Orange County NC Website
6 <br /> lasolidaied +not-Fool Page4 of 19 <br /> 7 The Department shall maintain signed employee time records to document the actual work activity of each <br /> employee on a daily basis. The percentage of time each employee spends in each activity shall be converted <br /> to dollars based upon the employee's salary and benefits at least on a monthly basis. The computation shall <br /> support the charges for salaries and benefits to all federal and state grants(as required in OMB Circular <br /> A87)as well as provide the documentation of detailed labor cost per activity for preparation of Medicaid <br /> Cost Report. <br /> 9.; For Departments participating in Medicaid Reimbursement,the Department shall: <br /> a. Execute a Provider Participation Agreement with the Division of Medical Assistance. For selected <br /> health departments receiving at least$5,000,000 in Medicaid receipts annually,as identified by the <br /> Division of Medical Assistance,Sign,as part of their continuing participation as a Medicaid provider,a <br /> Letter of Attestation affirming that: 1)detailed information is provided to employees,contractors and <br /> agents about the Federal&State False Claims Act and 2)written policies and procedures are in place to <br /> detect and prevent fraud,waste and abuse. 0 <br /> b. Make every reasonable effort to collect its cost in providing services,for which Medicaid reimbursement <br /> is sought,through public or private third party payers except where prohibited by Federal regulations or <br /> State law;however,no one shall be refused services solely because of an inability to pay. <br /> c. Establish one charge per clinical/support service for all payors(including Medicaid)based on their <br /> costs. All Payors must be billed the same established charge,but the Department may accept negotiated <br /> or other agreed upon lower amounts(e.g.,the Medicaid reimbursement rate)as payment in full. <br /> 10. Subject to the approval of the appropriate Section,a Iocal health department may seek reimbursement for <br /> services covered by a program operating under 10A NCAC 45 rules,Purchase of Medical Care Services <br /> (POMCS),when those services are not supported by other state or federal funds. All payment program rules <br /> and procedures as specified in the Purchase of Medical Care Services Manual must be followed. <br /> II. Provision of Interpreter Services: As required by Title VI of the Civil Rights Act,a local health department <br /> that receives federal funds(either directly or through the Division of Public Health)for any program or <br /> service must provide interpreter services of no charge to Limited English Proficiency clients in all programs <br /> and services offered by the health department. <br /> 12. Subject to the availability of funds and approval of the Public Health Nursing and Professional Development <br /> Unit,a Department may request reimbursement for. <br /> a. Nursing service personnel participating in the"Introduction to Principles and Practices of Public Health <br /> and Public Health Nursing"course. Reimbursement is$400.00 per participant upon successful <br /> completion of the course. <br /> b. Nursing service personnel participating in the"Management and Supervision for Public Health Nurse <br /> Supervisors and Directors"course. Reimbursement is$600.00 per participant upon successful <br /> completion of the course. <br /> c. Health Department Management level staff(all disciplines)attending certain Management training <br /> endorsed by the State Health Director's Office when the local staff member is a part of a team accepted <br /> into these trainings/mstitutes. <br />