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Page 4 of 11 <br />2. Women, Infants and Children Program <br />All medical equipment and computer equipment, regardless of cost and all <br />other equipment with an acquisition cost of $500.00 or more must receive <br />prior approval from the program office. <br />3. The use of Maternal and Child Health Medicaid fees for capital improvements <br />requires prior written approval from the Division of Women's and Children's <br />Health. <br />C. FISCAL CONTROL <br />The Department shall comply with the Local Govemment Budget and Fiscal Control Act, <br />North Carolina General Statute Chapter 159, Article 3. <br />a. The Department shall maintain a purchasing and procurement system in accordance <br />with generally accepted accounting practices and procedures set forth by the Local <br />Govemment Commission. <br />b. The Department shall execute written agreements with all parties who invoice the <br />Department for payment for the provision of services to patients. <br />c. When subcontracting, the following conditions must be met: <br />1. The Department is not relieved of any of the duties and responsibilities <br />provided in this contract. <br />2. The subcontractor will agree to abide by the standards contained herein or to <br />provide such information as to allow the Department to comply with these <br />standards. <br />3. The subcontractor will agree to allow state and federal authorized <br />representatives access to any records pertinent to its role as a subcontractor <br />of the Department. <br />4. The Department will make available to the State upon request a copy of <br />subcontracts supported with State/Federal funds. <br />d. The Department must receive prior approval from the state to subcontract when any <br />of the following conditions exist: <br />The Department propses to subcontract to a single enity fifty <br />percent (50%) or more of the total state and federal funds made <br />available through this contract. <br />2. The Department proposes to subcontract fifty percent (50%) or more, <br />or $50,000 which ever is greater, of the total state and federal funds <br />made available through this contract for a single public health service <br />activity. <br />3. The Department proposes to subcontract for services in the Women, <br />Infants and Children Program. <br />