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24 | Page <br /> <br />21. Cooperation with CMS and/or CMS Contractor(s). The Recipient shall fully cooperate <br />with , and shall require and ensure that its subrecipients and partners fully cooperate with, <br />CMS and/or CMS contractor(s) that will be providing implementation and monitoring <br />support, technical assistance, Learning System support, and carrying out the evaluation of <br />the InCK Model. Cooperation include s, but is not limited to, participation in interviews, <br />surveys, virtual or in -person site visits , and other data collection efforts ; providing necessary <br />data to CMS; proactively working with CMS contractors to resolve identifie d issues; and <br />identifying and describing best practices. <br /> <br />22. Prior CMS Approval Requests . Prior to making any Substantive Changes to the model <br />components listed below, the Recipient shall notify the PO and Grants Manage ment <br />Specialist of the desired changes by submitting the appropriate amendment request in <br />GrantSolutions for CMS review. Prior approval requests include, but are not limited to: <br /> <br />A. Revisions to the budget that require prior approval consistent with the requirements in the <br />Standard Terms and Conditions and HHS grant regulation 45 CFR Part 75. See also <br />Standard Terms and Conditions 6. Prior Approval Requests and 7. Revision of Budget <br />and Program Plans. <br />B. Changes to the Implementation Plan, including its scope and any of its components. <br />C. Changes to the designated model service area or attributed population. <br />D. Changes to the activities or milestones in the Operational Plan or corres ponding timeline. <br />E. Changes in the design or operation of the APM, including the need for a SPA or waiver. <br />F. Changes in the components or scope of the Needs Assessment and Stratification or <br />Service Integration SOPs, including changes pertaining to the use of data -driven <br />methods . <br />G. Changes in the design of the needs assessment tool(s). <br />H. Any other deviations from the activities outlined in the InCK Model Application (as <br />approved), NCC Application (as approved), Notice of Award, and Terms and Conditions <br />of Award. <br /> <br />23. M eetings . The Recipient shall participate in all virtual and in-person meetings required by <br />CMS or its contractor(s). <br /> <br />24. Use of Funds. No funds under this award may be used for any of the purposes listed in <br />Section 11 of the Standard Terms and Conditions (Prohibited Uses of Grant or Cooperative <br />Agreement Funds ), in NOFO Section D 6, and as outlined below (Unallowable Use of <br />Funds). In addition, Recipient shall not use award funds to pay for services currently <br />reimbursable by Medicaid or to supplant existing funding for other sources. <br /> <br />Unallowable Use of Funds <br /> <br />A. No costs may be incurred or funds drawn down to support positions until hired. This <br />prohibition is applicable to direct personnel, fringe benefit, and supply (e.g. laptops) costs <br />as well as personnel, fringe benefit, and supply (e.g. laptops) costs for subrecipient, <br />contractual, and consultant agreements. <br />B. Incentive costs to organizations are prohibited. <br />DocuSign Envelope ID: 7832B0E4-F34E-430E-A3C2-1A6A14F29307