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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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=
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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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