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Agenda - 4-21-14 Reg. Meeting
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Agenda - 4-21-14 Reg. Meeting
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646 <br />Consolidated Agreement FYI <br />Page 13 of 28 <br />8. The State shall act as the principal liaison between the public health system and the State's Medicaid <br />agency on issues related to Medicaid reimbursed services provided by the State and the Department <br />and shall cooperate with the State Medicaid agency to provide technical assistance, guidance, and <br />consultation to local health programs to ensure compliance with Medicaid policies and procedures. <br />9. The State shall design and implement annual cost studies to ensure appropriate cost -based Medicaid <br />reimbursement. <br />10. The State shall work with the North Carolina Division of Information Resource Management to <br />provide automated systems and facilities via the Health Information System (HIS). HIS is currently <br />used to create and submit Medicaid claims, perform accounts receivables, and to collect other DPH <br />program - related data from client, service, encounter and other data on behalf of the local health <br />departments and other public health programs. The State shall provide business and technical support <br />for the automated systems to the users of this system. <br />11. The State shall provide support and consultation to ensure that the Health Information System (HIS) <br />can generate standard transactions for public health Medicaid claims and for public health claims to <br />all insurers submitted on behalf of the Department per HIPAA [the Administrative Simplification <br />provisions of the Health Insurance Portability and Accountability Act of 1996 (P.L. 104 -91) subparts <br />I through N, which define the standards for speck transactions] <br />12. The State shall responsibly use data reviewed and received in its role as a public health authority and <br />health oversight agency while respecting the confidentiality and integrity of the data and securing <br />and protecting the privacy of individual client health information (see Business Associate Addendum <br />to this Consolidated Agreement) <br />13. The State shall provide to the Department "Budgetary Estimates of Funding Allocations" no later <br />than February 14 of each year to use in preparation of their local budget proposals per current <br />General Statute. An exception is the Food & Lodging distributions required by G.S. 130A- 248(d). <br />The State shall provide the Food & Lodging funding allocation on the Distribution Spreadsheet <br />which will accompany the Food & Lodging Agreement Addendum. <br />14. The Food & Lodging Local Health Department Request for Payment Form (DPH EH 2948) will <br />accompany the Agreement Addendum and will be provided to the Department no later than <br />March 30 for the State Fiscal Year in which payment will be made. The State shall disperse Food & <br />Lodging funds to the Department upon receipt of the executed Agreement Addendum and the signed, <br />completed, and approved Food & Lodging Local Health Department Request for Payment Form. <br />15. The State shall provide a "Funding Authorization" to the Department after the receipt of the Certified <br />State Budget. If funds are restricted through quarterly allotments, the initial Funding Authorization <br />will only include one - quarter of the annual amount for each speck activity involving State funds. <br />16. The State shall provide funds to the Department upon receipt of this executed Agreement, the <br />executed Agreement Addenda, and timely submissions of Expenditure Reports. Payment will be <br />made to the Department according to the DHHS Controller's Office E- Payment Schedule issued <br />November or December of each year for the following calendar year. <br />17. The State shall assist the Department to comply with all applicable laws, regulations, and standards <br />relating to the activities covered in this Agreement. <br />
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