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,. <br />State of North Caroline <br />Division of Social Services <br />Cono-act Applicazion Page 4 of ] <br />C. Reimbwsemmt Reposing: <br />L Ezpmditures <br />The Provider will report expendinues monwy iv accordance wilh policy set forth by <br />the Con[rollei s Offices, Division of Sociat Services, issued via Ne FiecW Manual. <br />Expmditwes are to be reproed on the DSS Adminisimfive Cost Report (Form DSS- <br />1591, Part III). Report, are to be submitted to Me Dcpvamavt by the 6fih working <br />day of the month following the mouth in which services were delivered. the <br />Department will ceimbmse the Provider monwy, usually by check upon receipt of a <br />completed and correctly fled report. <br />2 Reporfivg for We Statewide Services [rSo[mation System (S[S) <br />In addi4on m the Admitdsttarive Cart Report (DSS-1591, Paz[ Ill), the Provide[ will <br />mbmit to the Depaammt Ne Monthly Report of Service Delivery (D55 Form 1591, <br />Part IV). This shoWd be submitted Wong with the Admwstmfive Cost Repoa by the <br />fifth working day of the monN following the month iv which services were delivered. <br />The units reported in Column 12 of the 15]1 Pea IV are the units of service defined in <br />Column 5 of LC. of this Attachment. Smice defw'tiov and reporting irunuctions are <br />fowd in Family Services Manual, Volume VI, Chaprer IV. <br />D. Adult Requhements <br />The Previdec shall be responsible for compiimce with the audit requirements of <br />Deparvnent of Health and Human Services federal regulation 45 CFR Part ]4, <br />Adminsuatiov of Gtmts, or Stae Admirdsnative Procedures Mmual far Parietal Block <br />Grant Fwds, wldchever is applicable. These regWations stipWate that m atmual audit be <br />pew rmed for the fiuW yeaz W whch rout t funds were received. <br />O 1. NA <br />Privae, non-profit if amowt of reimbursement received is wrier E 1,000; private, <br />for profit or individual <br />O 2. (Applicabel to Private, Non-Profit Providers if reimb. $1,000 or over) <br />An amual audit is to be performed w accordmce with OMB Circular A-110 by m <br />`ivdepmmt auditor." Independent auditor" means eiNer: (a) a state government <br />auditor from the Department of Human Resources or the Deparmtent of <br />Admhdsfiafiov, Office m the State Audimq oc (b) a cesifiN public accowtmt. <br />Upon cotm..pletion of Ne audit, a copy of the audit report must be forwarded to the <br />COWIy (...yaRlllent Of SOC18I SCNICes. <br />