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DocuSign Envelope ID: 262ABAl8-5354-4F41-9508-9B13C8ACBA6D 4.7.5. Use only the Direct Charge method for staff who are certified as a Single Cost Objective. 4.7.5.1. These staff are required to document their daily work activities in fifteen (15) minute increments. 4.7.5.1.1. Daily logs must be maintained according to the SOS record's retention schedule. 4.7.5.1.2. All daily logs must have a quarterly summary rolling up all time over the quarter. 4.7.5.2. These staff must complete a single cost objective certification quarterly using an HCA approved form. 4.7.5.3. Each single cost objective staff must be reported individually on the invoice. 4.7.5.4. The invoice must report the name, the actual amount of time spent performing allowable MAC activities, and total dollar amount claimed for reimbursement for each staff. 4.8. Direct Charge for Interpretation Service Contracts The Contractor may only direct charge for a portion of the Interpretation Service contracts and only for allowable interpretation activities as described in this Agreement. 4.8.1. Services direct charged must be for interpretation activities identified as allowable activities within the Manual, the CAP, and this Agreement. The Contractor is prohibited from including any other portion of an Interpretation Services Contract in the calculation for FFP reimbursement. 4.8.2. Each interpretation activity must be documented to HCA's satisfaction, in fifteen (15) minute increments, using a patient encounter form that includes, at minimum, the following data elements: 4.8.2.1. Appointment time/duration; 4.8.2.2. Client Name/ID/transaction information; 4.8.2.3. Interpreter Agency; 4.8.2.4. Interpreter Name or Employee ID; 4.8.2.5. Language/communication type; 4.8.2.6. Requestor or nurse name; and 4.8.2.7. The forms must be maintained according to SOS Record's retention schedule. Washington State Page 43 of 53 HCA IAA K4649 Health Care Authority Revised 10/2020