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Consolidated Agreement -Final <br />G. RESPONSIBILITIES OF THE STATE <br />~3 <br />1. The State shall provide to the Department regular training, and, upon request, technical assistance in the <br />prepazation of the Consolidated Agreement, Local Health Departrnent-Local Appropriations Activity <br />Budgets and Agreement Addenda. <br />2. The State shall conduct liaison activities with local health departments for general problem solving and <br />technical support. <br />3. The State shall provide high-level consultation, technical assistance, and advice to local health directors. <br />Broad content areas include, but are not limited to: <br />• Board Relations <br />• Management Teams/Staffing <br />• Policy Development <br />• Program Planning and Implementation <br />• General Administrative Consultation, including consultation and technical assistance in budgeting, <br />fiscal, administrative and management support topic areas. <br />4. The State shall provide coordination and support for the education and training for the public health <br />workforce. <br />5. The State shall provide technical assistance and consultant services, as required, for specific health program <br />areas, including providing guidance and consultation about specific patient clinical issues, when requested. <br />6. The State shall provide course coordination, consultation, and technical assistance on nursing practice and <br />standards, policies and procedures that cross program. <br />7. The State shall provide support and consultation to the public health workforce in local health departments, <br />including regional public health consultants who offer technical assistance and training on professional <br />development; prod am planning, program evaluation and quality assurance; data collection; and community <br />assessment to local health educators for all public health programs. <br />8. The State shall act as the principal liaison between the public health system and the state's Medicaid agency <br />on issues related to Medicaid reimbursed services provided by the state and local public health agencies,. <br />9, The State shall cooperate with the state Medicaid agency to provide technical assistance, guidance, and <br />consultation to local health programs to ensure compliance with Medicaid policies and procedures. <br />10. The State shall design and implement annual cost studies to ensure appropriate cost-based Medicaid <br />reimbursement, <br />11. The State shall work with the NC Division of Information Resource Management to provide automated <br />systems and facilities via the Health Services Information System (HSIS). HSIS is currently used to create <br />and submit Medicaid claims, perform accounts receivables, and to collect other DPH program-related data <br />from client, service, encounter and other data on behalf of the local health departments and other public <br />health programs. The State shall provide business and technical support for the automated systems to the <br />users of'these systems. <br />12, The State shall provide support and consultation to ensure that HSIS can generate standard transactions for <br />public health Medicaid claims submitted on behalf of the local health departments per HIPAA [the <br />Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 <br />(P..L. 104-91) subparts I through N, which define the standards for specific transactions,] <br />