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Consolidated Agreement FYI FY 2018 CONSOLIDATED AGREEMENT Pagel of 33 This Agreement is made between the North Carolina Department of Health and Human Services, Division of Public Health ("State") and the Lee County Health Department ("Department") for the purposes of maintaining and promoting the advancement of public health in North Carolina. This Agreement shall cover a period from July 1, 2017 to June 30, 2018 and shall remain in force until the next Fiscal Year Agreement is signed except as provided for in Section J. Termination. Now, therefore, the State and the Department agree that the provisions and clauses herein set forth shall be incorporated in and constitute the terms and conditions applicable for activities involving State funding. (State funding or funds means State, federal, and/or special funding or funds throughout this Agreement.) A. RESPONSIBILITIES OF THE DEPARTMENT 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 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, 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 (DPH) for technical consultation, program monitoring, and program evaluation, as specified by applicable program rules, 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 State's centralized automated systems for claims creation and submission for processing to the State's Medicaid agency except as allowed by NCGS 130A — 45.13 and SB245 passed in the 2011 session. 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 except as allowed by SB245 passed in the 2011 session, the Department shall allow the State to submit (on its behalf) the Social Security Numbers of all clients to the Social Security Administration for verification. 6. The Department shall share data to support efforts of the public health system, represented by the local health departments, local health programs, and the State (the parties), in order to meet public health objectives. The data will be shared in a manner which respects the confidentiality and integrity of each party's data and protects 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. 7. The Department shall administer and enforce all rules that have been adopted by the Commission for Public Health, ratified by the North Carolina General Assembly, or adopted by the Local Board of Health.