Laserfiche WebLink
e) Calculation and application of the pertinent MER. <br />i. All MERs must be calculated quarterly; <br />ii. All MERs must be based on the quarter claimed; <br />iii. All MAC activities that that benefit the Contractors Clients directly and are performed <br />within a program that identifies Clients must use a Client -based MER as described in <br />the CAP and Manual; <br />iv. All MAC activities that benefit the Contractors Clients directly and are performed within <br />a program that operates a primary care or specialty clinic must use a clinic -based MER <br />as described in the CAP and Manual; <br />V, All MAC activities that benefit a larger population in the geographical region served by <br />the Contractor, or in programs that do not identify Clients or collect demographic data <br />must use the modified county -wide MER; and <br />vi. The Contractor is required to collect and maintain demographic data used to determine <br />Medicaid enrollment for all Clients served within budget units whose costs are included <br />in the FFP reimbursement. The Contractor is prohibited from including clients from any <br />budget unit that is not allowable within the MAC program. <br />(1) All data related to Medicaid enrollment and the MER must be maintained <br />according to the SOS records retention schedule; <br />(2) The information collected must be sufficiently detailed to determine Medicaid <br />enrollment through HCA's ProviderOne System; <br />(3) The information must be entered in the Contractor's Client information System or <br />data base; <br />(4) The Contractor must produce a single electronic list of all unduplicated Clients <br />served over the quarter within thirty (30) business days of the end of the quarter; <br />(5) The Contractor is prohibited from including the same Client more than once <br />(duplicating) on the quarterly list; and <br />(6) The Contractor must submit the quarterly list to either their third party System <br />operator or other System operator which calculates the Client -based and clinic - <br />based MER. <br />f) Calculation and application of the indirect cost rate <br />All indirect cost rates must be developed in accordance with all applicable <br />regulations and guidelines including the 2 CFR Chapter I, Chapter Il, part 200, et <br />al (OMNI Circular); <br />The Contractor is required to have an indirect cost rate proposal approved by their <br />Cognizant Agency; <br />iii. The Contractor is required to certify the accuracy of the indirect cost rate annually <br />using HCA form 02-568 Certificate of Indirect Costs; <br />Local Health Jurisdiction Page 54 of 59 Medicaid Administrative Claiming <br />Washington State Health Care Authority Contract # K3069 <br />