2008-061 Health - NC Department of Health and Human Services (2)

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C~ • • Consolidated Aunt - Final Page 4 of 18 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 taw; 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 may accept negotiated or other agreed upon lower 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 b_ y a program operating under l0A 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. ' 11. Provision of Interpreter Services: a. Programs and services supported in whole or in part with federal funds must provide interpreter services at no charge to Limited English Proficiency clients. b. Only those programs and services funded entirely with state and/or local funds, unless prohibited by State law or rule, may chazge Limited English Proficiency clients for interpreter services. However, no one shall be refused services solely because of an inability to pay for interpreter services. 12. Subject to the availability of funds and approval of the Public Health Nursing and Professional Development Unit, a Department may request reimbursement for: a. Nursing service personnel participating in the "Introduction to Principles and Practices of Public Health and Public Health Nursing" course. Reimbursement is $400.00 per participant upon successful completion of the course. b. Nursing service personnel participating in the "Management and Supervision for Public Health Nurse Supervisors and Directors" course. Reimbursement is $600.00 per participant upon successful completion of the course. c. Health Department 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. 13. Audits/Monitoring: a. The Department shall have an annual audit performed in accordance with "The Single Audit Act of 1984 as implemented by OMB Circulaz A-133." The audit report shall be submitted to the Local Government Commission (LGC) by the County Administration (if single county health department) or the District Health Department or Public Health Authority (if so organized) within (six) 6 months following the close of the agreement. Audit findings referred to the DHHS Controller's Office by LGC will be investigated and findings verified by the DHHS Controller's Office staff with assistance of the Division of Public Health Program Staff. . b. All District Health Departments and Public Health Authorities must complete quarterly a Fiscal Monitoring Report and submit to the DHHS Controller's Office based on the schedule published by the DHHS Controller's Office. 14. Equipment is a type of fixed asset consisting of specific items of property that: (1) aze tangible in nature; (2) have a life longer than one yeaz; and (3) have a significant value. . a. For Inventory Purposes