Orange County NC Website
12 <br />State of North Cazolina <br />Division of Social Services <br />Contract Application <br />Page 4 of <br />C. Reimbursement Reporting: <br />1, Expenditures <br />The Provider will report expenditures monthly in accordance with policy set forth by <br />the Controller's Offices, Division of Social Services, issued via the Fiscal Manuah <br />Expenditures are to be reported on the DSS Administrative Cost Report (Form DSS- <br />1571, Part III). Reports aze to be submitted to the Department by the fifth working <br />day of the month following the month in which services were delivered. The <br />Depaztment will reimburse the Provider monthly, usually by check, upon receipt of a <br />completed and correctly filed report. <br />2, Reporting for the Statewide Services Information System (SIS) <br />In addition to the Administrative Cost Report (DSS-1571, Part III), the Provider will <br />submit to the Depaztment the Monthly Report of Service Delivery (DSS Form 1571, <br />Part IV). This should be submitted along with the Administrative Cost Report by the <br />fifth working day of the month following the month in which services were delivered. <br />The units reported in Column 12 of the 1571 Part IV are the units of service defined in <br />Colunm 5 of LC.. of this Attachment. Service definition and reporting instructions are <br />found in Family Services Manual, Volume VI, Chapter IV, <br />D. Audit Requirements <br />The Provider shall be responsible for compliance with the audit requirements of <br />Department of Health and Human Services federal regulation 45 CFR Part 74, <br />Administration of Grants, or State Administrative Procedures Manual for Federal Block <br />Grant Funds, whichever is applicable, These regulations stipulate that an annual audit be <br />performed for the fiscal year in which contract funds were received.. <br />O I, NA <br />Private, non-profit if amount of reimbursement received is under $ 1,000; private, <br />for profit or individual <br />O 2. (Applicable to Private, Non-Profit Providers if7eimb. $1,000 or over) <br />An amoral audit is to be performed in accordance with OMB Circular A-110 by an <br />"independent auditor." Independent auditor" means either: (a) a state govermnent <br />auditor from the Department of Human Resources or the Department of <br />Administration, Off ce to the State Auditor; or (b) a certified public accountant. <br />Upon completion of the audit, a copy of the audit report must be Forwarded to the <br />county department of social services, <br />