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Special Terms and Conditions <br />DSHS Central Contract Services <br />1769CS County Agreement (05-06-2025) <br />Page 17 <br />services that DDA reimburses. That document is located on the DSHS DDA County Best Practices <br />Web site at https://www.dshs.wa.gov/dda/county-best-practices. <br />h.The Community Inclusion Billable Activities document defines the individual Client services <br />DDA reimburses. That document is located on the DSHS DDA County Best Practices Web site at <br />https://www.dshs.wa.gov/dda/county-best-practices. <br />i.Timeliness of and Modification to Billings: All initial invoices with signed documentation must be <br />received by the DDA Region within forty-five (45) calendar days following the last day of the month <br />in which the service is provided. Corrected invoices and documentation including re-posted billing <br />information will be accepted throughout the fiscal year as long as they are received within sixty (60) <br />calendar days of the associated fiscal year unless an extension is approved by the DDA Regional <br />Administrator or designee. Payment will not be made on any invoice submitted past sixty (60) <br />calendar days after the Program Agreement fiscal year. <br />j.Recovery of Fees: If the County bills and is paid fees for services that DSHS later finds were (a) not <br />delivered or (b) not delivered in accordance with Program Agreement standards, DSHS shall <br />recover the fees for those services and the County shall fully cooperate during the recovery. <br />k.Preadmission Screening and Resident Review (PASRR) Administration: The County may bill for <br />administration costs as identified in Exhibit B. Monthly claims for administration cost will be based <br />on the actual PASRR expenditures multiplied by 10%. <br />l.Reimbursement for Partnership project: A claim of $2,400 per student for each completed Job <br />Foundation document that is at a satisfactory or above rating will be requested through the AWA <br />system as other monthly cost. <br />m.Job Foundation report line item 95 and 96 as identified in the ADSA Web Access (AWA) billing <br />system. King, Snohomish and Pierce Counties will use line item 95, all other participating Counties <br />will use line item 96 (OSPI). A copy of the completed Job Foundation document will be sent <br />electronically to the shared mailbox located at: DDAJobFoundationReports@dshs.wa.gov <br />n.Job placement verification for transition students: The AWA Employment Output for Individual <br />Employment will be completed and submitted with payment request to verify employer, job start <br />date, job type, etc. <br />o.Job Foundation Administration: The County may bill for administration costs as identified in Exhibit <br />B. Monthly claims for administration cost will be based on the actual expenditures multiplied by <br />10%. King, Snohomish and Pierce Counties will use line item 13, all other participating Counties will <br />use line item 14 (OSPI). <br />9.Intermediate Care Facilities for Intellectual Disabilities (ICF/ID) 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 ICF/ID 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.