279-25 NJMS GTBI.West Orange TB Service Agreement RBHS-05105.docx (003).pdf

EXECUTION VERSION 13 NJMS – Essex County Municipality – RBHS-05105 CY2025 Memorandum of Agreement – Global TB Institute ATTACHMENT A Rates Effective 1/1/2025 “Diagnosis, Treatment, Monitoring, Nurse Case Management and Field Services for Residents of the Local Health Jurisdiction with Confirmed or Suspected Tuberculosis cases, their Associated Contacts and Class B1 and B2 Referrals from the CDC-DGMQ” I. Method of Payment Cost reimbursement payments shall be made by the Township to: NJMS Global Tuberculosis Institute Attn: Marco Salerno, Deputy Director Rutgers, The State University of New Jersey 225 Warren Street, 2nd Floor, East Wing Newark, New Jersey 07103 On the following basis:  Monthly  Quarterly X Lump Sum X Based on submission of the following (Please describe below) Lump Sum invoice reflecting annual fixed-fee based upon service utilization. II. Financial and Performance Reporting and Agreement Monitoring (Circle, check and complete as applicable) A. Expenditure reports are not required. B. Performance reports are required. Performance reports shall be in the form of an activity report as specified in Attachment A. I (above) and shall be submitted Monthly X Quarterly Final Other reporting period. Quarterly Activity Report specifying total clinical visits, DOT visits and field investigations for residents of the municipality. This report will also include the percentage of total visits by municipality residents. C. Other Financial, Reporting or Monitoring RequirementsDocusign Envelope ID: 77D43CF0-E0B2-4E8B-998E-ADDA677D4897