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CFR 483.410, the County shall assure that all county-operated or subcontracted programs serving <br />persons living in ICF/ID facilities develop a plan and coordinate their services with the facility on behalf <br />of the ICF/ID resident. ODA will supply to the County a list of ICF/ID residents who attend a day <br />program. <br />1 O. Single State Medicaid Agency-Health Care Authority (HCA): HCA, as the single state Medicaid <br />Agency, has administrative authority for Title XIX coverage per 42 CFR 431.10. DSHS is the operating <br />agency for the Home and Community Based Waivers for services for people with developmental <br />disabilities. The County only has responsibility for services covered in this agreement. <br />11. DSHS/DRW Access Agreement: The DRW February 27, 2001 Access Agreement with DOA is <br />incorporated by reference. The County assures that it and its subcontractors have reviewed the <br />Access Agreement. The agreement covers DRW's access to individuals with developmental <br />disabilities, Clients, programs and records, outreach activities, authority to investigate allegations of <br />abuse and neglect, and other miscellaneous matters and is binding for all providers of DOA contracted <br />services. <br />DSHS Central Contract Services <br />1769CS County Agreement 5-1-2019 <br />Page 15