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t.onso6dated Agreement - Finat <br />Page4of19 <br />12. Subject to the availability of funds and approval of the Public. Health Nursing and Professional Development <br />Unit, a Department may request reunbursement for: <br />8. The Department shall maintain signed employee time records to document the actual work activity of each <br />employee on a daily basis. The percentage of time each employee spends in each activity shall be converted <br />to dollars based upon the employee's salary and benefits at least on a monthly basis. The computation shall <br />support the chazges for salaries and benefits to all federal and state grants (as required in OMB Circular <br />A87) as well as provide the documentakion of detailed labor cost per activity for preparation of Medicaid <br />Cost Report. <br />9. For Departments participating in Medicaid Reimbursement, the Department shall: <br />a_ Execute a Provider Participation Agreement with the Division of Medical Assistance. For selected <br />health departments receiving at least $5,000,000 in Medicaid receipts annually, as identified by the <br />Division of Medical Assistance, Sign, as part of their continuing participation as a Medicaid provider, a <br />Letter of Attestation affirming that: 1) detailed information is provided to employees, contractors and <br />agents about the Federal & State False Claims Act and 2) written policies and procedures are in place to <br />detect and prevent fraud, waste and abuse. <br />b. Make every reasonable effort to collect its cost in providing services, for which Medicaid reimbursement <br />is sought, through public or private third party payors except where prohibited by Federal regulations or <br />State law; however, no one shall be refused services solely because of an inability to pay. <br />c. Establish one charge per clinicaUsupport service for all payors (including 1vledicaitd) based on their <br />costs. All Payors must be billed the same established chazge, but the Department may accept negotiated <br />or other agreed upon lower amounts (e.g., the Medicaid reimbursement rate) as payment in full. <br />10. Subject to the approval of the appropriate Section, a local health department may seek reimbursement for <br />services covered by a program operating under l0A NCAC 45 rules, Purchase of Medical Care Services <br />(POMCS), when those services are not supported by other state or federal funds. All payment program rules <br />and procedures as specified in the Purchase of Medical Caze Services Manual must be followed. <br />.. <br />e r <br />y <br />~'^~' <br />.:. <br />~ c._ <br />.t..-.~! <br />t n <br />. 3° <br />a. Nursing service personnel participating in the "Introduction to Principles and Practices of Public Health <br />and Public Health Nursing" course. Reimbursement is $400.00 per participant upon successful <br />completion of the course. <br />b. Nursvng service personnel participating in the "Management and Supervision for Public Health Nurse <br />Supervisors and Directors" course. Reimbursement is $600.00 per participant upon successful <br />completion of the course. <br />c. Health Department Management level staff (all disciplines) attending certain Management training <br />endorsed by the State Health Director's Office when the local staffmember is a part of a team accepted <br />into these trainings/institutes. <br />u <br />