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DocuSign Envelope ID: 78CDD188-656B-44E9-9F46-9AFBF222884F <br />03bLcs, to identify and document the revenue account codes for all local matching <br />funds reported as CPE; <br />iv) Is required to ensure the source of all CPE funds are not federal tax money and <br />are not used as a match for federal money (by the Contractor or any other agency); <br />v) Must only use these funds to supplement, not supplant the amount of federal, state <br />and local funds otherwise expended or services provided under this Agreement; <br />vi) Must have funds available for MAC activities and the funds must be within the <br />Contractor's control and budget; <br />vii) Is prohibited from using provider-related donations or impermissible heath care <br />related tax source for CPE; <br />viii) Is prohibited from using any private donations or non-public funds as a source for <br />CPE without authorization from CMS' Center for Medicaid and State Operations' <br />National Institutional Reimbursement Team (NIRT); <br />ix) Is prohibited from requiring or allowing private non-profits to participate in the <br />financing of the non-federal share of expenditures; <br />(1) Is prohibited from allowing non-governmental units to voluntarily provide, or <br />be contractually required to provide, any portion of the non-federal share of <br />the Medicaid expenditures. <br />x) Is prohibited from using funds payable under this Agreement for lobbying activities <br />of any nature. The Contractor certifies that no state or federal funds payable under <br />this Agreement shall be paid to any person or organization to influence, or attempt <br />to influence, either directly or indirectly, an officer or employee of a state or federal <br />agency, or an officer or member of any state or federal legislative body or <br />committee regarding the award, amendment, modification, extension, or renewal of <br />a state or federal contract grant; and <br />xi) Must expend the total computable cost to all Subcontracted vendors for <br />performance of allowable MAC activities. <br />(1) The Contractor is prohibited from submitting a request for FFP <br />reimbursement to HCA until it has actually incurred the total computable cost; <br />and <br />(2) The Contractor is prohibited from requiring the Subcontractor to provide the <br />non-federal share of the payment, or return any portion of the total <br />computable cost to the Contractor. <br />i) Revenue Offset <br />The Contractor is: <br />i) Prohibited from submitting a request for FFP reimbursement to HCA unless all <br />funds are appropriately offset according to all federal, state, HCA and CMS <br />Regulations, the CAP, Manual and this Agreement; <br />State of Washington <br />Health Care Authority <br />Page 39 of 42 HCA Contract No. K1407-1