Agenda - 04-20-2010 - 4i - Laserfiche WebLink

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M Cmisolidated Ageemettt -FY E 1 B. FUNDING STIPULATIONS Page 3 of 19 1. Funding for this agreement is subject to the availability of State, Federal, and Special Funds for the purpose set forth in this agreement. 2. During the period of this agreement, the Department shall not use State, Federal or Special Project funds received under this agreement to reduce locally appropriated funds as reflected in the Local Appropriations Budget (see item C.2. below.) 3. The Department shall not use personal health program funds to support environmental health programs nor use environmental health program funds to support personal health programs. 4. Fees generated by the Food and Lodging Fees Collection Program may only be used to support State and Local food, lodging, and institution sanitation programs and activities. 5. The county shall submit monthly reports of On -Site Wastewater activities to the On -Site Wastewater Section in Division of Environmental Health in the format provided by the Section. 6. The Department shall comply with Standards for Mandated Public Health Services, l0A NCAC 46, Section .0200; and Administrative Procedures Manual for Federal Block Grant Funds, I NCAC 33, Sections .0100 - .1502. 7. The Department shall maintain signed employee time records to document the actual work activity of each employee on a daily basis. The percentage of time each employee 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. 8. For Departments participating in Medicaid Reimbursement, the Department shall: a. Execute a Provider Participation Agreement with the Division of Medical Assistance. For selected health departments receiving at least $5,000,000 in Medicaid receipts annually, as identified by the Division of Medical Assistance, must sign, as part of their continuing participation as a Medicaid provider, a Letter of Attestation affirming that: 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 collect its cost in providing services, for which Medicaid reimbursement is sought, through public or private third party payors 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 clinical /support service for all payors (including Medicaid) based on their costs. All Payors must be billed the same established charge, but the Department may accept negotiated or other agreed upon lower amounts (e.g., the Medicaid reimbursement rate) as payment in full.. 9. Subject to the approval of the appropriate Section, a local health department may seek reimbursement for services covered by a program operating under 10A NCAC 45 rules, Purchase of Medical Care Services (POMCS), when those services are not supported by other state or federal funds. All payment program rules and procedures as specified in the Purchase of Medical Care Services Manual must be followed.