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Special Terms and Conditions <br />11. Single State Medicaid Agency-Health Care Authority (HCA): HCA, as the single state Medicaid <br />Agency, has administrative authority for Title XIX coverage per 42 CFR 431.10. DSHS is the operating <br />agency for the Home and Community Based Waivers for services for people with developmental <br />disabilities. The County only has responsibility for services covered in this agreement. <br />12. DSHS/DRW Access ~greement: The ORW February 27,2001 Access Agreement with DDA is <br />incorporated by reference. The County assures that it and its subcontractors have reviewed the <br />Access Agreement. The agreement covers ORW's access to individuals with developmental <br />disabilitIes, Clients, programs and records, outreach activities, authority to investigate allegations of <br />abuse and neglect. and other miscellaneous matters and is binding for all providers of DDA contracted <br />services. <br />DSHS Central Contract Services <br />1769CS County Agreement 7-14-2015 <br />Page 17