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DocuSign Envelope ID : 78CDD188-656B-44E9-9F46-9AFBF222884F <br />ii) Required to certify the accuracy of the funds that are offset and the accuracy of the <br />requested FFP reimbursement by signing the A 19; <br />iii) Required to complete and retain annual review of cost objectives to ensure there is <br />no duplication in FFP reimbursement between programs or cost objectives; <br />iv) Financially responsible for repayment of any duplicated funds; <br />v) Required to provide documentation that Coordinators have been trained and fully <br />understand the scope of work and terms of each funding source; and <br />vi) The Contractor is required to perform an assessment to determine whether each <br />cost objective contained within the MAC budget unit(s) has potential to overlap with <br />MAC; <br />(1) The Contractor is prohibited from using any source of funds contained within <br />the MAC budget unit until they have been assessed and determined <br />appropriate; <br />(2) The Contractor must complete the assessment annually and submit the <br />assessment to the HCA Contract Manager no later than January 31 st or <br />within thirty (30) calendar days of completion, whichever comes soon est; <br />(3) If the assessment determines any portion of the scope of work overlaps with <br />MAC activities, the entire cost objective is deemed to overlap and is <br />prohibited from being used as CPE ; and <br />(4) Required to identify costs that must be offset, and verify the remaining net <br />costs are allowable for inclusion in the MAC program and eligible for FFP <br />reimbursement. <br />9. SKILLED PRO F ESSIONAL ME D ICAL PERSONN EL (SPMP) <br />Contractor staff who have completed a two-or-more-year program leading to an academic <br />degree or certificate in a medically related profession, demonstrated by possession of a <br />medical license, certificate or other document issued by a recognized National or State <br />medicallicensure or certifying organization , or a degree in a medical field issued by a <br />college or university certified by a professional medical organization are eligible for a <br />seventy five percent (75%) enhanced reimbursement for specific MAC activities. Years of <br />experience in the administration, direction, or implementation of the Medicaid program is not <br />considered the equivalent of professional training in a field of medical care. The Contractor <br />is permitted to perform SPMP activities as directed by HCA's Chief Medical Officer (CMO) to <br />assist in achieving HCA's goals and administering the Medicaid State plan . The Contractor <br />must: <br />a) Monitor and ensure that FFP reimbursement for SPMP activities are in compliance with <br />all federal, state, HCA and CMS Regulations, the CAP, Manual and this Agreement. <br />Federal requirements include 42 CFR § 432.2, 432.45, 432.50, and 433.15; <br />b) Have all forms and documents supporting the designation of an SPMP entered into the <br />System and retained according to the SOS records retention sche dule; <br />c) Not, and is prohibited from requesting seventy five percent (75%) enhanced <br />reimbursement for: <br />State of Washington <br />Health Care Authority <br />Page 40 of 42 HCA Contract No. K1407-1