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DocuSign Envelope ID: 262ABAl8-5354-4F41-9508-9B13C8ACBA6D "LHJ Coordinator Manual" or "Manual" means the HCA document or its successor including any updates, that describes how the Contractor must manage their MAC program and provides program guidance. "Linkage" means connecting Clients to Medicaid Covered Services. "Local Matching Funds" means the Contractor's non-federal tax dollars that are not otherwise obligated and are designated or certified to match the FFP rate of reimbursement. This revenue must be in the Contractor's budget and under the Contractor's control. These funds cannot be contributed by healthcare providers as Local Matching Funds and Subcontractors cannot certify local match funding. All local match funds must meet CPE requirements. "MAC Activity" or "Allowable Activity" or "Reimbursable Activity" or "Claimable Activity" means an activity that is administrative in nature, and necessary for the proper and efficient administration for the Medicaid state plan which must be in compliance as described in applicable federal, state, HCA and CMS Regulations, the CAP, Manual, and this Agreement. Medicaid Administratvie Claiming" or "MAC" means the source of funding for reimbursements provided in this Agreement shared between the Contractor and the Federal Financial Participation (FFP). "Medicaid Covered Services" means the array of federally required and Washington State legislatively appropriated medical and social services available to Medicaid Clients through the State Medicaid Plan (Apple Health). "Medicaid Eligibility Rate" or "MER" means the proportional share of Medicaid individuals to the total number of individuals in the target population (Contractor's jurisdiction) as defined in the CAP, Manual and this Agreement. "Monitoring" means review of a Contractor's MAC program to ensure program integrity. "Office of Management and Budget" or "OMB" means a division under the Executive Office of the President of the United States. "Operating Expense" means those costs incurred by the Contractor to perform business activities and includes both Direct Costs and Indirect Costs. Only operating expenses necessary to operate the Contractor's MAC program are allowable for FFP reimbursement. "Outreach" means activities undertaken by the Contractor to inform individuals, families and community members within its jurisdiction about Services available and encourage access to these Services. "Overpayment" means any payment or benefit to the Contractor in excess of that to which the Contractor is entitled by law, rule, or this Contract, including amounts in dispute. "Position Description" means a document summary of specific dutes and responsibilites assigned to a staff position. "Protected Health Information" or "PHI" means individually identifiable information that relates to the provision of health care to an individual; the past, present, or future physical or mental health or condition of an individual; or past, present, or future payment for provision of health care to an individual, as defined in 45 CFR 160.103. Individually identifiable information is information that Washington State Page 7 of 53 HCA IAA K4649 Health Care Authority Revised 10/2020