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Docusign Envelope ID : 110C587D-DB75-493A-BSA&C081AED27025 <br /> 6 <br /> SPECIAL CONDITIONS: <br /> 1 . The award of these funds shall not be used by a county as a basis to supplant any portion of a <br /> county' s commitment of local funds to the area authority . <br /> 2 . These funds shall only be used for community-based services and supports . <br /> 3 . The funds provided shall not be utilized to supplement any reimbursement for services or staff <br /> activities provided through the NC Medicaid Program ; <br /> 4 . Funds shall be used in accordance with cost principles describing allowable and unallowable <br /> expenditures for nonprofit organizations in accordance with OMB Circular A- 122 ; <br /> 5 . Tailored Plans are prohibited from withholding or deducting any portion of allocated state funds <br /> for the support of any Tailored Plan activity or function , including , but not limited to , <br /> administration , overhead , or indirect expenses . All allocated funds are required to be fully <br /> contracted by the Tailored Plan for approved expenditure by eligible non -profit subrecipient <br /> organizations . <br /> 6 . If Tailored Plans are underutilizing the funds allocated , the Division reserves the right to make <br /> adjustment in allocations . <br /> 7 . Any payback of funds provided to the Tailored Plan pursuant to this allocation and determined to <br /> be owed by the Tailored Plan as a result of the funding review and settlement process conducted <br /> by DMHDDSUS for each fiscal year , must be paid within 60 days after the date of Tailored Plan ' s <br /> receipt of the non - Medicaid funding audit report memorandum (financial settlement <br /> memorandum ) from DMHDDSUS . If not timely paid , DMHDDSUS will take action to recover any <br /> such payback amount due from the Tailored Plan , The Tailored Plan will be provided prior written <br /> notice of the process to recoup any payback funds owed and not timely paid by the Tailored Plan <br /> i <br /> and any appeal rights to contest the payback amount due , in the financial settlement <br /> memorandum from DMHDDSUS . <br /> S . NC DHHS has an approved cost allocation plan which exempts the State from the indirect cost <br /> rate requirement for Federal awards . <br /> 9 . NC DHHS does not allocate pass-through funds identified as Research and Development . <br /> i <br /> SPECIAL REPORTING REQUIREMENTS : <br /> The following reporting requirements are required as referenced in G . S . 122C - 144 . 1 . Budget Format <br /> and Reports : In order to ensure the Division has complete and accurate information on services <br /> provided and expenditures , reporting of all services is required through NC Tracks and the Financial <br /> Reporting Tool , Financial Status Reporting Monthly Expenditure Detail worksheets . This will enable the <br /> system to assign eligible services to the correct disability-based accounts . Complete reporting of <br /> services is also essential for performance measures calculated from NC Tracks claims and encounter <br /> data . Monthly and Quarterly programmatic reports should also be submitted to the Program Manager . <br /> i <br /> i <br /> i <br /> I <br /> 1 <br /> 2 <br />