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Consolidated Agreement FY23 Page 2 of 28 Children (CMARC) [formerly known as Care Coordination for Children (CC4C)]. These services may be funded by Medicaid, state or federal funding through Agreement Addenda, private funders, or local funds. a. Per the federal Child Abuse Prevention and Treatment Act (CAPTA)requirements, a notification to the county child welfare agency must occur upon identification of an infant as "substance- affected," as defined by NCDHHS, for the development of a Plan of Safe Care (POSC). The POSC requires that all substance-affected infants be referred by the local Child Welfare Agency to CMARC for care management and care coordination, regardless of insurance coverage. b. Medicaid requires that the LHD has the first right of refusal to provide CMHRP and CMARC services for FY21 —FY23. c. LHD shall use every resource including technical assistance from the regional consultants and State CMHRP and CMARC program leads to resolve issues to prevent care gaps and discontinuation of services. d. In the event that LHD determines it cannot directly provide CMHRP and/or CMARC, LHD shall: 1) Notify DPH and DCFW Directors in writing of LHD's intention to discontinue the service at least 180 calendar days in advance of discontinuing the provision of CMHRP and/or CMARC; 2) Cooperate with DPH in identifying another local health department that can provide these care management services; and 3) Provide a written plan to the DPH Director outlining the agreed-upon terms for the transition. Deviations from the above process will be handled on a case-by-case basis. 8. LHD shall notify the DPH and DCFW Directors if any of the following occurs: a. There is a legal name change to LHD. b. LHD becomes part of a consolidated human services agency, a district, or a public health authority. c. There is any other governance change. d. LHD is not subject to the NC Human Resources Act. Notification should be in writing within the next business day and provide a governance organizational chart and any relevant supporting documents reflecting the changes. 9. LHD shall retain financial and program records including electronic records in accordance with the North Carolina Department of Natural and Cultural Resources' Local Government Schedules records retention policy (https://archives.ncdcr.gov/government/local) and in accordance with the retention of those records as described in Section IV. Fiscal Control, Paragraph F. Records resulting from these services shall not be destroyed, purged, or disposed of except in accordance with the records retention policy and in accordance with State and federal law. The State's basic records retention policy requires all grant records to be retained for a minimum of five years or until all audit exceptions have been resolved, whichever is longer. If the contract is subject to federal policy and regulations, record retention may be longer than five years since records must be retained for a period of three years following submission of the final Federal Financial Status Report, if applicable, or three years following the submission of a revised final Federal Financial Status Report. Also, if any litigation, claim, negotiation, audit, disallowance action, or other action involving this Consolidated Agreement or any Agreement Addenda has been started before expiration of the five- year retention period described above, the records must be retained until completion of the action