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Page 4 of 11 <br />1. All equipment purchased or leased where there is an option to <br />purchase with State /Federal funds must receive prior written <br />approval from the appropriate Division when the acquisition cost <br />exceeds $500.00. <br />2. Women, Infants and Children Program <br />All medical equipment and computer equipment, regardless of cost <br />and all other equipment with an acquisition cost of $500.00 or <br />more must receive prior approval from the program office. <br />3. The use of Maternal and Child Health Medicaid fees for capital <br />improvements requires prior written approval from the Division of <br />Women's and Children's Health. <br />C. FISCAL CONTROL <br />The Department shall comply with the Local Government Budget and Fiscal <br />Control Act, North Carolina General Statute Chapter 159, Article 3. <br />a. The Department shall maintain a purchasing and procurement system in <br />accordance with generally accepted accounting practices and procedures <br />set forth by the Local Government Commission. <br />b. The Department shall execute written agreements with all parties who <br />invoice the Department for payment for the provision of services to <br />patients. <br />C. When subcontracting, the following conditions must be met: <br />1. The Department is not relieved of any of the duties and <br />responsibilities provided in this contract. <br />2. The subcontractor will agree to abide by the standards contained <br />herein or to provide such information as to allow the Department to <br />comply with these standards. <br />3. The subcontractor will agree to allow state and federal authorized <br />representatives access to any records pertinent to its role as a <br />subcontractor of the Department. <br />4. The Department will make available to the State upon request a <br />copy of subcontracts supported with State /Federal funds. <br />d. The Department must receive prior approval from the state to subcontract <br />when any of the following conditions exist: <br />1. The Department proposes to subcontract to a single entity <br />fifty percent(50 %) or more of the total state and federal <br />funds made available through this contract. <br />2. The Department proposes to subcontract fifty percent <br />(50 %) or more, or $50,000 which ever is greater, of the <br />total state and federal funds made available through this <br />contract for a single public health service or program. <br />3. The Department proposes to subcontract for services in the <br />Women, Infants and Children Program. <br />