2008-061 Health Dept - Consolidated Agreement with NC Dept of Health & Human Services

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~~~~~~ Agreement -Fins) Page 2 of 19 A. RESPONSIBILITIES OF THE DEPARTMENT (LOCAL PUBLIC HEALTH UNIT) 1. The Department shall perform activities in compliance with applicable program rules contained in the North Carolina Administrative Code, as well as all applicable Federal and State laws and regulations. 2. The Department shall perform the activities specified in the Program Agreement Addenda for State funded budgets. The Department must negotiate these Agreement Addenda in good faith to the satisfaction of state representatives as part of the agreement execution. The Department will meet or exceed the Agreement Addenda levels unless extenuating circumstances prevail and are explained in writing to the state section, branch or program. 3. The Department shall report client, service, encounter, and other data as specified by applicable program rules, Program Agreement Addenda for State funded budgets, and by North Carolina Administrative Code. 4. The Department shall provide access to patient records to authorized staff from the Division of Public Health for technical consultation, program monitoring, and program evaluation, as specified by applicable program rules, Program Agreement Addenda for State funded budgets, and by North Carolina Administrative Code. 5. The Department shall provide client, service, encounter, and other data through the states' centralized automated systems for claims creation and submission for processing to the state's Medicaid agency except as allowed by NCGS 130A - 45.13. To ensure that such data is accurately linked to the specific client served in a manner that results in a unique identifier from the DHHS Common Name Data Service, the Department shall allow DPH to submit (on its behalf) the Social Security Numbers of all clients to the Social Security Administration for verification. 6. The Department shall shaze data to support efforts of the public health system, represented by the local health departments, Iocal health programs, and the State, in order to meet public health objectives while respecting the confidentiality and integrity of each agency's data and protecting the privacy of individual client health information. Sharing data includes providing client information allowed as permitted disclosures under the Health Insurance Portability and Accountability Act of 1996, Public Law 104-91, HIPAA Administration Simplification Provisions Sections 261 through 264, 45 CFR 164.512, Uses and disclosures for which consent, authorization, or opportunity to agree or object is not required. 7. The Department shall administer and enforce all rules that have been adopted by the Commission for Public Health, ratified by the NC General Assembly, or adopted by the Local Board of Health. 8. The Department shall provide to the State a copy of any rules adopted by the Local Board of Health pursuant to G.S. 130A-39 and Public Health Ordinances adopted by the County Commissioners, within 30 days of adoption. These rules/ordinances are to be sent to the Local Technical Assistance and Training Branch (LTAT). 9. The Depamnent shall have policies related to conflict of interest and policies and procedures for Human Subjects Clearance. Each staff member shall receive a copy of these documents. 10. The Department shall provide to the State a comprehensive community health assessment (CHA) every four years and a State of the County's Health Report each of the interim three yeazs. Healthy Cazolinians/Health Education Branch/CDI Section will administer this four-year cycle. The CHA should be a collaborative effort with the local Healthy Cazoliniaas Partnership, if such exists, and shall include collection of primary data at the county level. The CHA shall include a list of community health problems based on the fmdings and a narrative of the assessment findings. The agency is required to submit community action plans to • address the selected priority issues. These plans are due to the Office of Healthy Cazolinians/Health Education by the first Friday in March unless the Agency's Healthy Carolinians Partnership is submitting an application for certification/recertification, in which case the community action plans can be submitted at that time as part of the application. The CHA will include data analysis of those indicators that are listed in the accreditation self-assessment.