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under RCW 74.34.020(13)must comply with reporting requirements described in RCW 74.34.035, <br />.040 and chapter 26.44 RCW.If the County is notified by DSHS that a subcontractor staff member <br />is cited or on the registry for a substantiated finding,then that associated staff will be prohibited <br />from providing services under this Program Agreement. <br />k.Counties who provide Child Development Services (birth to three early intervention services),must <br />provide those services under the regulations implementing the Individuals with Disabilities <br />Education Act (IDEA),Part C,and Washington State's Early Support for Infant and Toddler <br />Federally Approved Plan. <br />l.The County staff who perform evaluations of subcontractor work sites will promptly report to DSHS <br />per DDA Policy 6-08,Incident Management and Reporting Requirements for County and County- <br />Contracted Providers,if: <br />(1)They have reasonable cause to believe that abandonment,abuse,financial exploitation or <br />neglect (as defined in RCW 74.34.020)of a person who has a developmental disability (as <br />defined in RCW 71A.10.020)has occurred,and, <br />(2)If they have reason to suspect that sexual or physical assault of such a person has occurred, <br />they shall also immediately report to the appropriate law enforcement agency. <br />m.Contractors are specifically authorized to have data storage on portable devices or media in <br />accordance with the Data Security Requirements. <br />n.Order of Precedence:In the event of any inconsistency in this Program Agreement and any <br />attached exhibits,unless otherwise provided herein,the inconsistency shall be resolved by giving <br />precedence,in the following order,to: <br />(1)County Program Agreement;and <br />(2)Attached Exhibits. <br />5.Duty to Disclose:Under 42 CFR §455.104,the Administration must obtain certain disclosures and <br />complete required screenings to ensure the State does not pay federal funds to excluded person or <br />entities.The County is required to provide disclosures from managing employees,specifically the <br />persons in the positions of Developmental Disabilities Director and Fiscal/Budget Director,i.e.the <br />person who authorizes expenditures.A completed Medicaid Provider Disclosure Statement,DSHS <br />Form 27-094,should be submitted to the Administration to complete the required screenings. <br />Disclosures must be provided at contract renewal and within thirty-five (35)days whenever there is a <br />change in the staff holding these management positions [42 CFR 455.104 (c)(1)]. <br />6.Statement of Work:The County shall provide the services and staff,and otherwise do all things <br />necessary for or incidental to the performance of work,as set forth below.Working collaboratively and <br />sharing information as needed for service coordination,the parties shall administer DD services within <br />the county as set forth below: <br />a.The DDA region shall: <br />(1)Review subcontractors and shall immediately notify the County of any concerns with the <br />subcontractors identified by the County; <br />(2)Inform and include the County in the discharge planning of Client's leaving institutions and <br />returning to the community who will need program funding; <br />(3)Inform the County of Client's who have had their waiver status changed; <br />DSHS Central Contract Services <br />1769CP Contract Amendment (12-10-21)Page 6