1994 S Health - Consolidated Contract between State of North Carolina and OC Health Department for the Purpose of Maintaining and Stimulating the Advancement of Health in NC

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Page 6 of I 1 iii. Line item 103 on the program budget must be used to budget other earned revenues. f. When reporting: i. Line item 9000 on the Local Expenditure Report must be used to report the total of line items 101, 102, 103. ii. Line item 102 on the Local Expenditure Report must be used to report TXIX earned revenues that were expended. iii. Line item 103 on the Local Expenditure Report must be used to report other earned revenues that were expended. g. Line Item 6864 in Activity 4125, Transfer of Escrow Funds, shall be used to show anticipated TXIX revenues only. h. A local account shall be maintained for unbudgeted/unreported TXIX fees transferred to the Department. Accounts shall be maintained in sufficient detail to identify the program source generating the fees. i. Title XIX revenues carried forward at the end of fiscal year 1995 may not exceed Title XIX revenues earned during fiscal year 92-93 or $10,000.00 whichever is greater. j. Program budgets that do not include an amount of TXIX funds sufficient to meet the requirements of 3i. will not be approved by the State. 4. The Department shall submit a quarterly report of actual receipts and expenditures of "the Department according to instructions provided with Expenditure Reports, Form DEHNR 2949 (Revised 8/92) and Form DEHNR 2950 (Revised 2/93). a. The Department shall submit quarterly expenditure reports to the State within 45 days from the end of the reporting quarter. b. The Department shall submit the final Expenditure Report to the State within 45 days after the end of the contract period. C. The Department shall submit amended or corrected expenditure reports within six (6) months after the end of the contract period. Any such reports must be prepared for the specific quarter to be amended or corrected. Reports received after December 31 will be returned without action. d. The Department shall refund to the State all State funds not supported by expenditures within 45 days after notification of overpayment. When payment is not received by the State within 45 days, future payments to the Department may be reduced by the amount due or payments may be suspended until the refund is received by the State. e. The Department shall follow Women, Infants and Children Program and other Federal program reporting requirements when they differ from those stated above.