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6 <br />5. <br />DSHS Central Contract Services <br />'1 769CS County Agreement (05-06-2025) <br />Special Terms and Conditions <br />to DDA Clients eligible under Title XIX programs in this Program Agreement. Written documentation <br />shall be available to DSHS on request. <br />Reporting Abuse and Neglect: The County staff and its subcontractors who are mandated reporters <br />under RCW 7434.A2A(13) must comply with reporting requirements described in RCW 74.34.035, <br />.040 and chapter 26.44 RCW. lf 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 (birlh to three early intervention services), must <br />provide those services under the regulations implementing the lndividuals with Disabilities <br />Education Act (IDEA), Part C, and Washington State's Early Support for lnfant 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, tncident 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 RCW71A.10.020) has occurred, and, <br />(2) lf 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. Counties 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 otheruvise 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 />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 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 (cXt)j <br />Statement of Work: The County shall provide the services and staff, and othennrise 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 />Page 6