and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to THE ARC BALTIMOREST. 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. THE ARC BALTIMOREST. 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 THE ARC BALTIMOREST. PETER’S ADULT LEARNING CENTER, INC admission. If a psychological evaluation is required for admission to THE ARC BALTIMOREST. PETER’S ADULT LEARNING CENTER, INC, THE ARC BALTIMOREST. 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 BALTIMOREBAY SHORE SERVICES, INC 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 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 BALTIMOREBAY 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 BALTIMOREBAY SHORE SERVICES, INC 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 BALTIMOREBAY SHORE SERVICES, INC INC. services; • At other times to address specific issues as requested by DORS or THE ARC BALTIMOREBAY SHORE SERVICES, INC. 1. Establishment & application of fees. Fees are established for accredited services at rates negotiated by DORS and THE ARC BALTIMOREBAY SHORE SERVICES, INC 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 BALTIMOREBAY SHORE SERVICES, INC INC. for services provided prior to the time authorized by DORS staff. 3. Failure of consumer to keep initial appointment at THE ARC BALTIMOREBAY SHORE SERVICES, INC INC. If a DORS consumer fails to attend on the starting date, THE ARC BALTIMOREBAY SHORE SERVICES, INC 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 BALTIMOREBAY SHORE SERVICES, INC 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 BALTIMOREBAY SHORE SERVICES, INC 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 BALTIMOREBAY SHORE SERVICES, INC 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 BALTIMOREBAY SHORE SERVICES, INC INC. and billing will then cease unless the DORS consumer is reinstated. Reinstatement requires advance notification to THE ARC BALTIMOREBAY SHORE SERVICES, INC 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 BALTIMOREBAY SHORE SERVICES, INC 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 BALTIMOREBAY SHORE SERVICES, INC INC. admission. If a psychological evaluation is required for admission to THE ARC BALTIMOREBAY SHORE SERVICES, INC., THE ARC BALTIMOREBAY SHORE SERVICES, INC 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 ▇▇▇▇ ▇▇▇▇ 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.