2013-094 Health - State of NC Department of Health for Maintaining and Promoting the Advancement of Public Health in NC

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Consolidated Agreement-FY14 Page 13 of 23 9. The State shall design and implement annual cost studies to ensure appropriate cost-based Medicaid reimbursement. 10 The State shall work with the NC Division of Information Resource Management to provide automated systems and facilities via the Health Information System(HIS). HIS is currently used to create and submit Medicaid claims,perform accounts receivables, and to collect other DPH program-related data from client, service, encounter and other data on behalf of the local health departments and other public health programs. The State shall provide business and technical support for the automated systems to the users of this system. 11.The State shall provide support and consultation to ensure that the Health Information System (HIS)can generate standard transactions for public health Medicaid claims and for public health claims to all insurers submitted on behalf of the local health departments per HIPAA[the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996(P.L. 104-91)subparts I through N,which define the standards for specific transactions.] 12.The State shall responsibly use data reviewed and received in its role as a public health authority and health oversight agency while respecting the confidentiality and integrity of the data and securing and protecting the privacy of individual client health information(see Business Associate Addendum to this Consolidated Agreement) 13. The State(DPH) shall provide to the Department"Budgetary Estimates of Funding Allocations" no later than February 15 of each year to use in preparation of their local budget proposals per current GS.The exception is the Food&Lodging distributions required by G.S. 130A-248(d). The State will not enter budgetary estimates into the Aid to County Database,but shall provide to the Department the Food&Lodging Local Health Department Budget Form"(DPH EN 2948 (A)) indicating the estimated funding allocation no later March 30*for the state fiscal year in which payment will be made. 14.The State(DHHS)shall provide a"Funding Authorization"to the Department after the receipt of the Certified State Budget. Funds must be appropriately budgeted by the State in the NC Accounting System(NCAS)prior to the issuance of the"Funding Authorization." If funds are restricted through quarterly allotments-for FY14,as they were in FYI 0,the initial Funding Authorization will only include % of the annual amount for each specific activity involving State funds. 15.The State(DPH)shall provide funds to the Department upon receipt of this executed agreement and timely submissions of Expenditure Reports. Payment will be made to the Department according to the DHHS Controller's Office E-Payment Schedule issued November or December of each year for the following calendar year. 16. The State(DPH) shall provide Food&Lodging funds to the Department upon receipt of the executed agreement addenda and the signed,completed, and approved Food&Lodging Local Health Department Request for Payment Form(DPH EH 2948 (B)). 17.The State shall assist the Department to comply with all applicable laws,regulations,and standards relating to the activities covered in this agreement. 18. The State reserves the right to conduct reviews, audits,and program monitoring to determine compliance with the terms of this Agreement and its associated Agreement Addenda.