CTR28865_Amendment_-_executed_Signed.pdf
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- Attached to
- Agency Administered OH|CTR028865
- Contract number
- CTR028865
- Issued by
- Ohio
About this file
This is a Personal Service Contract Amendment between the Ohio Department of Developmental Disabilities and University Hospitals Medical Group, specifically for the Residential Resources division. The contract involves three developmental centers located in Cambridge, Mount Vernon, and Warrensville, with the primary contractor being University Hospitals Medical Group, headquartered in Cleveland, Ohio.
The contract amendment covers psychiatrist services provided by a licensed psychiatrist who will perform eight (8) hours of service per week from July through December, and twelve (12) hours of service plus four (4) hours of travel per week from January through July. The total contracted hours are 658 in fiscal year 2026 at a rate of $180 per hour, and 840 hours in fiscal year 2027 at a rate of $185 per hour, with a total maximum compensation of $273,840. The psychiatrist will be responsible for individual assessments, care plans, case consultation, individual therapy, medication prescription, and Medicare billing documentation for residents at the developmental centers.
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Text version
12/10/2025
| A1ebbKr9fuYX: X | |
| PiLlaRBK690G: Controlling Board Approved | |
| 6T8Vk4KOXAQX_BLRA6tS84ig3: 2025-12-19 08:57:00 | |
| 2025-12-19T13:57:14+0000 | |
| Client IP: 156.63.84.128, Transaction ID: MWbS36UI7a7jAhvvtLF6HEjlLd4= | |
| OneSpan | |
| E-SIGNED by Lyndsay Nash (lyndsay.nash@dodd.ohio.gov), ID: 6c152f29-25f3-4fa5-b3e7-a5c6c55fd7f0 |
| NBZ79Qbkw1IP_erKWxGFftMcU: 2025-12-16 15:01:03 | |
| 2025-12-16T20:01:05+0000 | |
| Client IP: 156.63.84.134, Transaction ID: MWbS36UI7a7jAhvvtLF6HEjlLd4= | |
| OneSpan | |
| E-SIGNED by Bryan Kerns (bryan.kerns@dodd.ohio.gov), ID: d7a09d76-3d98-47cf-989d-cab2eec33098 |
| 2025-12-16T19:47:10+0000 | |
| Client IP: 75.188.237.153, Transaction ID: MWbS36UI7a7jAhvvtLF6HEjlLd4= | |
| OneSpan | |
| E-SIGNED by Sonya Bell (sonya.bell@dodd.ohio.gov), ID: kHmlFqzTQH4M |
| sD0pIIdv5nMF_jcncZLEU02sB: 2025-12-17 11:02:52 | |
| 2025-12-17T16:02:53+0000 | |
| Client IP: 156.63.84.129, Transaction ID: MWbS36UI7a7jAhvvtLF6HEjlLd4= | |
| OneSpan | |
| E-SIGNED by Nova Mikel (nova.mikel@dodd.ohio.gov), ID: 61c47045-b7a7-4f1e-a191-48b9005a8b42 |
| wLeVNrNk4NM2_XvyGLGBIdmo1: 2025-12-17 11:04:13 | |
| 2025-12-17T16:04:15+0000 | |
| Client IP: 156.63.84.133, Transaction ID: MWbS36UI7a7jAhvvtLF6HEjlLd4= | |
| OneSpan | |
| E-SIGNED by Amanda Giles (amanda.giles@dodd.ohio.gov), ID: 0bcad771-2278-458c-b5e2-35f611f061d7 |
| XSvPqnlvdQYS_Wjci3UFNpt8F: 2025-12-18 16:50:44 | |
| 2025-12-18T21:50:46+0000 | |
| Client IP: 156.63.84.128, Transaction ID: MWbS36UI7a7jAhvvtLF6HEjlLd4= | |
| OneSpan | |
| E-SIGNED by Kimberley Dedino (kimberley.dedino@dodd.ohio.gov), ID: 07881412-48a2-4ed0-a9ca-bcb541e77465 |
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