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Consolidated Agreement FY2 l Page 8 of27 <br />3. LHD charges/billing. The LHD shall: <br />a) Establish one charge per clinical/support service for all payors (including Medicaid) based on <br />their related costs as permitted by NCGS § 130A-39(g). <br />b) Bill All Payors the established charge except when billing 340B Drug Pricing Program drugs <br />or devices to Medicaid. All drugs or devices purchased using 340B Program must be billed to <br />Medicaid at the acquisition cost. <br />c) The LHD may accept negotiated or other agreed upon lower amounts ( e.g., the Medicaid <br />reimbursement rate) as payment in full. <br />d) Make every reasonable effort to collect charges for services through public or private third- <br />party payors. except where prohibited by federal regulations or State law; however, no one <br />shall be refused services solely because of an inability to pay. <br />e) All LHD fees, including environmental health fees shall be reviewed annually by the <br />governing body in accordance with the North Carolina Local Health Department <br />Accreditation Board guidance. <br />4. The LHD shall comply with the federal Uniform Administrative Requirements, Cost Principles, and <br />Audit Requirements for Federal Awards ("Uniform Guidance"), codified at 2 CFR 200, when <br />utilizing federal grant funds. <br />a) When procuring goods and services with federal grant funds, the LHD shall apply the most <br />restrictive rule when following federal, State, and local government procurement <br />requirements. <br />5. When administering the Women, Infants, and Children's Program (WIC), the LHD must adhere to <br />the requirements set forth in Section 361 of the Healthy Hunger-Free Kids Act of2010 which <br />amended Section 12(b) of the Richard B. Russell National School Lunch Act (NSLA), 42 USC <br />1760(b ). This Act requires the LHD to support full use of the federal administrative funds provided <br />for the WIC program. The federal administrative funds are specifically excluded from budget <br />restrictions or limitations including, at a minimum, hiring freezes, work furloughs and travel <br />restrictions. <br />6. The LHD agrees to execute the following consolidated Federal Certifications (Attachment C) as <br />applicable when receiving federal funds: <br />a) Certification regarding Nondiscrimination <br />b) Certification regarding Drug-Free Workplace Requirements <br />c) Certification regarding Environmental Tobacco Smoke. <br />d) Certification regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower <br />Tier Covered Transactions <br />e) Certification regarding Lobbying. <br />7. Pursuant to the Federal Funding Accountability and Transparency Act (FFATA), the LHD is <br />required to submit to DPH information that is reportable by DPH for all qualified sub-awardees of <br />federal funds. The LHD will complete and submit the Federal Funding Accountability and <br />Transparency Act (FF AT A) Data Reporting Requirement form provided by DPH to determine the <br />eligibility as a sub-awardee for reporting purposes. Information provided by the LHD will be used <br />by DPH to report subawards (funding authorizations) equal to or greater than $25,000 from each <br />federal grant. <br />DocuSign Envelope ID: B7CC8492-1A0C-48C3-B890-562DC3D404A4