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Page <br />4 <br />b. Make every reasonable effort to collect its cost in providing services, for which r <br />Medicaid reimbursement is sought, through public or private third party payors exact <br />where prohibited by Federal regulations or State law. No one shall be refused ~_ <br />services solely because of an inability to pay. -- <br />9. Subject to the approval of the appropriate Division, a local health department may seek <br />reimbursement far services covered by a program operating under 15A NCAC 24A rules <br />when those services are not supported by other state or federal funds. Al! payment prcgram <br />rules and procedures as spectied in the Purchase of Medics! Care Services manual must be <br />followed. <br />t0. The Department shall provide interpreter services at no cost to clients or their families for <br />those services provided free to the general public. <br />71. Subject to the availability of funds and approval of the Office of Public Health Nursing, a <br />local health department may request reimbursement for. <br />a. Nursing service personnel participating in the Introduction to Principles and Practices <br />of Public Health and Public Health Nursing course.Reimbursement is limited to no <br />more than 5400.00 per partiapant upon successful completion of the course. <br />b. Nursing service personnel partidpating in the the Public Health Nurse Supervisors <br />Training Course. Reimbursement is limited to no more than 3c00.00 per partiapant <br />upon successful completion of the course. <br />c. Community Health Assistants and Public Health Nurses attending certain pre- <br />approved Continuing Education courses offered by the Office of Public Health t._ <br />Nursing. Reimbursement is limited to 325.00 per partidpant per event. <br />12. The Department shall have an annual audit perforated in accordance with The Single Audit <br />Act of 1984 as implemented by OMB Circular A-133.The audif report should be submitted to <br />the Controller's Office within (nine) 9 months following the dose of the contract. Audit <br />findings and resolution of said findings shall be handled by the Controllers Office. <br />t3. Equipment is a type of fixed asset consisting of speafic items of property that: (1) are <br />tangible in nature; (Z) have a life longer than one year, and (3) have a significant value. <br />a. For Inventory Purposes <br />Equipment must be accounted for in accordance with Local Government <br />Accounting System Procedure No. 15. <br />2. Women, Infants and Children Program <br />A11 equipment with an acquisition cost of 5500.00 or more must be inventoried <br />with the Division of Women's and Children's Health. <br />b. For Prior Approval Purposes <br />1. All equipment purchased or leased where there is an option to purchase with <br />StatelFederal funds must receive prior written approval from the appropriate <br />Division when the acquisition cost exceeds 5504.04. <br />