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Consolidated Ageement -Final <br />Page 2 of 21 <br />A. RESPONSIBILITIES OF THE DEPARTMENT (LOCAL PUBLIC HEALTH UNIT) <br />1. The Department shall perform activities in compliance with applicable program rules <br />contained in the North Carolina Administrative Code, as well as all applicable Federal and <br />State laws and regulations. <br />2. The Department shall perform the activities specified in the Program Agreement Addenda <br />for State funded budgets. The Department must negotiate these Agreement Addenda in <br />good faith to the satisfaction of state representatives as part of the agreement execution. <br />Departments will meet or exceed the Agreement Addenda levels unless extenuating <br />circumstances prevail and are explained in writing to the state section, branch or program. <br />3. The Department shall report client, service, encounter, and other data as specified by <br />applicable program rules, Program Agreement Addenda for State funded budgets, and by <br />North Carolina Administrative Code. <br />4. The Department shall provide access to patient records to authorized staff from the <br />Division of Public Health for technical consultation, program monitoring, and program <br />evaluation, as specified by applicable program rules, Program Agreement Addenda for <br />State funded budgets, and by North Carolina Administrative Code. <br />5. The Department shall provide client, service, encounter, and other data through the states' <br />centralized automated systems for claims creation and submission for processing to the <br />state's Medicaid agency. <br />6. The Department shall share data to support efforts of the public health system, represented <br />by the local health departments, local health programs, and the State, in order to meet <br />public health objectives while respecting the confidentiality and integrity of each agency's <br />data and protecting the privacy of individual client health information. Sharing data <br />includes providing client information allowed as permitted disclosures under the Health <br />Insurance Portability and Accountability Act of 1996, Public Law 104-91, HIPAA, <br />Administration Simplification Provisions Sections 261 through 264, 45 CFR 164.512, <br />Uses and disclosures for which consent, authorization, or opportunity to agree or object is <br />not required. <br />7. The Department shall administer and enforce all rules that have been adopted by the <br />Commission for Health Services, ratified by the NC General Assembly, or adopted by the <br />Local Board of Health. <br />8. The Department shall provide to the State copies of rules adopted by the Local Board of <br />Health pursuant to G.S. 130A-39 and Public Health Ordinances adopted by the County <br />Commissioners, within 30 days of adoption. These rules/ordinances are to be sent to the <br />Local Technical Assistance and Training Branch (LTAT). <br />9. The Department shall provide to the State a comprehensive community health assessment <br />every four years and a State of the County Report each of the interim three years. LTAT~ <br />Healthy Carolinians/Health Education Unit will administer this four-year cycle. The <br />community assessment should be a collaborative effort with the local Healthy Carolinians <br />Partnership and shall include collection of primary data at the county level as appropriate. <br />The Assessment shall include a list of community health problems based on the findings, a <br />