Interagency Agreement between Wa Healthcare Authority and KC

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LJUuublylI CIIvt Ilupu IL/. %-, 1.7Vl,VY.7-/U.7CW CUU-MYV.7-Y/1 I Ul.CLlDl'000 1.1.7. 2 CFR 225 Cost Principles for State, Local, and Indian Tribal Governments; 1.1.8. OMB Compliance Supplements; 1.1.9. Washington State Medicaid Plan; and 1.1.10. Secretary of State (SOS) records retention schedule. 1.2. Maintain documentation to support each administrative claim submitted to HCA for reimbursement as required by federal, state, HCA and CMS Regulations, the CAP, the Manual and this Agreement. The documentation must be sufficiently detailed in order to determine whether the activities are necessary for the proper and efficient administration of the Medicaid State Plan and support the appropriateness of the administrative claim. The Contractor must: 1.2.1. Maintain all documentation related to staff participation in the RMTS according to section 1902(a)(4) of the Act and 42 CFR § 431.17; see also 45 CFR § 74.53 and 42 CFR § 433.32(a) (requiring source documentation to support accounting records) and 45 CFR § 74.20 and 42 CFR § 433.32(b and c) (retention period for records) and as described in Delivering Services in School -Based Settings: Comprehensive Guide to Medicaid Services and Administrative Claiming 2023; 1.2.2. Maintain all documentation related to MAC claiming, according to section 1902(a)(4) of the Act and 42 CFR § 431.17; see also 45 CFR § 74.53 and 42 CFR § 433.32(a) (requiring source documentation to support accounting records) and 45 CFR § 74.20 and 42 CFR § 433.32(b and c) (retention period for records) and as described in Delivering Services in School -Based Settings: A Comprehensive Guide to Medicaid Services and Administrative Claimin 2023; 1.2.3. Comply with the SOS records retention schedule; 1.2.4. Assure all documentation is immediately accessible and available, must be in a useful and readable format, and must be stored electronically within the System at every opportunity as determined by HCA; 1.2.5. Provide any and all information and documentation requested by HCA within thirty (30) business days, or within a written, mutually agreed upon time frame; and 1.2.6. Submit any Audit related to its MAC program to HCA within thirty (30) business days of receipt of the final report. This includes but is not limited to SAO Audits, OMB Circular Compliance Supplement Audits, Washington State 17 HCA Contract #K8630 Health Care Authority Attachment 5