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2014-206 Health - NC Dept. of Health and Human Services Division of Public Health - FY 2015 Consolidated Agreement
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2014-206 Health - NC Dept. of Health and Human Services Division of Public Health - FY 2015 Consolidated Agreement
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R 2014-206 Health - NC Dept. of Health and Human Services Division of Public Health - FY 2015 Consolidated Agreement
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Consolidated Agreement FY15 Page 4 of 28 <br /> 8. For Departments participating in Medicaid Reimbursement, the Department shall: <br /> a. Execute a Provider Participation Agreement with the Division of Medical Assistance. Selected <br /> health departments receiving at least$5,000,000 in Medicaid receipts annually, as identified by <br /> the Division of Medical Assistance, must sign, as part of their continuing participation as a <br /> Medicaid provider, a Letter of Attestation affirming that: 1) detailed information is provided to <br /> employees, contractors and agents about the Federal and State False Claims Acts and 2)written <br /> policies and procedures are in place to detect and prevent fraud, 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 by <br /> Federal regulations or State law; however, no one shall be refused services solely because of an <br /> inability to pay. <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) as <br /> payment in full. <br /> 9. Subject to the approval of the appropriate Section, the Department may seek reimbursement for <br /> services covered by a program operating under 10A NCAC 45 rules, Purchase of Medical Care <br /> Services (POMCS), when those services are not supported by other State or federal funds. All <br /> payment program rules and procedures as specified in the Purchase of Medical Care Services Manual <br /> must be followed. <br /> 10. Provision of Interpreter Services: As required by Title VI of the Civil Rights Act, the Department, <br /> because it receives federal funds, must provide interpreter services at no charge to Limited English <br /> Proficiency clients in all programs and services offered by the Department. <br /> 11. The Department may not require a client to present identification that includes a picture of the client <br /> for at least immunization, pregnancy prevention, sexually transmitted disease and communicable <br /> disease services. <br /> 12. Subject to the availability of funds and approval of the Public Health Nursing and Professional <br /> Development Unit, the Department may request reimbursement for: <br /> a. Nursing service personnel participating in the Introduction to Principles and Practices of Public <br /> Health and Public Health Nursing course. Reimbursement is $400.00 per participant upon <br /> successful completion of the course. Reimbursement requests must be filed by the Department <br /> within one 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 participant <br /> upon successful completion of the course. Reimbursement requests must be filed by the <br /> Department within one year of completion. <br /> 13. Audits/Monitoring: <br /> a. The Department shall have an annual audit performed in accordance with The Single Audit Act of <br /> 1984 as implemented by OMB Circular A-133. The audit report shall be submitted to the Local <br /> Government Commission(LGC)by the County Administration(if single county health <br />
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