Financial Accounting Requirements. The Contractor shall maintain separate accounting records for the Hoosier Healthwise line of business that incorporates performance and financial data of subcontractors, as appropriate, particularly risk-bearing subcontractors. The Contractor’s accounting records shall be maintained in accordance with the IDOI requirements. If the Contractor does not provide Hoosier Healthwise-specific information, FSSA may terminate the Contract. The Contractor shall provide documentation that its accounting records are compliant with IDOI standards. In accordance with 42 CFR 455.100-104, which defines ownership and control percentages and requires disclosure thereof, the Contractor shall notify OMPP of any person or corporation with five percent (5%) or more of ownership or controlling interest in the Contractor and shall submit financial statements for these individuals or corporations. Additionally, annual audits shall include an annual actuarial opinion of the Contractor’s incurred but not received claims (IBNR) specific to the Hoosier Healthwise program. Authorized representatives or agents of the State and the federal government shall have access to the Contractor’s accounting records and the accounting records of its subcontractors upon reasonable notice and at reasonable times during the performance and/or retention period of the Contract for purposes of review, analysis, inspection, audit and/or reproduction. In addition, the Contractor shall file with the State Insurance Commissioner the financial and other information required by the IDOI. Copies of any accounting records pertaining to the Contract shall be made available by the Contractor within ten (10) calendar days of receiving a written request from the State for specified records. If such original documentation is not made available as requested, the Contractor shall provide transportation, lodging and subsistence at no cost, for all state and/or federal representatives to carry out their audit functions at the principal offices of the Contractor or other locations of such records. FSSA, IDOI, OMPP and other state and federal agencies and their respective authorized representatives or agents shall have access to all accounting and financial records of any individual, partnership, firm or corporation insofar as they relate to transactions with any department, board, commission, institution or other state or federal agency connected with the Contract. The Contractor shall maintain financial records pertaini...
Financial Accounting Requirements. The Contractor shall maintain separate accounting records for the HIP lines of business that incorporate performance and financial data of subcontractors, as appropriate, particularly risk-bearing subcontractors. The Contractor’s accounting records shall be maintained in accordance with the IDOI requirements. If the Contractor does not provide HIP-specific information, FSSA may terminate the Contract. The Contractor shall provide documentation that its accounting records are compliant with IDOI standards. The Contractor shall make full disclosure, and the State shall review, ownership and control information for the Contractor, any subcontracting entities or providers as required by 42 CFR 455.104-106, as directed in the MCE Policies and Procedures Manual and as required by 42 CFR 438.604(a)(6), 42 CFR 438.606, 42 CFR 455.104(b), 42 CFR 438.230, and 42 CFR 438.608(c)(2). The Contractor shall notify FSSA of any person or corporation with five percent (5%) or more of ownership or controlling interest in the Contractor and shall submit financial statements for these individuals or corporations. The Contractor shall submit the date of birth and Social Security Number (SSN) of any individual with an ownership or controlling interest in the Contractor and its subcontractors. The Contractor shall submit other tax identification number of any corporation with an ownership or controlling interest in the Contractor and any subcontractor in which the Contractor has a five percent (5%) or more controlling interest. The Contractor shall submit the name and address of any person (individual or corporation) with an ownership or control interest in the Contractor. The address for corporate entities must include as applicable primary business address, every business location, and P.O. Box address. Annual audits shall include an actuarial opinion of the Contractor’s incurred but not received claims (IBNR) specific to the HIP program. Authorized representatives or agents of the State and the federal government shall have access to the Contractor’s accounting records and the accounting records of its subcontractors upon reasonable notice and at reasonable times during the performance and/or retention period of the Contract for purposes of review, analysis, inspection, audit and/or reproduction. In addition, the Contractor shall file with the State Insurance Commissioner the financial and other information required by the IDOI. Copies of any accounting records pertaining to th...
