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Docusign Envelope lD: C1 90C649-709E-4E0G'A409-4A1 6CED8C800 <br />4.10.4. The Contractor must produce a single electronic list of all unduplicated <br />Clients served over the quarter within thirty (30) business days of the <br />end of the quarter. <br />4.10.5. The Contractor is prohibited from including the same Client more than <br />once (duplicating) on the quarterly list' <br />4.10.6. The Contractor must submit the quarterly list to either their third party <br />System operator or other System operator which calculates the Client- <br />based and clinic-based MER. <br />4.11. Calculation and Application of the lndirect Cost Rate <br />All indirect cost rates must be developed in accordance with all applicable <br />regulations and guidelines including the 2 CFR Chapter l, Chapter ll, part 200, et al <br />(OMNI Circular). <br />The Contractor will ensure the following: <br />4.11.L Have an indirect cost rate proposal approved by their Cognizant <br />Agency; <br />4.11.2. Certify the accuracy of the indirect cost rate annually using HCA form <br />02-568 Certificate of lndirect Costs; <br />4.11.2. Verify all costs submitted to HCA for reimbursement are not duplicated <br />through the indirect rate or any other mechanism; and <br />4.11.4. The Contractor is prohibited from requesting duplicate FFP for any cost. <br />Application of the Appropriate FFP Rate <br />The Contractor is: <br />4.12.L Permitted to claim seventy five percenl(75Yo) enhanced FFP only for <br />specific allowable MAC activities accurately reported to sPMP or <br />lnterpretation Activity codes as described in the cAP and Manual; <br />4.12.2. Required to verify the accuracy of activities reported to Activity Codes <br />12b, 12c,7c and 7d; <br />4.12.3. Prohibited from claiming seventy five percent (75%;o) FFP for any other <br />activities. <br />4.12.4. Permitted to claim fifty percent (50%) for all other accurately reported <br />MAC ActivitY Codes; and <br />4.12.5. Required to certify the accuracy of the FFP claimed for reimbursement <br />by signing the A19. <br />4.12. <br />Washington State <br />Health Care Authorlty <br />HCA Contract #K8630 <br />Attachment 5 <br />27