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page . 4 <br />6. The Department shall be responsible for determination of eligibility as <br />delegated by the Secretary, Department of Hunan Resources, when providing <br />Social Services Block Grant funded services. <br />7. The Department participating in Medicaid Reimb=w=ent shall: <br />a. Comply with the terms of the Memorandum of Understanding between the <br />Division of Medical Assistance and the Division of Health Services <br />and the Local Participation Agreement dated July 1, 1984. <br />b. Make every reasonable effort to collect its cost in providing <br />services, for which Medicaid reimbursement is sought, through public <br />or private third party payors except where prohibited by Federal <br />regulations or State law. No one shall be refused services solely <br />because of an inability to pay. All payments fran persons, public or <br />private third party payors, shall be utilized for the activity that <br />earned it and shall not reduce or replace locally appropriated funds <br />during the period of this Contract. Use of program incase generated <br />by the expenditure of Federal categorical funds will be governed by <br />applicable Federal regulations, including but not limited to, <br />45 CER 74. <br />8. Funds budgeted for Adolescent Health Activities shall not be expended for <br />dues or out -of -state travel unless prior approval is received from the <br />program.. <br />9. Subject to the approval of the appropriate Division, a local health <br />department may seek reimbursement for services covered by a program <br />operating under 10 NCAC 4C rules when those services are not supported by <br />other state or federal funds. All payment program rules and procedures <br />as specified in the Purchase of Care manual must be followed. <br />10. Subject to the availability of funds and approval of the Office of Public <br />Health Nursing, a local health department may request reimbursement for: <br />a. Nursing service personnel participating in the introduction to Public <br />Health and public Health Nursing course and the Supervisors Training <br />Course. Reimbursement is limited to no more than $200.00 per.week <br />per participant upon successful om pletion of the course. <br />b. Nursing service personnel attending Continuing Education offerings <br />which are identified by letter fram the Office of Public Health <br />Nursing as being eligible under the nurse training funds. <br />Reimbursement is limited to $25.00 per participant per event. <br />11. The Department shall have an annual audit performed in accordance with <br />The Single Audit Act of 1984 as implemented by OMB circilar 128. Audit <br />findings and resolution of said findings shall be handled by the Division <br />of Fiscal Management, Special Accounting Section. <br />