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5. <br />Special Terms and Conditions <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: ln 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; <br />(2) Attached Exhibits. <br />Duty to Disclose: Under 42 CFR 5455.104, the Administration must obtain certain disclosures and <br />complete required screenings to ensure the State does not pay federalfunds to excluded person or <br />entities. The Gounty 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 />ahange in the staff holding these management positions [42 CFR 455.104 (cX1)1. <br />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) lnform and include the County in the discharge planning of individuals leaving institutions and <br />returning to the community who will need program funding; <br />(3) lnform the County of individuals who have had their waiver status changed; <br />6. <br />authorization is not issued; <br />(5) Authorize new service within 5 working days and will extend existing service authorization <br />before expiration date; <br />(6) lnform Clients of service changes through Planned Action Notice(s); <br />/7\ lA/nrkurifhfhaf'-nrrntrrfadar.rrmantnlannar{canrinocinfholndivir{rral'cPcrcnn(lcnfcrar{Saruina'' r'-"' <br />Plan including notification of assessment dates; <br />(8) Work with the County when terminating services; <br />(9) Work with DDA Head Quarters and the County on Spending Plan adjustments; and <br />(10) Work with the County in participating in evaluation of direct service providers. <br />Page 6 <br />DSHS Central Contraci Services <br />1 769CS County Agreement 06-08-2021