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13 <br />State of North Carolina <br />Division of Social Services <br />Contract Application <br />Page 5 of <br />O 3, (Applicable to Public Hospitals, Colleges, and Universities) <br />The annual audit must be performed in accordance with OMB Circular A-110.. <br />It is not necessary for the institution to program audits performed separately <br />from an all-inclusive single audit which entails all revenues and expenditures <br />of the public agency. However, it is the responsibility of the contractor to <br />insure that the contract program is included in the institution's single annual <br />audit, <br />A copy of the audit report must be provided to the County department of <br />Social Services upon completion of the annual audit. <br />(X) 4, (Applicable to State or Local Govemm~ent Agencies) <br />An annual audit is to be performed in accordance with OMB Circular A-128 <br />by <br />azr independent auditor. Upon completion of the audit, a copy of the audit <br />report must be forwarded to the county Department of Social Services, <br />E. Client Fees for Service <br />(X) 1. No fees will be charged to individuals determined to be eligible for services by <br />the department of social services. <br />O 2. The service(s) under contract with the Provider aze services for which a client <br />fee maybe assessed.. Policy regarding the assessment azxd collection of fees is <br />contained in Family Services Manual, Volume VI, Chapter III. If a client is to <br />to be chugged a fee, the department will inform the Provider of the amount of <br />fee to be charged and of any subsequent changes by way of the Purchase of <br />Service Referral azid Authorization (DSS Fonn 1.360). The Provider will <br />establish a plan with the client for collecting the fee on at least a monthly basis; <br />and when fees are not paid within ten days of the due date, will bill the client <br />in writing axed send a copy of the bill to the Depaztment. NO OTHER FEES <br />FOR SERVICES MAY BE CHARGED TO THE CLIENT. Client fees are to <br />be reported on the Monthly Report of Service Delivery (DSS Fonn 1571, Part <br />IV), <br />F, Management of the Funding/Matching Share Requirement <br />O 1. A cash transfer of the matching shaze will be made to the county <br />department of social services in accordance with the terms specified in the <br />Donation Ab Bement (DSS-1319). <br />