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Consolidated Agreement-FY 13 Page 3 of 22 <br /> 13. The Department shall incorporate basic elements of the North Carolina Public Health logo and <br /> themeline (slogan)into communication materials developed for programs and services that <br /> depend, in whole or in part,upon state funding. Such communication materials could include: <br /> letterhead,business cards,brochures,pamphlets, advertisements or announcements, signs and <br /> marketing/promotional materials. The Department is encouraged to incorporate its own name with <br /> the logo. <br /> B. FUNDING STIPULATIONS <br /> 1. Funding for this agreement is subject to the availability of State, Federal, and Special Funds for the <br /> purpose set forth in this agreement. <br /> 2. During the period of this agreement, the Department shall not use State, Federal or Special Project <br /> funds received under this agreement to reduce locally appropriated funds as reflected in the Local <br /> Appropriations Budget(see item C.2. below.) <br /> 3. The Department shall not use personal health program funds to support environmental health <br /> programs nor use environmental health program funds to support personal health programs. <br /> 4. Fees generated by the Food and Lodging Fees Collection Program may only be used to support <br /> State and Local food, lodging, and institution sanitation programs and activities. <br /> 5. The county shall submit monthly reports of On-Site Wastewater activities to the On-Site <br /> Wastewater Branch in the Environmental Health Section of the Division of Public Health in the <br /> format provided by the Section. <br /> 6. The Department shall comply with Standards for Mandated Public Health Services, 1 O NCAC <br /> 46, Section .0200; and Administrative Procedures Manual for Federal Block Grant Funds, 1 <br /> NCAC 33, Sections .0100 - .1502. <br /> 7. The Department shall maintain signed employee time records to document the actual work activity <br /> of each employee on a daily basis. The percentage of time each employee spends in each activity <br /> shall be converted to dollars based upon the employee's salary and benefits at least on a monthly <br /> basis. The computation shall support the charges for salaries and benefits to all federal and state <br /> grants (as required in OMB Circular A87) as well as provide the documentation of detailed labor <br /> cost per activity for preparation of Medicaid Cost Report. <br /> 8. For Departments participating in Medicaid Reimbursement, the Department shall: <br /> a. Execute a Provider Participation Agreement with the Division of Medical Assistance. For <br /> selected health departments receiving at least$5,000,000 in Medicaid receipts annually, as <br /> identified by the Division of Medical Assistance,must sign, as part of their continuing <br /> participation as a Medicaid provider, a Letter of Attestation affirming that: 1)detailed <br /> information is provided to employees, contractors and agents about the Federal & State False <br /> Claims Act and 2)written policies and procedures are in place to detect and prevent fraud, <br /> waste and abuse. <br /> b. Make every reasonable effort to collect its cost in providing services, for which Medicaid <br /> reimbursement is sought,through public or private third party payors except where prohibited <br /> by Federal regulations or State law;however,no one shall be refused services solely because <br /> of an inability to pay. <br />