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<br />Consolidated Ageement -Final <br />Page 4 of 18 <br />b. Make every reasonable effort to collect its cost in providing services, for which Medicaid reimbursement <br />is sought, through public or private third party payors except where prohibited by Federal regulations or <br />State law; however, no one shall be refused services solely because of an inability to pay. <br />c. Establish one charge per clinicaUsupport service for all payors (including Medicaid) based on their <br />costs. All Payors must be billed the same established charge, but may accept negotiated or other agreed <br />upon lower amounts (e.g., the Medicaid reimbursement rate) as payment in full. <br />10. Subject to the approval of the appropriate Section, a local health department may seek reimbursement for <br />services covered by a program operating under l0A NCAC 45 rules, Purchase of Medical Care Services <br />(POMCS), when those services are not supported by other state or federal funds. All payment program rules <br />and procedures as specified in the Purchase of Medical Care Services Manual must be followed. <br />11. Provision of Interpreter Services: <br />a. Programs and services supported in whole or in part with federal funds must provide interpreter services <br />at no charge to Limited English Praficiency clients. _ <br />b. Only those programs and services funded entirely with state and/or local funds, unless prohibited by <br />State law or rule, may charge Limited English Proficiency clients for interpreter services. However, no <br />one shall be refused services solely because of an inability to pay for interpreter services. <br />12. Subject to the availability of funds and approval of the Public Health Nursing and Professional Development <br />Unit, a Department may request reimbursement for: <br />a. Nursing service personnel participating in the "Introduction to Principles and Practices of Public Health <br />• and Public Health Nursing" course. Reimbursement is $400.00 per participant upon successful <br />completion of the course. <br />b. Nursing service personnel participating in the "Management and Supervision for Public Health Nurse <br />Supervisors and Directors" course. Reimbursement is $600.00 per participant upon successful <br />completion of the course. <br />c. Health Department Management level staff (all disciplines} attending certain Management training <br />endorsed by the State Health Director's Office when the local staff member is a part of a team accepted <br />into these trainings/institutes. <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 department) or <br />the District Health Department or Public Health Authority (if so organized) within (six) 6 months <br />following the close of the agreement. Audit findings referred to the DHHS Controller's Office by LGC <br />will be investigated and findings verified by the DHHS Controller's Office staff with assistance of the <br />Division of Public Health Program Staff. <br />b. All District Health Departments and Public Health Authorities must complete quarterly a Fiscal <br />Monitoring Report and submit to the DHHS Controller's Office based on the schedule published by the <br />DHHS Controller's Office. <br />14. Equipment is a type of fixed asset consisting of specific items of property that: (1) aze tangible in nature; (2) <br />have a life longer than one year; and (3) have a significant value. <br />a. For Inventory Purposes <br />