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• <br /> 24 <br /> State of North Carolina <br /> Division of Social Services <br /> Contract Application Page 5 of 8 <br /> • <br /> ( ) 3. (Applicable to Public Hospitals, Colleges, and Universities) <br /> The annual audit must be performed in accordance with OMB <br /> Circular A-110. It is not necessary for the institution to <br /> program audits performed separately from an all-inclusive <br /> single audit which entails all revenues and expenditures of the <br /> public agency. However, it is the responsibility of the contractor <br /> to insure that the contract program is included in the <br /> institution's single annual audit. <br /> A 'copy of the audit report must be provided to the County <br /> department of social services upon completion of the annual audit. <br /> (X) 4. (Applicable to State or Local. Government Agencies) <br /> An annual audit is to be performed in accordance with 0MB Circular <br /> A-128 by an independent auditor. Upon completion of the audit, a <br /> copy of the audit report must be forwarded to the county <br /> department of social services. <br /> E. Client Fees for Service <br /> (X) 1. No fees will be charged to individuals determined to be eligible <br /> for services by the department of social services. <br /> ( ) 2. The service(s) under contract with the Provider are services for <br /> which a client fee may be assessed. Policy regarding the <br /> assessment and collection of fees is contained in Family Services <br /> Manual, Volume VI, Chapter III. If a client is to be charged a <br /> fee, the department will inform the. Provider of the amount of the <br /> fee to be charged and of any subsequent changes by way of the <br /> Purchase of Service Referral and Authorization (DSS Form 1360) . <br /> The Provider will establish a plan with the client for collecting <br /> the fee on at least a monthly basis; and when fees are not paid <br /> within ten days of the due date, will bill the client in writing <br /> and send a copy of the bill to the Department. NO OTHER FEES FOR <br /> SERVICES MAX BE CHARGED TO THE CLIENT. Client fees are to be <br /> reported on the Monthly Report of Service Delivery (DSS Form <br /> 1571, Part IV) . <br /> F. Management of the Funding/Matching Share Requirement <br /> ( ) 1. A cash transfer of the matching share will be made to the county <br /> department of social services in accordance with the terms <br /> specifed in the Donation Agreement (DSS-1319) . <br /> DSS-1292 (4/87) <br /> Family Services <br />