State Responsibilities. By entering into this Agreement, the State agrees to: A. Lead the development, implementation, and administration for the GEMT program and ensure compliance with the provisions set forth in the California Medicaid State Plan. B. Submit claims for federal financial participation (FFP) based on expenditures for GEMT services that are allowable expenditures under federal law. C. On an annual basis, submit any necessary materials to the federal government to provide assurances that claims for FFP will include only those expenditures that are allowable under federal law. D. Reconcile certified public expenditure (CPE) invoices with supplemental reimbursement payments and ensure that the total Medi-Cal reimbursement provided to eligible GEMT providers will not exceed applicable federal upper payment limit as described in 42 C.F.R. 447-Payments For Services. E. Complete the audit and settlement process of the interim reconciliations for the claiming period within three (3) years of the postmark date of the cost report and conduct on-site audits as necessary. F. Calculate the actual costs for administrative accounting, policy development, and data processing maintenance activities, including the indirect costs related to the GEMT program provided by its staff based upon a cost accounting system which is in accordance with the provisions of Office of Management and Budget Circular A-87 and 45 CFR Parts 74 and 95. G. Maintain accounting records to a level of detail which identifies the actual expenditures incurred for personnel services which includes salary/wages, benefits, travel and overhead costs for Contractor’s staff, as well as equipment and all related operating expenses applicable to these positions to include, but not limited to, general expense, rent and supplies, and travel cost for identified staff and managerial staff working specifically on activities or assignments directly related to the GEMT program. Accounting records shall include continuous time logs for identified staff that record time spent in the following areas: the GEMT program, general administration. H. Ensure that an appropriate audit trail exists within Contractor records and accounting system and maintain expenditure data as indicated in this Agreement. I. Designate a person to act as liaison with Provider in regard to issues concerning this Agreement. This person shall be identified to Provider’s contact person for this Agreement. J. Provide a written response by email or mail to Provider’s contact person within thirty
Appears in 2 contracts
Sources: Provider Participation Agreement, Provider Participation Agreement
State Responsibilities. By entering into this Agreement, the State agrees to:
A. Lead the development, implementation, and administration for the GEMT program and ensure compliance with the provisions set forth in the California Medicaid State Plan.
B. Submit claims for federal financial participation (FFP) based on expenditures for GEMT services that are allowable expenditures under federal law.
C. On an annual basis, submit any necessary materials to the federal government to provide assurances that claims for FFP will include only those expenditures that are allowable under federal law.
D. Reconcile certified public expenditure (CPE) invoices with supplemental reimbursement payments and ensure that the total Medi-Cal reimbursement provided to eligible GEMT providers will not exceed applicable federal upper payment limit as described in 42 C.F.R. 447-Payments For Services.
E. Complete the audit and settlement process of the interim reconciliations for the claiming period within three (3) years of the postmark date of the cost report and conduct on-site audits as necessary.
F. Calculate the actual costs for administrative accounting, policy development, and data processing maintenance activities, including the indirect costs related to the GEMT program provided by its staff based upon a cost accounting system which is in accordance with the provisions of Office of Management and Budget Circular A-87 and 45 CFR Parts 74 and 95.
G. Maintain accounting records to a level of detail which identifies the actual expenditures incurred for personnel services which includes salary/wages, benefits, travel and overhead costs for Contractor’s staff, as well as equipment and all related operating expenses applicable to these positions to include, but not limited to, general expense, rent and supplies, and travel cost for identified staff and managerial staff working specifically on activities or assignments directly related to the GEMT program. Accounting records shall include continuous time logs for identified staff that record time spent in the following areas: the GEMT program, general administration.
H. Ensure that an appropriate audit trail exists within Contractor records and accounting system and maintain expenditure data as indicated in this Agreement.
I. Designate a person to act as liaison with Provider in regard to issues concerning this Agreement. This person shall be identified to Provider’s contact person for this Agreement.
J. ▇. Provide a written response by email or mail to Provider’s contact person within thirty
Appears in 1 contract
Sources: Provider Participation Agreement
State Responsibilities. By entering into this Agreement, the State agrees to:
A. Lead the development, implementation, and administration for the GEMT program Public Hospital Outpatient Services Supplemental Reimbursement Program and ensure compliance with the provisions set forth in the California Medicaid State Plan.
B. Submit claims for federal financial participation (FFP) based on expenditures for GEMT Public Hospital Outpatient Services Supplemental Reimbursement Program services that are allowable expenditures under federal law.
C. On an annual basis, submit any necessary materials to the federal government to provide assurances that claims for FFP will include only those expenditures that are allowable under federal law.
D. Reconcile certified public expenditure (CPE) invoices with supplemental reimbursement payments and ensure that the total Medi-Cal reimbursement provided to eligible GEMT Public Hospital Outpatient Services Supplemental Reimbursement Program providers will not exceed applicable federal upper payment limit as described in 42 C.F.R. 447-Payments For Services.
E. Complete the audit and settlement process of the interim reconciliations for the claiming period within three (3) years of the postmark date of the cost report and conduct on-site audits as necessary.
F. Calculate the actual costs for administrative accounting, policy development, and data processing maintenance activities, including the indirect costs related to the GEMT program Public Hospital Outpatient Services Supplemental Reimbursement Program provided by its staff based upon a cost accounting system which is in accordance with the provisions of Office of Management and Budget Circular A-87 and 45 CFR Parts 74 and 95.
G. Maintain accounting records to a level of detail which identifies the actual expenditures incurred for personnel services which includes salary/wages, benefits, travel and overhead costs for Contractor’s staff, as well as equipment and all related operating expenses applicable to these positions to include, but not limited to, general expense, rent and supplies, and travel cost for identified staff and managerial staff working specifically on activities or assignments directly related to the GEMT programPublic Hospital Outpatient Services Supplemental Reimbursement Program. Accounting records shall include continuous time logs for identified staff that record time spent in the following areas: the GEMT programPublic Hospital Outpatient Services Supplemental Reimbursement Program, general administration.
H. Ensure that an appropriate audit trail exists within Contractor records and accounting system and maintain expenditure data as indicated in this Agreement.
I. Designate a person to act as liaison with Provider in regard to issues concerning this Agreement. This person shall be identified to Provider’s contact person for this Agreement.
J. Provide a written response by email or mail to Provider’s contact person within thirtythirty (30) days of receiving a written request for information related to the Public Hospital Outpatient Services Supplemental Reimbursement Program
K. Provide program technical assistance and training related to the Public Hospital Outpatient Services Supplemental Reimbursement Program to Provider personnel after receiving a written request from Provider contact person.
Appears in 1 contract
Sources: Provider Participation Agreement