2009-060 Health - State of NC Health Dept

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rcolidsled A~teemeM - Fial Page 4 of t 9 The Department shall maintain signed employce time records to document the actual work activity of each employee on a daily basis. The percentage of time each employce spends in each activity shall be converted to dollars based upon the employee's salary and benefits at least on a monthly basis. The computation shall support the charges for salaries and benefits to all federal and state grants (as required in OMB Circular A87) as well as provide the documentation of detailed labor cost per activity for preparation of Medicaid Cost Report. `~ For Departrncnts participating in Medicaid Reimbwsement, the Department shall: a. Execute a Provider Participation Agreement with the Division of Medical Assistance. For selected health departments receiving at least 55,000,000 in Medicaid receipts annually, as identified by the Division of Medical Assistance, Sign, as part of their continuing participation as a Medicaid provider, a Letter of Attestation affuming dial: 1) detailed information is provided to employees, contractors and agents about the Federal & State False Claims Act and 2) written policies and procedures are in place to detect and prevent fraud, waste and abuse. . b. Make every reasonable effort to collxt its cost in providing services, for which Medicaid reimbursement is sought, through public or private third party payers except where prohibited by Federal regulations or State law; however, no one shall be refused services solely because of an inability to pay. c. Establish one charge per elinical/support service for all payers (including Medicaid) based on they costs. All Payers must be billed the same established charge, but the Department may accept negotiated or other agreed upon borer amounts (e.g., the Medicaid reimbursement rate) as payment in full. 10. Subject to the approval of the appropriate Section, a local health department may seek reimbursement for services covered by a program operating under } OA NCAC 45 rules, Purchase of Medical Care Services (POMCS), when those services are net supported by other state or federal funds. All payment program rules and procedures as spxified in the Purchase of Medical Care Services Manual must be followed. Provision of Interpreter Services: As required by Title VI of the Civil Rights Act, a local health department that receives federal funds (either directly or through the Division of Public Health) for any program or service must provide interpreter services ati no chazge to Limited English Proficiency clients in all programs and services offered by the health department. 12. Subject to the availability of funds and approval of the Public Health Nursing and Professional Development Unit, a Department may request reimbursanent for. Nursing service personnel participating in the "Introduction to Principles and Practices of Public Health and Public Health Nursing" course. Reimbursement is 5400.00 per participant upon successful oompldion of the course. b. Nursing service personnel participating in the "Management and Supervision for Public Health Nurse Supervisors and Directors" course_ Reimbursement is 5600.00 pa participant upon successful completion of the course. Health Departmeut Management level staff (all disciplines) attending certain Management training endorsed by the State Health Director's Office when the local staff member is a part of a team accepted into these trainings/institutes.