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Page 4 of 21 <br />Consolidated Ageement -Final <br />b. Make every reasonable effort to collect its cost in providing services, for which <br />Medicaid reimbursement is sought, through public or private third party payors except <br />where prohibited by Federal regulations or State law, however no one shall be refused <br />services solely because of an inability to pay. <br />c. Establish their Charge per clinicaUsupport service for all payors (including Medicaid) <br />based on their full costs. All Payors must be charged the same established charge, but <br />contract/program adjustments maybe accepted as negotiated payment in full. <br />10. Subject to the approval of thevered bn a e roeQram operatinh under 15 A NCAC 24A rules, <br />reimbursement for services co y p a <br />Purchase of Medical Care Services (POMCS), when those services are not supported by <br />other state or federal funds. All payment program rules and procedures as specified in the <br />Purchase of Medical Care Services Manual must be followed. <br />11. Provision of Interpreter Services: <br />a. Programs and services supported in whole or in part with federal funds must provide <br />interpreter services at no charge to non-English speaking clients. <br />b. Only those programs and services funded entirely with state and/or local funds, unless <br />prohibited by State law or rule, may charge non-English speaking clients for <br />interpreter services. However, no one shall be refused services solely because of an <br />inability to pay for interpreter services. <br />12. Subject to the availability of funds and approval of the Public Health Nursing and <br />Professional Development Unit, a local health department may request reimbursement for: <br />a. Nursing service personnel participating in the "Introduction to Principles and Practices <br />of Public Health and Public Health Nursing" course. Reimbursement is limited to no <br />more than $400.00 per participant upon successful completion of the course. <br />b. Nursing service personnel participating in the "Management and Supervision for <br />Public Health Nurse Supervisors and Directors" course. Reimbursement is limited to <br />no more than $600.00 per participant upon successful completion of the course. <br />c. Health Department Management level staff (all disciplines) attending certain <br />Management training endorsed by the State Health Director's Office and when the <br />local staff member is a part of a state team accepted into these trainings/institutes. <br />13. The Department shall have an annual audit performed in accordance with "The Single <br />Audit Act of 1984 as implemented by OMB Circular A-133." The audit report shall be <br />submitted to the Local Government Commission (LGC) by the County Administration (if <br />single county health department) or the District Health Department or Public Health <br />Authority (if so organized) within (six) 6 months following the close of the agreement. <br />Audit findings referred to the DHHS Controller's Office by LGC will be investigated and <br />findings verified by the DHHS Controller's Office staffwith assistance of the Division of <br />Public Health Program Staff <br />14. Equipment are a type of fixed asset consisting of specific items of property that: (1) are <br />tangible in nature; (2) have a life longer than one year; and (3) have a significant value. <br />