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L/Uuuwy.II CI IVUIUPU IL/. 1, IyVI,U'+U-/ IUL F_L/OI,OUV <br />4.8.4. The invoice must report a summary for each Interpretation Service <br />contract including the names of the interpreting staff, the total amount of <br />time spent performing allowable MAC activities, and total dollar amount <br />claimed for reimbursement. <br />4.8.5. The Contractor is prohibited from altering the information on the patient <br />encounter forms and certifies the accuracy of the data entered into the <br />spreadsheet and the System by signing the A19 by an Authorized <br />Representative. <br />4.9. Calculation and Application of the Pertinent MER <br />4.9.1. All MERs must be calculated quarterly and match the methodology <br />outlined in the contractor's annual MER proposal. <br />4.9.2. All MERs must be based on the quarter claimed. <br />4.9.3. All MAC activities that benefit the Contractors Clients directly and are <br />performed within a program that identifies Clients may use a Client - <br />based MER as described in the CAP and Manual. <br />4.9.4. All MAC activities that benefit the Contractor's Clients directly and are <br />performed within a program that operates a primary care or specialty <br />clinic may use a clinic -based MER as described in the CAP and <br />Manual. <br />4.9.5. All MAC activities that benefit a larger population in the geographical <br />region served by the Contractor, or in programs that do not identify <br />Clients or collect demographic data may use the modified county -wide <br />MER. <br />4.9.6. The Contractor is required to collect and maintain demographic data <br />used to determine Medicaid enrollment for all Clients served within <br />budget units whose costs are included in the FFP reimbursement. The <br />Contractor is prohibited from including clients from any budget unit that <br />is not allowable within the MAC program. <br />4.10. Demographic Data Requirements for the Client MER: <br />4.10.1 <br />4.10.2. <br />4.10.3. <br />All data related to Medicaid enrollment and the MER must be <br />maintained according to the SOS records retention schedule. <br />The information collected must be sufficiently detailed to determine <br />Medicaid enrollment through HCA's ProviderOne System. <br />The information must be entered in the Contractor's Client information <br />System or database. <br />Washington State 26 FICA Contract #K8630 <br />Health Care Authority Attachment 5 <br />