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DocuSign Envelope ID: 179DC6FB-73BA-4F64-A513-C8AB2B7D864F <br /> ATTACHMENT❑ <br /> OUTCOMES AND REPORTING <br /> Orange County Department of Social Services <br /> By signing and submitting this document,the Contractor certifies that it agrees to the following: <br /> 1. The Contractor agrees to participate in program, fiscal and administrative monitoring and/or audits, <br /> making records and staff time available to Federal, State and County staff. <br /> 2.The Contractor agrees to take necessary steps for corrective action, as negotiated within a corrective <br /> action plan, for any items found to be out of compliance with Federal, State,and County laws, regulations, <br /> standards and/or terms of the Contract. <br /> 3. The Contractor agrees that continuation of and/or renewal of this Contract is contingent on meeting the <br /> following requirements. The Contractor agrees to: <br /> A. Provide Adult Day Health Care Services,according to the North Carolina State Standards for <br /> Certification,to clients referred by the County. <br /> B. Comply with all State licensing standards, all applicable accrediting standards and any other <br /> standards or criteria established by the North Carolina Department of Health and Human <br /> Services to assure quality of services <br /> C. Maintain all financial and program records for a period of three years from the date of final <br /> payment under this agreement for inspection by the County,the Area Agency on Aging and the <br /> Comptroller General of the United States, or any of their duly authorized representatives. If any <br /> claim, litigation,negotiation,audit or other action involving the Contractor's records has been <br /> started before the expiration of the three-year period,the records must be retained until <br /> completion of the action and resolution of all issues that arise from it. <br /> D. Maintain appropriate program records,client case files which document the provision of the <br /> agreed upon service(s); and maintain a valid authorization for services for each client <br /> determined to be eligible by the County and authorized by the County for service(s)provided <br /> under this agreement. <br /> E. Furnish financial and program data as required to document the basis for the reimbursement rate <br /> and to document that applicable standards have been met. <br /> F. Be responsible for compliance with the audit requirements of the Department of Health and <br /> Human Services. <br /> a. An annual audit is to be performed in accordance with OMB Circular A-110 by an <br /> "independent auditor." "Independent auditor"means either: <br /> L A state government auditor for the Department of Human Resources or the <br /> Department of Administration,Office of the State Auditor; or <br /> ii. A certified public accountant. <br /> b. Upon completion of the audit, a copy of the audit report must be forwarded to the <br /> County. <br /> G. Notify the County of participant absences of more than 5 days. <br /> H. Notify the County, in a timely manner, of significant changes in the clients' conditions or <br /> situations. <br /> Outcomes (06/04) Page l of 2 <br />