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Consolidated Agreement FY21 Page 1 of27 <br />FY 2021 CONSOLIDATED AGREEMENT <br />This Agreement is made between the North Carolina Department of Health and Human Services, Division <br />of Public Health (hereinafter referred to as "DPH") and the Orange County Health Department (herein after <br />referred to as "LHD") for the purposes of maintaining and promoting the advancement of public health in North <br />Carolina. This Agreement shall cover a period from June 1, 2020 to May 31, 2021 and shall remain in force <br />until the next Fiscal Year Agreement is signed except as provided for in Section J. Termination. <br />Now, therefore, DPH and the LHD agree that the provisions and clauses herein set forth shall be incorporated in <br />and constitute the terms and conditions applicable for activities involving State funding. (State funding or funds <br />means State, federal, and/or special funding or funds throughout this Agreement.) <br />A. LHD RESPONSIBILITIES <br />a. Performance <br />1. The LHD shall perform activities in compliance with applicable program rules contained in the <br />North Carolina Administrative Code, as well as all applicable federal and North Carolina laws and <br />regulations. <br />2. The LHD shall perform the activities specified in the Agreement Addenda for State-funded budgets. <br />The LHD must negotiate these Agreement Addenda in good faith to the satisfaction ofDPH <br />representatives as part of the Agreement execution. The LHD will meet or exceed the Agreement <br />Addenda deliverables unless extenuating circumstances prevail and are explained in writing and . <br />subsequently approved by the DPH section, branch or program. <br />3. The LHD shall be committed to achieve health equity, promote inclusion of all populations affected <br />by conditions contributing to health disparities (including race or ethnicity, sex, sexual identity, age, <br />disability, socioeconomic status, and geographic location), and ensure all staff, clinical and non- <br />clinical, participate in ongoing training focused on health equity, health disparities, and/or social <br />determinants of health to support individual competencies and organizational capacity to promote <br />health equity. The LHD shall administer and enforce all rules that have been adopted by the <br />Commission for Public Health or adopted by the Local Board of Health, Consolidated Human <br />Services Board, or Board of County Commissioners (hereinafter referred to as "LHD governing <br />board"), and laws that have been enacted by the North Carolina General Assembly. <br />4. The LHD shall provide to DPH a copy of any rules adopted, amended or rescinded by the LHD <br />governing board pursuant to NCGS § 130A-39 Powers and duties of a local board of health and <br />Public Health Ordinances adopted by the County Commissioners, within 30 days of adoption or <br />rescission. These rules and ordinances are to be sent to the Deputy Director ofDPH or designee. <br />5. The LHD shall provide formal training/orientation for its LHD governing and/or advisory board <br />members. <br />6. The LHD shall not require a client to present identification that includes a picture of the client for at <br />least immunization, pregnancy prevention, sexually transmitted disease and communicable disease <br />services. <br />7. LHDs shall provide or assure provision of Care Management for High-Risk Pregnancies (CMHRP), <br />formerly known as Pregnancy Care Management (OBCM), and Care Management for At-Risk <br />Children (CMARC), formerly known as Care Coordination for Children (CC4C). These services <br />may be funded by Medicaid, state or federal funding through Agreement Addenda, private funders <br />or local funds. <br />DocuSign Envelope ID: B7CC8492-1A0C-48C3-B890-562DC3D404A4