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I <br />Special Terms and Conditions <br />services that DDA reimburses. That document is located on the DSHS DDA County Best Practices <br />Web site at https: //www. dshs.wa.qovlddalcountv-best-practices. <br />h. The Community lnclusion 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:/lwww.dshs.wa da/cou ntv-best-practices <br />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: lf 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 Parlnership 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:DDAJobFoundation Reoorts@dshs.wa. qov <br />n. Job placement verification for transition students: The AWA Employment Output for lndividual <br />Employment will be completed and submitted with payment request to verify employer, job starl <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 />lntermediate Care Facilities for lntellectual Disabilities (lCF/lD)Agreement. lf 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 />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 />10. <br />DSHS Central Contract Services <br />1 769CS County Agreement (05-06-2025) <br />Page 17