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d <br />Page 3 of 12 4 <br />I <br />6. The Department participating in Medicaid Reimbursement shall: <br />a. Comply with the terms of the Memorandum of Understanding between <br />the Division of Medical Assistance and the Division of Health <br />Services and the Local Participation Agreement dated July 1, 1984 <br />and any subsequent approved addenda or new MOU approved and <br />established during the period of this contract. <br />b. Make every reasonable effort to collect its cost in providing <br />services, for which Medicaid reimbursement is sought, through <br />public or private third party payors except where prohibited by <br />Federal regulations or State law. No one shall be refused services <br />solely because of an inability to pay.. x,11 payments from persons . <br />and publig or Rrivate third Party RLy2Ks, shall-be utilized for the <br />activity that SeneratIg the revenue and shall not redo a or replace <br />locally aRRropriated funds during the 2eriod of this Contract. Use <br />of program income generated by the expenditure of Federal <br />categorical funds will be governed by applicable Federal <br />.regulations, including but not limited to, 45 CFR 74. <br />7. The Department agrees to match the expenditure of Adolescent Pregnancy <br />Prevention Project grant funds with any in -kind source or newly <br />generated funds, public or private available to the project. Payment <br />from the State shall be in accordance with Chapter 689, Section 174 of <br />the 1991 Session Laws. <br />8. Funds budgeted for Adolescent Health Activities shall not be expended <br />for dues or out -of -state travel unless prior approval is received from <br />the 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 15A NCAC 24A rules when those services are not <br />supported by other state or federal funds. All payment program rules <br />and procedures as specified in the Purchase of Medical Care Services <br />manual must be followed. <br />10. Subject to the availability of funds and approval of the Office of <br />Public Health Nursing, a local health department may request <br />reimbursement for: <br />a. Nursing service personnel participating in the Introduction to <br />Public Health and Public Health Nursing course and the Supervisors <br />Training Course. Reimbursement is limited to no more than $200.00 <br />per week per participant upon successful completion of the-course. <br />b. Nursing service personnel attending Continuing Education offerings <br />which are identified by letter from 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 />