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DocuSign Envelope ID: 78CDD188-656B-44E9-9F46-9AFBF222884F <br />1. DEFINITIONS <br />SCHEDULE A <br />STATEMENT OF WORK <br />Definitions specific to this Agreement. The words and phrases listed below, as used in this <br />Agreement, shall each have the following definitions: <br />a) "A19-1A" or "A19" means the State of Washington Invoice Voucher used by <br />contractors and vendors to submit claims for payment in return for goods and/or <br />services provided to HCA or its Clients. <br />b) "Activity Code" or "Code" means the code assigned to the daily activities performed by <br />Contractor staff in order to identify the percentage of time spent on any given activity. <br />c) "Administrative Fee" means the dollar amount charged to the Contractor by HCA <br />based on a percentage of each Contractor's billing for Federal Financial Participation <br />claimed at the federally approved match rate, to offset HCA's costs incurred in <br />administering this Agreement. <br />d) "Allocated" or "Allocated Cost" means an Operating Expense that is Allocated across <br />more than one cost pool. <br />e) "Budgeting, Accounting and Reporting System" or "BARS" or "BARS manual" The <br />BARS Manual prescribes accounting and reporting for local governments in <br />accordance with RCW 43.09.200 and found at this website <br />http ://www .sao .wa.gov/tocallBarsManuaIlPages/BarsMan ual GAAP,aspX#. VY3K 03b <br />Lcs . <br />f) "Billing Quarter" means a calendar quarter consisting of three (3) consecutive calendar <br />months beginning with the first date of the calendar quarter during which this <br />Agreement starts. The Contractor shall use Billing Quarters as the time periods for <br />which claims for Federal Financial Participation are made. <br />g) "Centers for Medicare and Medicaid Services" or "CMS" means the federal office <br />under the United States Department of Health and Human Services responsible for the <br />administration of the Medicare, Medicaid and Children's Health Insurance Program. <br />h) "Centers for Med icare and Medicaid Services School-Based Administrative Claiming <br />Guide" or "CMS Guide" or "Guide" means the document issued by CMS in 2003 and <br />any supplements, amendments or successor; incorporated herein by reference which <br />provides guidance to States for developing and managing Medicaid Administrative <br />Claiming programs. <br />i) "Certified Public Expenditure" or "CPE" means the sources of funds certified as actual <br />expenditures by a local or public governmental entity and used as the State share in <br />order to receive federal matching Medicaid funds, or Federal Financial Participation <br />(FFP). <br />j) "CPE Local Match Certification" means HCA's form the Contractor must submit with <br />each quarterly invoice to report the source of funds certified as public expenditures <br />and therefore eligible to be used as match for the MAC program. <br />State of Washington <br />Health Care Authority <br />Page 23 of 42 HCA Contract No. K1407-1