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 9 of 28 iii Line item 103 on the Aid-to-Counties Database must be used to budget other earned revenues (e.g., Home Health fees, patient fees (cash), other insurance payments, and other grants and donations) for each program activity, if applicable. iv Line item 104 on the Aid-to-Counties Database must be used to budget Local funding associated with Teen Pregnancy activities, if applicable. v Line item 106 on the Aid-to-Counties Database must be used to budget Local funding for bioterrorism activities, if applicable. vi Line item 107 on the Aid-to-Counties Database must be used to budget Temporary Food Establishment(TFE) fees collected, if applicable. Note: The Department shall report Local expenditures in the appropriate category(e.g., 101, 102, 103, 104, or 106) in the ZZZZ line item in the Aid-to-Counties Database and TFE fees collected in Category 107 in the ZZZZ line item in the Aid-to-Counties Database. f. When reporting local expenditures (local appropriations, Medicaid or other earned revenues)the Department must use the electronic Aid-to-Counties Database to report the pertinent month's actual expenditures. (Note that an"actual expenditure" is one for which the item has been ordered,received, invoiced and the check has been issued) or if the Agreement Addendum allows for drawing down funds based on number of individuals screened or provided services, the actual number screened or served multiplied by the per capita rate specified in the Agreement Addendum. The Expenditure Reports must be submitted monthly in the website format and certified in the website to the DHHS Controller's Office. 1) Line item 101 on the Aid-to-Counties Database must be used to report local appropriations that were expended on a monthly basis. 2) Line item 102 on the Aid-to-Counties Database must be used to report Title XIX(Medicaid) earned revenues that were expended on a monthly basis. 3) Line item 103 on the Aid-to-Counties Database must be used to report other earned revenues that were expended on a monthly basis. 4) Local funding for Teen Pregnancy Prevention Initiatives (104) and Bioterrorism(106)must be reported on the Aid-to-Counties Database on a monthly basis. 5) Line item 107 must be used to report Temporary Food Establishment fees collected on a monthly basis. g. A local account shall be maintained for unexpended earned revenues [i.e., Title XIX fees, private insurance or private pay {cash I]. Accounts shall be maintained in sufficient detail to identify the program source generating the fees. h. The amount of Title XIX fees budgeted and expended in FY 2013-2014 must equal or exceed the amount of Title XIX revenues earned during FY 2012-2013. The State will not approve program activity budgets that do not include an amount of Title XIX fees sufficient to meet the requirements of this section. The State may waive this requirement if the Department provides sufficient justification. 4. (State/Federal Revenues only)The Department shall submit a monthly report of actual expenditures (State and/or Federal)to the DHHS Controller's Office in the Aid-to-Counties Database as referenced in 3.f. above—all reported in one system,but separated here for clarity of instructions.