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Consolidated Agreement-M4 Page 4 of 23 <br /> c. Establish one charge per clinical/support service for all payors (including Medicaid)based on <br /> their costs. All Payors must be billed the same established charge,but the Department may <br /> accept negotiated or other agreed upon lower amounts(e.g.,the Medicaid reimbursement rate) <br /> as payment in full. <br /> 9. Subject to the approval of the appropriate Section,a local health department may seek <br /> reimbursement for services covered by a program operating under 10A NCAC 45 rules,Purchase <br /> of Medical Care Services(POMCS),when those services are not supported by other state or <br /> federal funds. All payment program rules and procedures as specified in the Purchase of Medical <br /> Care Services Manual must be followed. <br /> 10. Provision of Interpreter Services: As required by Title VI of the Civil Rights Act, a local health <br /> department that receives federal funds(either directly or through the Division of Public Health)for <br /> any program or service must provide interpreter services at no charge to Limited English <br /> Proficiency clients in all programs and services offered by the health department. <br /> 11. A local health department may not require a client to present identification that includes a picture <br /> of the client for at least immunization,pregnancy prevention,sexually transmitted disease and <br /> communicable disease services. <br /> 12. Subject to the availability of funds and approval of the Public Health Nursing and Professional <br /> Development Unit, a Department may request reimbursement for: <br /> a. Nursing service personnel participating in the"Introduction to Principles and Practices of <br /> Public Health and Public Health Nursing"course. Reimbursement is$400.00 per participant <br /> upon successful completion of the course. Reimbursement requests must be filed by the <br /> agency within 1 year of completion. <br /> b. Health Department Management/Supervision level staff participating in the"Management and <br /> Supervision for Public Health Professionals"course. Reimbursement is$600.00 per <br /> participant upon successful completion of the course.Reimbursement requests must be filed by <br /> the agency within 1 year of completion. <br /> 13. Audits/Monitoring: <br /> a. The Department shall have an annual audit performed in accordance with"The Single Audit <br /> Act of 1984 as implemented by OMB Circular A-133." The audit report shall be submitted to <br /> the Local Government Commission(LGC)by the County Administration(if single county <br /> health department)or the District Health Department or Public Health Authority(if so <br /> organized)within(six)6 months following the close of the agreement. Audit findings referred <br /> to the DHHS Controller's Office by LGC will be investigated and findings verified by the <br /> DHHS Controller's Office staff with assistance of the Division of Public Health Program Staff. <br /> b. All District Health Departments and Public Health Authorities must complete quarterly a <br /> Fiscal Monitoring Report and submit to the DHHS Controller's Office based on the schedule <br /> published by the DHHS Controller's Office. <br /> 14. Equipment is a type of fixed asset consisting of specific items of property that: (1)are tangible in <br /> nature; (2)have a life longer than one year; and(3)have a significant value. <br /> a. For Inventory Purposes <br /> 1) Equipment must be accounted for in accordance with the North Carolina Department of <br /> State Treasurer Policies Manual,Chapter 20, and Fixed Assets Policy. <br />