Item 13

Authorize to exercise a renewal option to an existing agreement with the University of Massachusetts Medical School, Shrewsbury, MA (originally approved by G&C on 11-12-14, Late Item A), for the provision of pre-admission screening and resident review, nursing facility level of care and disability determination services, by increasing the price by $242,000 from $2,299,265 to $2,541,265 and by extending the completion date from June 30, 2016 to September 30, 2016. 75% Federal, 25% General Funds.