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State of North Carolina <br /> Division of Social Services <br /> Contract Application Page 5 of 7 <br /> ( ) 3. (Applicable to Public Hospitals,Colleges, and Universities) <br /> The annual audit must be performed in accordance with OMB Circular A-110. <br /> It is not necessary for the institution to program audits performed separately <br /> from an all-inclusive single audit which entails all revenues and expenditures <br /> of the public agency. However, it is the responsibility of the contractor to <br /> insure that the contract program is included in the institution's single annual <br /> audit. <br /> A copy of the audit report must be provided to the County department of <br /> Social Services upon completion of the annual audit. <br /> ( ) 4. (Applicable to State or Local Government Agencies) <br /> An annual audit is to be performed in accordance with OMB Circular A-128 <br /> by <br /> an independent auditor. Upon completion of the audit, a copy of the audit <br /> report must be forwarded to the county Department of Social Services. <br /> E. Client Fees for Service <br /> (X) 1. No fees will be charged to individuals determined to be eligible for services by <br /> the department of social services. <br /> ( ) 2. The service(s)under contract with the Provider are services for which a client <br /> fee may be assessed. Policy regarding the assessment and collection of fees is <br /> contained in Family Services Manual,Volume VI, Chapter III. If a client is to <br /> to be chugged a fee,the department will inform the Provider of the amount of <br /> fee to be charged and of any subsequent changes by way of the Purchase of <br /> Service Referral and Authorization(DSS Form 1360). The Provider will <br /> establish a plan with the client for collecting the fee on at least a monthly basis; <br /> and when fees are not paid within ten days of the due date,will bill the client <br /> in writing and send a copy of the bill to the Department. NO OTHER FEES <br /> FOR SERVICES MAY BE CHARGED TO THE CLIENT. Client fees are to <br /> be reported on the Monthly Report of Service Delivery(DSS Form 1571,Part <br /> IV). <br /> F. Management of the Funding/Matching Share Requirement <br /> ( ) 1. A cash transfer of the matching share will be made to the county department <br /> of social services in accordance with the terms specified in the Donation <br /> Agreement(DSS-1319). <br /> 11 <br />