Item 54

Authorize to amend an agreement with Rochester Rural District Visiting Nurse Association, Rochester, NH (originally approved by G&C on 6-22-11, item #226), to provide Adult Medical Day, Adult In-Home Care, Homemaker, and Health Screening services, by changing the Contractor Name from Rochester Rural District Visiting Nurse Association to CornerStone VNA, terminating scope of services for Adult Medical Day services, and decreasing the price by $12,186 from $275,581 to $263,395. Effective upon G&C approval. 48.32% Federal, 51.68% General Funds. (2)Further authorize to amend an agreement with The Homemakers Health Services, Rochester, NH (originally approved by G&C on 6-22-11, item #215), to provide Adult Medical Day, Adult In-Home Care, Home Health Aide, Homemaker, Nursing and Transportation services, by increasing the number of Adult Medical Day units by transferring units from CornerStone VNA, transferring Transferring Transportation Demand Route units to Transportation Medical Trip units, and increasing the price by $10,155 from $1,913,960 to $1,924,115. Effective upon G&C approval. 49.95% Federal, 50.05% General Funds.