2020-361-E Health-NC DHHS consolidated services agreement FY20-21

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Consolidated Agreement FY21 Page 12 of27 3. The LHD proposes to subcontract for services in the Women, Infants and Children (WIC) Program. e. The LHD shall mail a signed copy of all public health Funding Authorization documents to the DPH Budget Office, 1931 Mail Service Center, Raleigh, NC 27699-1931. f. The LHD shall retain a copy of all Funding Authorization documents, the monthly certified electronic printed screen of the Expenditure Reports with any amendments (via the Aid-to-Counties Database), Consolidated Agreement, Agreement Addenda, Agreement Addendum Revisions and other financial records in accordance with the current Records Disposition Schedule for Local Health Departments issued by the North Carolina Department of Natural and Cultural Resources and located on their website at: https://archives.ncdcr.gov/documents/local-health-departments-schedule g. Audits/Monitoring: The county or the LHD shall have an annual audit performed in accordance with the Single Audit Act of 1984 (with amendment in 1996) and 2 CFR Part 200. The audit report shall be submitted to the Local Government Commission (LGC) by the County Administration (if single county LHD) or the District Health Department or Public Health Authority (if so organized) within six months following the close of the Agreement. Audit findings referred to the DHHS Internal Audit Office by LGC will be investigated and findings verified by the DHHS Controller's Office staff with assistance of DPH Program Staff. h. Local Appropriations Budget: The LHD shall prepare and maintain a Local Appropriations Budget (reflecting the plans to use local appropriations or earned fees) for each Agreement Addendum in a manner consistent with instructions provided in funding-specific budgetary guidance from DPH and the specific guidance from the respective programs. 1. Local Earned Revenues Budgeting and Reporting: The LHD shall observe the following conditions when budgeting and reporting Local Earned Revenues: 1. Locally appropriated funds may not be withdrawn due to fee collection greater than projected in the budget or due to new grant funding except during the last two months of the fiscal year to allow the county to manage end of year budget close out. 2. All earned revenue ( officially classified as local funds) must be budgeted and spent in the program that earned it except: a) Revenue generated by Women's and Children's Health (WCH) Section Programs may be budgeted and expended ( consequently reported) in any WCH Section Program, unless a specific Agreement Addendum has a more restrictive requirement. b) Revenue generated by a local clinic or program that has no State-funded budget (no State or federal funds) shall be budgeted and associated expenditures reported in a State Program Activity that most closely matches the deliverables of the respective State program. This process will enable the collection of total expenditures in public health per program. 3. The LHD shall not use personal health program funds to support environmental health programs nor use environmental health program funds to support personal health programs. 4. Use of program income generated by the expenditure of federal categorical funds will be governed by applicable federal regulations, including, but not limited to, 2 CFR Part 200. 5. A local account shall be maintained for unexpended earned revenues (i.e., Title XIX fees, private insurance or private pay [cash]). Accounts shall be maintained in sufficient detail to identify the program source generating the fees. DocuSign Envelope ID: B7CC8492-1A0C-48C3-B890-562DC3D404A4