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DocuSign Envelope ID : 78CDD188-656B-44E9-9F46-9AFBF222884F <br />c) Calculating allowable Medicaid Administrative Time <br />i) The Contractor must only use the RMTS or the Direct Charge method to calculate <br />the percent of reimbursable time. <br />ii) The Contractor must use the RMTS for all eligible staff who are not certified as a <br />Single Cost Objective. <br />(1) The Contractor must use the RMTS results produced by the System. <br />(2) The Contractor is prohibited from altering the RMTS results and certifies the <br />accuracy of the data by signing the A 19 by an authorized Contractor <br />representative. <br />iii) The Contractor may only use the Direct Charge method for staff who are certified <br />as a Single Cost Objective. <br />(1) These staff are required to document their daily work activities in fifteen (15) <br />minute inqrements . <br />(a) Daily logs must be maintained according to the SOS records retention <br />schedule. <br />(b) All daily logs must have a quarterly summary rolling up all time over the <br />quarter. <br />(2) These staff must complete a single cost objective certification quarterly using <br />an HCA approved form. <br />(3) Each single cost objective staff must be reported individually on the invoice. <br />(4) The invoice must report the name, the actual amount of time spent <br />performing allowable MAC activities, and total dollar amount claimed for <br />reimbursement for each staff. <br />d) Direct Charge for Interpretation Service Contracts <br />i) The Contractor may only direct charge for a portion of Interpretation Service <br />contracts for allowable interpretation activities as described in this Agreement. <br />(1) Services direct charged must be for interpretation activities identified as <br />allowable activities within the Manual, the CAP, and this Agreement. The <br />Contractor is prohibited from including any other portion of an Interpretation <br />Services Contract in the calculation for FFP reimbursement. <br />(2) Each interpretation activity must be documented to HCA's satisfaction, in <br />fifteen (15) minute increments, using a patient encounter form that includes, <br />at minimum , the following data elements: <br />(a) Appointment time/duration <br />(b) Client NamellD/transaction information <br />(c) Interpreter Agency <br />(d) Interpreter Name or Employee ID <br />(e) Language/communication type <br />(f) Requestor or nurse name <br />State of Washington <br />Health Care Authority <br />Page 36 of 42 HCA Contract No. K1407-1