Agenda - 4-21-14 Reg. Meeting - Laserfiche WebLink

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Consolidated Agreement FYI Page 4 of 28 8. For Departments participating in Medicaid Reimbursement, the Department shall: a. Execute a Provider Participation Agreement with the Division of Medical Assistance. Selected health departments receiving at least $5,000,000 in Medicaid receipts annually, as identified by the Division of Medical Assistance, must 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 and State False Claims Acts 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 clinical/support service for all 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 M. 9. Subject to the approval of the appropriate Section, the Department may seek reimbursement for services covered by a program operating under IOA 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. 10. Provision of Interpreter Services: As required by Title VI of the Civil Rights Act, the Department, because it receives federal funds, must provide interpreter services at no charge to Limited English Proficiency clients in all programs and services offered by the Department. 11. The Department may not require a client to present identification that includes a picture of the client for at least immunization, pregnancy prevention, sexually transmitted disease and communicable disease services. 12. Subject to the availability of funds and approval of the Public Health Nursing and Professional Development Unit, the 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. Reimbursement requests must be filed by the Department within one year of completion. b. Health Department Management/Supervision level staff participating in the Management and Supervision for Public Health Professionals course. Reimbursement is $600.00 per participant upon successful completion of the course. Reimbursement requests must be filed by the Department within one year of completion. 13. Audits/Monitoring: a. The Department shall have an annual audit performed in accordance with The Single Audit Act of 1984 as implemented by OMB Circular A -133. The audit report shall be submitted to the Local Government Commission (LGC) by the County Administration (if single county health