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Consolidated Agreement - Final Page 3 of 13 <br /> 5. Funds for Childhood Lead Poisoning Prevention may be used to support both <br /> environmental health and child health activities. <br /> 6. The county shall submit monthly reports of On-Site Wastewater activities to the On-Site <br /> Wastewater Section in DEH in the format provided by the Section. <br /> 7. The Department shall comply with Standards for Mandated Public Health Services, 15A <br /> NCAC 25, Section .0200; and Administrative Procedures Manual for Federal Block <br /> Grant Funds, 1 NCAC 33, Sections .0100 - .1502. <br /> 8. The Department shall maintain signed employee time records to document the actual <br /> work activity of each employee on a daily basis. The percentage of time each employee <br /> spends in each activity shall be converted to dollars based upon the employee's salary <br /> and benefits at least on a monthly basis. The computation shall support the charges for <br /> salaries and benefits to all federal and state grants (as required in OMB Circular A87); <br /> as well as provide the documentation of detailed labor cost per activity for preparation of <br /> Medicaid 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 <br /> except where prohibited by Federal regulations or State law, however no one shall <br /> be refused services solely because of an inability to pay. <br /> c. Establish their Charge per clinical/support service for all payors (including Medicaid) <br /> based on their full costs. All Payors must be charged the same established charge, <br /> but contract/program adjustments may be 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 15A NCAC 24A <br /> rules, Purchase of Medical Care Services (POMCS), when those services are not <br /> supported by other state or federal funds. All payment program rules and procedures as <br /> specified in the 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, <br /> unless 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 <br /> an 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 <br /> for: <br /> a. Nursing service personnel participating in the"Introduction to Principles and <br /> Practices of Public Health and Public Health Nursing Course". Reimbursement is <br /> limited to no more than $400.00 per participant upon successful completion of the <br /> course. <br />