Financial Accounting Requirements. The Contractor shall maintain fiscal records, including its books, audit papers, documents, and any other evidence of accounting procedures and practices, which sufficiently and properly reflect all direct and indirect costs of any nature expended in the performance of the Contract. Furthermore, the Contractor shall maintain all financial accounting records in accordance with IDOI requirements. Accounting records shall be maintained separately for the Contractor’s Hoosier Care Connect line of business and provided to FSSA as requested. If the Contractor does not provide Hoosier Care Connect specific information, FSSA may terminate the Contract. As applicable, the Contractor shall incorporate the performance and financial data of risk-bearing subcontractors. The Contractor shall make full disclosure of ownership and control information for the Contractor, any subcontracting entities or providers as required by 42 CFR 455.100 through 455.106. The Contractor must notify FSSA of any person or corporation with five percent (5%) or more of ownership or controlling interest in the Contractor and must submit financial statements for these individuals or corporations. Additionally, annual audits must include an annual actuarial opinion of the Contractor’s IBNR claims specific to the Hoosier Care Connect program. Authorized representatives or agents of the State and the Federal Government must have access to the Contractor’s accounting records and the accounting records of its subcontractors upon reasonable notice and at reasonable times during the performance and/or retention period of the Contract for purposes of review, analysis, inspection, audit and/or reproduction. In addition, the Contractor must file with the IDOI Commissioner the financial and other information required by the IDOI. Copies of any accounting records pertaining to the Contract must be made available by the Contractor within ten (10) calendar days of receiving a written request from the State for specified records. If such original documentation is not made available as requested, the Contractor must provide transportation, lodging and subsistence at no cost, for all state and/or federal representatives to carry out their audit functions at the principal offices of the Contractor or other locations of such records. FSSA, IDOI and other state and federal agencies and their respective authorized representatives or agents must have access to all accounting and financial records of any individual,...
Financial Accounting Requirements. The Contractor shall maintain separate accounting records for the Hoosier Healthwise line of business that incorporates performance and financial data of subcontractors, as appropriate, particularly risk-bearing subcontractors. The Contractor’s accounting records shall be maintained in accordance with the IDOI requirements. If the Contractor does not provide Hoosier Healthwise-specific information, FSSA may terminate the Contract. The Contractor shall provide documentation that its accounting records are compliant with IDOI standards. The Contractor shall make full disclosure, and the State shall review, ownership and control information for the Contractor and any subcontracting entities or providers as required by 42 CFR 455.100-106, as directed in the Hoosier Healthwise MCE Policies and Procedures Manual and as required by 42 CFR 438.604(a)(6), 42 CFR 438.606, 42 CFR 455.104(b)(1)(i)-(iii), 42 CFR 455.104(b)(2)-(4), 42 CFR 438.230, and 42 CFR 438.608(c)(2). The Contractor shall notify FSSA of any person or corporation with five percent (5%) or more of ownership or controlling interest in the Contractor and shall submit financial statements for these individuals or corporations. The Contractor shall submit the date of birth and Social Security Number (SSN) of any individual with an ownership or controlling interest in the Contractor and its subcontractors. The Contractor shall submit other tax identification number of any corporation with an ownership or controlling interest in the Contractor and any subcontractor in which the Contractor has a five percent (5%) or more controlling interest. The Contractor shall submit the name and address of any person (individual or corporation) with an ownership or control interest in the Contractor. The address for corporate entities must include as applicable primary business address, every business location, and P.O. Box address. Annual audits shall include an actuarial opinion of the Contractor’s incurred but not received claims (IBNR) specific to the Hoosier Healthwise program. Authorized representatives or agents of the State and the federal government shall have access to the Contractor’s accounting records and the accounting records of its subcontractors upon reasonable notice and at reasonable times during the performance and/or retention period of the Contract for purposes of review, analysis, inspection, audit and/or reproduction. In addition, the Contractor shall file with the State Insurance Commissioner th...
Financial Accounting Requirements. The Contractor shall maintain fiscal records, including its books, audit papers, documents, and any other evidence of accounting procedures and practices, which sufficiently and properly reflect all direct and indirect costs of any nature expended in the performance of the Contract. Furthermore, the Contractor shall maintain all financial accounting records in accordance with IDOI requirements. Accounting records shall be maintained separately for the Contractor’s Hoosier Care Connect line of business and provided to FSSA as requested. If the Contractor does not provide Hoosier Care Connect specific information, FSSA may terminate the Contract. As applicable, the Contractor shall incorporate the performance and financial data of risk-bearing subcontractors. The Contractor shall make full disclosure, and the State shall review, ownership and control information for the Contractor, any subcontracting entities or providers as required by 42 CFR 455.100 through 455.106 as directed in the MCE Policies and Procedures Manual and as required by 42 CFR 438.604(a)(6), 42 CFR 438.606, 42 CFR 455.104(b)(1), 42 CFR 455.104(b)(2)-(4), 42 CFR 438.230, 42 CFR 438.608(c), and 42 CFR 438.602(c). The Contractor must notify FSSA of any person or corporation with five percent (5%) or more of ownership or controlling interest in the Contractor and must submit financial statements for these individuals or corporations. The Contractor shall submit the date of birth and Social Security Number (SSN) of any individual with an ownership or controlling interest in the Contractor and its subcontractors. The Contractor shall submit other tax identification number of any corporation with an ownership or controlling interest in the Contractor and any subcontractor in which the Contractor has a five percent (5%) or more controlling interest. The Contractor shall submit the name and address of any person (individual or corporation) with an ownership or control interest in the Contractor. The address for corporate entities must include as applicable primary business address, every business location, and P.O. Box address. Additionally, annual audits must include an annual actuarial opinion of the Contractor’s IBNR claims specific to the Hoosier Care Connect program. Authorized representatives or agents of the State and the Federal Government must have access to the Contractor’s accounting records and the accounting records of its subcontractors upon reasonable notice and at reasonable times d...
