2011-2939-Resolution No. 2011-107 Recorded 7/5/2011REVIE ED
LEGAL OUNSEL
DESCHUTES COUNTY OFFICIAL
NANCY BLANKENSHIP, COUNTY
COMMISSIONERS' JOURNAL
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2011-2030
CLERKS CJ 2011.2939
07/05/201109:08:41 AM
BEFORE THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON
A Resolution Appointing a Financial Assistance
Administrator for Deschutes County Health
Services and Authorizing the Financial Assistance * RESOLUTION NO. 2011-107
Administrator to amend the Service Element Prior
Authorization, on behalf of Deschutes County.
WHEREAS, Deschutes County, acting through the Health Services Department will enter into
contracts for the provision of health services and the performance of physical health, behavioral health,
developmental disability and addiction services and environmental health services and the agreement
between the State of Oregon and Deschutes County requires that the County appoint a Financial
Assistance Administrator; and
WHEREAS, this Resolution shall authorize the Financial Assistance Administrator to amend the
Service Element Prior Authorization (SEPA), on behalf of County, by execution and delivery of
amendments to the Agreement between the State of Oregon acting by and through its Department of
Human Services ("DHS") and Deschutes County, in hard copy, electronically, or, with respect to the
SEPA only, through electronic acceptance of SEPA adjustments in Express Payment and Reporting
System ("eXPRS").
WHEREAS, this Resolution shall authorize the Financial Assistance Administrator to enable, on
behalf of Deschutes County, the disbursement of financial assistance under the Agreement between DHS
and Deschutes County, that is described in the SEPA, through submission and modification of one or
more Client Prior Authorizations ("CPA") and/or one or more Provider Prior Authorizations ("PPA"),
either electronically through eXPRS or by submission of hard copy documents to DHS, and to authorize
providers, through submission of PPAs, to submit Disbursement Claims on behalf of County, either
electronically through eXPRS or by submission of hard copy documents to DHS.
WHEREAS, this Resolution shall authorize the Financial Assistance Administrator to authorize
others to take one or more of the foregoing actions on behalf of Deschutes County. Now, therefore:
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES
COUNTY, OREGON, as follows:
Section 1. Scott Johnson, the Director of the Deschutes County Health Services Department, is duly
appointed as the Deschutes County Financial Assistance Administrator with respect to the
execution and delivery of amendments to the, Agreement between DHS and Deschutes
County and with respect to the disbursement of financial assistance that is described in the
SEPA. Such appointment shall continue in effect so long as Scott Johnson is an employee of
the Deschutes County Health Services Department and until a successor is appointed.
PAGE 1 OF 2 — RESOLUTION NO. 2011-107
Section 2. By Board policy, the Financial Assistance Administrator is authorized to amend the SEPA,
on behalf of Deschutes County, by execution and delivery of amendments to the Agreement
between DHS and Deschutes County in the name of Deschutes County in hard copy,
electronically, or, with respect to the SEPA only, through electronic acceptance of SEPA
adjustments in eXPRS.
Section 3. By Board policy, the Financial Assistance Administrator is authorized to enable, on behalf of
Deschutes County, the disbursement of financial assistance under the Agreement between
DHS and Deschutes County that is described in the SEPA, through submission and
modification of CPAs and PPAs, either electronically through eXPRS or by submission of
hard copy documents to DHS, and to authorize providers, through submission of PPAs, to
submit disbursement claims on behalf of Deschutes County, either electronically through
eXPRS or by submission of hard copy documents to DHS.
Section 4. By Board policy, the Financial Assistance Administrator is authorized to authorize others to
take one or more of the foregoing actions on behalf of Deschutes County.
DATED this day of 2011.
BOARD OF COUNTY COMMISSIONERS
OF DESCHUTES COUNTY, OREGON
ATTEST:
&—max -4-1
Recording Secretary
PAGE 2 OF 2 - RESOLUTION No. 2011-107
TAMM BANE , Chair
ANTHONY DEBONE, Vice Chair
ALAN UNGER, Commissioner