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State of North Carolina <br />Division of Social Services <br />Contract Application <br />Page 5 of g <br />( ) 3. (Applicable to Public Hospitals, Colleges, and Uri,,,ersities) <br />The annual audit must be performed in accordance with 0HIB <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 iri 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 OMB 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) I. 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 MAY 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 />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 />