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Consolidatr.~! Ageemrnt -Final <br />Page 4 of 21 <br />at least on a monthly basis. The computation shall support the charges for salaries and <br />benefits to all federal and state grants (as required in OMB Circular A87); as well as <br />provide the documentation of detailed labor cost per activity for preparation of Medicaid <br />Cost Report. <br />9. The Departments participating in Medicaid Reimbursement shall: <br />a. Execute a Provider Participation Agreement with the Division of Medical Assistance. <br />b. Make every reasonable effort to collect its cost in providing services, for which <br />Medicaid reimbursement is sought, through public or private third party payors except <br />where prohibited by Federal regulations or State law, however no one shall be refused <br />services solely because of an inability to pay. <br />c. Establish their Charge per clinicaUsupport service for all payors (including Medicaid) <br />based on their full costs. All Payors must be charged the same established charge, but <br />contract/program adjustments maybe accepted as negotiated payment in full. <br />10. Subject to the approval of the appropriate Section, a local health department may seek <br />reimbursement for services covered by a program operating under I SA NCAC 24A rules, <br />Purchase of Medical Care Services (POMCS), when those services are not supported by <br />other state or federal funds. All payment program rules and procedures as specified in the <br />Purchase of Medical Care Services Manual must be followed. <br />11. Provision of Interpreter Services: <br />a. Programs and services supported in whole or in part with federal funds must provide <br />interpreter services at no charge to non-English speaking clients. <br />b. Only those programs and services funded entirely with state and/or local funds, unless <br />prohibited by State law or rule, may charge non-English speaking clients for <br />interpreter services. However, no one shall be refused services solely because of an <br />inability to pay for interpreter services. <br />12. Subject to the availability of funds and approval of the Public Health Nursing and <br />Professional Development Unit, a 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 $400.00 per participant upon successful completion of the course. <br />b. Nursing service personnel participating in the "Management and Supervision for <br />Public Health Nurse Supervisors and Directors" course. Reimbursement is limited to <br />no more than $600.00 per participant upon successful completion of the course. <br />c. Health Department Management level staff (all disciplines) attending certain <br />Management training endorsed by the State Health Director's Office and when the <br />local staff member is a part of a state team accepted into these trainings/institutes. <br />13. The Department shall have an annual audit performed in accordance with "The Single <br />Audit Act of 1984 as implemented by OMB Circular A-133." The audit report shall be <br />submitted to the Local Government Commission (LGC) by the County Administration (if <br />