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9.Intermediate Care Facilities for Intellectual Disabilities (ICFlID)Agreement.If applicable per 42 <br />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 ICFllD resident.DDA will supply to the County a list of ICF/ID residents who attend a day <br />program. <br />10.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 DDA 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 DDA contracted <br />services. <br />12.Confidential Information.All Counties and their subcontractors must: <br />a.Ensure the security of Confidential Information,and <br />b.When transporting client records containing Confidential Information outside a Secure Area,one or <br />more of the following as appropriate: <br />(1)Using a Trusted Network;or <br />(2)Encrypting the Confidential Information,including: <br />(a)Email and/or email attachments <br />(b)Confidential Information when it is stored on portable devices or media including but not <br />limited to laptop computers and flash memory devices. <br />13.Data Security Requirements.Exhibit A shall only apply to the County if the County possesses 150 or <br />more DSHS records across all programs or services throughout their organization,or transmits more <br />than 5 records at one time. <br />14.Supersession of Prior Data Security Agreement.If the Parties hereto have previously entered into a <br />Standalone Data Security Requirements Agreement,both Parties hereby agree that upon mutual <br />execution said Agreement shall take precedence as the sole Data security Agreement between the <br />Parties. <br />All other terms and conditions of this Program Agreement remain in full force and effect. <br />DSHS Central Contract Services <br />1769CP Contract Amendment (12-10-21)Page 17