Orange County NC Website
Consolidated Agreement-Final <br />5 <br />possible when an alert is issued. All NC HAN alerts will be reviewed and acted on as necessary by the <br />Departrnent in a timely manner. <br />B.. FUNDING STIPULATIONS <br />1. Funding for this agreement is subject to the availability of State, Federal, and Special Funds for the purpose <br />set forth in this agreement. <br />2 During the period of this agreement, the Department shall not use State, Federal or Special Project funds <br />received under this agreement to reduce locally appropriated funds as reflected in the Local Health <br />Department-Local Appropriations Budget.. <br />3 The Department shall not use personal health program funds to support environmental health programs nor <br />use environmental health program funds to support personal health programs.. <br />4 Fees generated by the Food and Lodging Fees Collection Program may only be used to support State and <br />Local food, lodging, and institution sanitation programs and activities. <br />5. Funds for Childhood Lead Poisoning Prevention may be used to support both environmental health and <br />child health activities. <br />6. The county shall submit monthly reports of On-Site Wastewater activities to the On-Site Wastewater Section <br />in Division of Environmental Health in the format provided by the Section. <br />7. The Department shall comply with Standards for Mandated Public Health Services, l0A NCAC 46, Section <br />,0200; and Administrative Procedures Manual for Federal Block Grant Funds, I NCAC 33, Sections .0100 - <br />1~02 <br />8. The Department shall maintain signed employee time records to document the actual work activity of each <br />employee on a daily basis,. The percentage of time each employee spends in each activity shalt be converted <br />to dollars based upon the employee's salary and benefits at least on a monthly basis. The computation shall <br />support the charges for salaries and benefits to all federal and state grants (as required in OMB Circulaz <br />A87); as well as provide the documentation of detailed labor cost per activity for preparation of Medicaid <br />Cost Report, <br />9. The Departments participating in Medicaid Reimbursement shall: <br />a. Execute a Provider Participation Agreement with the Division of Medical Assistance. <br />b. Make every reasonable effort to collect its cost in providing services, for which Medicaid reimbursement <br />is sought, through public or private third party payors except where prohibited by Federal regulations or <br />State law, however no one shall be refused services solely because of an inability to pay. <br />c. Establish their Charge per clinical/support service for all payors (including Medicaid) based on their full <br />costs. All Payors must be charged the same established charge, but contract/program adjustments may <br />be accepted as negotiated payment in full. <br />] 0. Subject to the approval of the appropriate Section, a local health department may seek reimbursement for <br />services covered by a program operating under 15A NCAC 24A rules, Purchase of Medical Care Services <br />(POMCS), when those services aze not supported by other state or federal funds. All payment program rules <br />and procedures as specified in the Purchase of Medical Care Services Manual must be followed. <br />11. Provision of Interpreter Services: <br />a. Programs and services supported in whole or in part with federal funds must provide interpreter services <br />at no charge to non-English speaking clients. <br />