2005 NS Health - Renewal of Consolidated Agreement Between Department of Health and Human Services

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Consolidated Ageement -Final 5 possible when an alert is issued. All NC HAN alerts will be reviewed and acted on as necessary by the Department in a timely manner. B. FUNDING STIPULATIONS 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 Health Department-Local Appropriations Budget. 3. The Department shall not use personal health program funds to support environmental health programs nor use environmental health prob°rarr- funds to support personal_health programs. 4. Fees Qenerated 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. ~. Funds for Childhood Lead Poisoning Prevention may be used to support both environmental health and child health activities. 6. 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. 7. 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, 1 NCAC 33, Sections .0100 - .1502. ' 8. 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. 9. The Departments participating in Medicaid Reimbursement shall: a. Execute a Provider Participation Agreement with the Division of Medical Assistance. 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 their Charge per clinica.Usupport service for all payors (including Medicaid) based on their full costs. All Payors must be charged the same established charge, but contract/program adjustments may be accepted as negotiated payment in full. 10. Subject to the approval of the appropriate Section, a local health department may seek reimbursement for services covered by a program operating under 15A NCAC 24A 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 non-English speaking clients.