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

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Consolidated Agreement -Final Page 4 of 19 S. The Department shall maintain signed employee time records to document the actual work activity of each employee on a daily basis. The percentage of time each employee spends in each activity shall be converted to dollars based upon the employee's salary and benefits at least on a monthly basis. The computation shall support the charges for salaries and benefits to all federal and state grants (as required in OMB Circular A87) as well as provide the documentation of detailed labor cost per activity for prepazation of Medicaid Cost Report. 9. For Departments participating in Medicaid Reimbursement, the Department shall: a. Execute a Provider Participation Agreement with the Division of Medical Assistance. For selected health departments receiving at least $5,000,000 in Medicaid receipts annually, as identified by the Division of Medical Assistance, Sign, as part of their continuing participation as a Medicaid provider, a Letter of Attestation affirming that: 1) detailed information is provided to employees, contractors and agents about the Federal & State False Claims Act and 2) written policies and procedures are in place to detect and prevent fraud, waste and abuse. b. Make every reasonable effort to collect its cost in providing services, for which Medicaid reimbursement is sought, through public or private third party payors except where prohibited by Federal regulations or State law; however, no one shall be refused services solely because of an inability to pay. c. Establish one charge per clinicaUsupport service for alt payors (including Medicaid) based on their costs. All Payors must be billed the same established charge, but the Department may accept negotiated or other agreed upon lower amounts (e.g., the Medicaid reimbursement rate) as payment in full. 10. Subject to the approval of the appropriate Section, a local health department may seek reimbursement for services covered by a program operating under l0A NCAC 45 rules, Purchase of Medical Care Services (POMCS), when those services are not supported by other state or federal funds. All payment program rules and procedures as specified in the Purchase of Medical Care Services Manual must be followed. 11. Provision of Interpreter Services: a. Programs and services supported in whole or in part with federal funds must provide interpreter services at no charge to Limited English Proficiency clients. b. Only those programs and services funded entirely with state and/or local funds, unless prohibited by State law or rule, may charge Limited English Proficiency clients for interpreter services. However, no one shall be refused services solely because of an inability to pay for interpreter services. 12. Subject to the availability of funds and approval of the Public Health Nursing and Professional Development Unit, a Department may request reimbursement for: a. Nursing service personnel participating in the "Introduction to Principles and Practices of Public Health and Public Health Nursing" course. Reimbursement is $400.00 per participant upon successful completion of the course. b. Nursing service personnel participating in the "Management and Supervision for Public Health Nurse Supervisors and Directors" course. Reimbursement is $600.00 per participant upon successful completion of the course. c. Health Department Management level staff (aIl disciplines) attending certain Management training endorsed by the State Health Director's Office when the local staff member is a part of a team accepted into these trainings/institutes.