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DocuSign Envelope ID: 262ABA18-53544F41-9508-9B13C8ACBA6D <br />4.13.1. Prohibited from using any source of funds that do not comply with federal, <br />state, HCA and CMS Regulations, the CAP, Manual, and this Agreement as <br />CPE; <br />4.13.2, Required to certify all sources of funds used as for CPE are accurate, <br />allowable, and in compliance with all federal, state, HCA and CMS <br />Regulations, the CAP, Manual, and this Agreement quarterly by completing a <br />Certified Public Expenditure Local Match Certification quarterly and by signing <br />the A19; <br />4.13.3. Required to use the Budgeting, Accounting and Reporting System (BARS <br />manual) prescribed accounting and reporting for local governments to identify <br />and document the revenue account codes for all local matching funds <br />reported as CPE; <br />4.13.4. Required to ensure the source of all CPE funds are not federal tax money and <br />are not used as a match for federal money (by the Contractor or any other <br />agency); <br />4.13.5. Only permitted to use these funds to supplement, not supplant the amount of <br />federal, state and local funds otherwise expended or services provided under <br />this Agreement; <br />4.13.6. Required to have funds available for MAC activities and the funds must be <br />within the Contractor's control and budget; <br />4.13.7. Prohibited from using provider -related donations or impermissible heath care <br />related tax source for CPE; <br />4.13.8. Prohibited from using any private donations or non-public funds as a source <br />for CPE without authorization from CMS' Center for Medicaid and State <br />Operations' National Institutional Reimbursement Team (NIRT); <br />4.13.9. Prohibited from requiring or allowing private non -profits to participate in the <br />financing of the non-federal share of expenditures; <br />4.13.10. Prohibited from allowing non-governmental units to voluntarily provide, or be <br />contractually required to provide, any portion of the non-federal share of the <br />Medicaid expenditures; <br />4.13.11. Prohibited from using funds payable under this Agreement for lobbying <br />activities of any nature. The Contractor certifies that no state or federal funds <br />payable under this Agreement shall be paid to any person or organization to <br />influence, or attempt to influence, either directly or indirectly, an officer or <br />employee of a state or federal agency, or an officer or member of any state or <br />federal legislative body or committee regarding the award, amendment, <br />modification, extension, or renewal of a state or federal contract grant; <br />4.13.12. Required to expend the total computable cost to Subcontractors for <br />performance of allowable MAC activities; <br />4.13.13. Prohibited from submitting a request for FFP reimbursement to HCA until they <br />have actually incurred the total computable cost; and <br />Washington State Page 46 of 53 HCA IAA K4649 <br />Health Care Authority Revised 10/2020 <br />