state of louisiana - Louisiana Hospital Association

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STATE OF LOUISIANA
PARISH OF EAST BATON ROUGE
ADDENDUM TO MEMORANDUM OF UNDERSTANDING
THIS ADDENDUM TO MEMORANDUM OF UNDERSTANDING is made and
entered into this _____ day of March, 2006, by THE DEPARTMENT OF HEALTH AND
HOSPITALS/OFFICE OF PUBLIC HEALTH and ______________________ HOSPITAL.
RECITALS
A.
In 2004, DHH and certain hospitals in Louisiana entered into a Memorandum of
Understanding (the “MOU”), for the purpose of establishing an improved and coordinated
response to an emergency or a disaster, as contemplated by the Louisiana Hurricane Shelter
Operations Plan, Annex X (Special Needs Sheltering Plan); the terms and conditions of the
MOU are incorporated by reference and for all purposes; and
B.
DHH has agreed to apply to the Federal Emergency Management Agency
(“FEMA”) to seek payment for qualifying sheltering expenses which have been incurred by
Louisiana hospitals that entered into the MOU in areas catastrophically impacted by Hurricanes
Katrina and Rita or areas of refuge for Louisiana residents evacuating from the catastrophically
impacted locations (the “Qualifying Sheltering Expenses”); and
C.
Although not a signatory to the MOU, Hospital furnished Qualifying Sheltering
Expenses, and Hospital wishes to be reimbursed by FEMA for its Qualifying Sheltering
Expenses, to the extent applicable law and regulations permit such reimbursement; and
D.
Hospital wishes to enter into an MOU, in order that it might be eligible to receive
reimbursement from FEMA for its Qualifying Sheltering Expenses,.
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NOW, THEREFORE, DHH agrees to amend the MOU to permit Hospital to be a party
thereto, and Hospital agrees to and does hereby become a party to the MOU. In all other
respects, DHH and Hospital agree that the terms and conditions of the MOU shall apply.
IN WITNESS WHEREOF, the parties have executed this Addendum to Memorandum of
Understanding on the day, month and year first written above.
WITNESSES:
DEPARTMENT OF HEALTH AND HOSPITALS
__________________________
Print Name: ________________
BY:
______________________________
Name: ________________________
Title: ________________________
__________________________
Print Name: ________________
_________________ HOSPITAL
__________________________
Print Name: ________________
BY:
__________________________
Print Name: ________________
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______________________________
Name: ________________________
Title: ________________________
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