Financial Accounting Requirements. The Contractor shall maintain separate accounting records for the Hoosier Healthwise line of business that incorporates performance and financial data of subcontractors, as appropriate, particularly risk-bearing subcontractors. The Contractor’s accounting records shall be maintained in accordance with the IDOI requirements. If the Contractor does not provide Hoosier Healthwise-specific information, FSSA may terminate the Contract. The Contractor shall provide documentation that its accounting records are compliant with IDOI standards. In accordance with 42 CFR 455.100-104, which defines ownership and control percentages and requires disclosure thereof, the Contractor shall notify OMPP of any person or corporation with five percent (5%) or more of ownership or controlling interest in the Contractor and shall submit financial statements for these individuals or corporations.
Financial Accounting Requirements. 11 Provider shall:
12 5.2.1 Limit Administration costs to no more than 15% of the annual revenue supporting the 13 public behavioral health rental assistance system operated by Provider. Administration 14 costs shall be measured on a fiscal year basis and based on the information reported in 15 the Revenue and Expenditure Reports and reviewed by North Sound BH-ASO.
Financial Accounting Requirements. Provider shall:
5.2.1 Limit Administration costs to no more than 15% of the annual revenue supporting the public behavioral health system operated by Provider. Administration costs shall be measured on a fiscal year basis and based on the information reported in the revenue and expenditure reports and reviewed by North Sound BH-ASO.
5.2.2 The Provider shall establish and maintain a system of accounting and internal controls which complies with generally accepted accounting principles promulgated by the Governmental Accounting Standards Board (“GASB”).
5.2.3 Ensure all North Sound BH-ASO funds, including interest earned, provided pursuant to this Agreement, are used to support the public behavioral health system within Snohomish County;
5.2.4 Ensure under no circumstances are individuals charged for any covered services, including those out-of-network services purchased on their behalf;
5.2.5 Produce annual audited financial statements. Upon completion of regulatory audits, such reports will be made available to North Sound BH- ASO upon request.
Financial Accounting Requirements. 12 Contractor shall:
14 a. Establish and maintain operating reserves at prudent levels sufficient to ensure Contractorhas 15 ability to pay for all expenses incurred during this Agreement period, including thosewhose 16 disposition occurs after the Agreement has been terminated, and to cover the risk of financial 17 loss resulting in the event that the cost of providing services pursuant to this Agreement 18 exceeds the revenues derived therefrom;
19 b. Ensure all funds, including interest earned, provided pursuant to this Agreement are usedto 20 support the public behavioral health system within the Service Area; and
Financial Accounting Requirements.
14 a. Funding that supports this Contract comes from Community Federal Block Grant 15 funds, from the Federal DHHS, Catalog of Federal Domestic Assistance (CFDA) 16 #93.958/#93.959.
17 b. Contractor shall produce annual audited financial statements and make such 18 reports available to North Sound BH-ASO upon request.
19 c. North Sound BH-ASO shall pay Contractor an amount not to exceed the maximum 20 consideration specified in this Contract for the satisfactory performance of all work 21 set forth in Exhibit A Statement of Work.
22 d. Contractor shall submit a completed monthly invoice that includes the following 23 information:
25 i. Contractor shall be paid on a cost reimbursement basis for appropriate 26 program expenditures submitted on the North Sound BH-ASO Invoice.
27 ii. Administrative costs shall not exceed 15%.
28 iii. Total charges, based on Contractor standard billing rates for the services 29 provided.
31 e. Any Federal Block Grant Funds obligated under this Contract which are not 32 expended by June 30th may not be used or carried forward in any other Contract 33 or Amendment, and lapse as of June 30th. 34 35 3. RULES COMPLIANCE 36 Contractor shall: 38 a. Account for public mental health expenditures under this Contract in accordance 39 with federal circular A-133 and A-87 or other applicable circular and state 40 requirements in accordance with the BARS Manual, and BARS Supplemental 41 Instructions.
