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<br />c. Reimbursement will be made at a fixed rate of $ 28.07 <br />per unit of Adult Day Care (define) for an estimated number of <br />1954 units. Reimbursement will be based on the actual number of <br />units delivered whether over or under the estimated number. If <br />multiple components are being purchased, additional rates and units <br />can be identified as follows: $ 3.00 per unit of day care <br />transportation for an estimated number of 3908 units. <br /> <br />D. Reimbursement Reporting: <br /> <br />1. lilxpendi tures <br /> <br />The Provider will report expenditures monthly in accordance with the <br />policy set forth by the DSS Fiscal Office, Division of Social Services, <br />issued via the Fiscal Manual. Expenditure should be reported on the DSS <br />Administrative Costs Report (Form DSS-1571, Part III) in accordance with <br />budget or specified rate up to the maximum -amount of reimbursement <br />specified in th~s document. Reports are to be submitted to the Department <br />by the fifth (5th) working day of the month following the month in which <br />services were delivered. The Department will reimburse the Provider <br />monthly, usually by check, upon receipt of a complete and correctly filed <br />report. <br /> <br />2. Reporting for the Statewide Services Information System (SIS) <br /> <br />In addition to the Administrative Cost Report (DSS-1571, Part III), the <br />Provider will submit to the Department the Monthly Report of Service <br />Delivery (DSS Form 1571, Part IV). This should be submitted along with <br />the Administrative Cost Report by the first working day of the month <br />following the month in which services were deLivered. The units reported <br />in Column 12 of the 1571 Part IV are the units of service defined in <br />Column 5 of 2.C. of this Attachment. Service definition and reporting <br />instructions are found in Family Services Manual, Volume VI, Chapter IV. <br /> <br />lil. Audit Requir~nts: <br /> <br />Audit Requirements <br /> <br />Check either 1 or 2: <br /> <br />(x) 1. <br /> <br />Purchase of Service Contract <br /> <br />The Department has determined this contract to be a purchase <br />of goods or services and is not subject to GS. 143-6.1 and <br />thus an audit is not required for this contract. <br /> <br />() 2. <br /> <br />Financia1As~istance Contract <br /> <br />Each corporation, organization and institution that receives, <br />uses or expends any state funds shall use or expend the funds <br />only for the purposes for which they were appropriated by the <br />General Assembly or collected by the State. State funds <br />include federal funds that flow through the State. If the <br />Provider isa governmental entity, such entity is subject to <br />the requirements of OMB Circular A-133 and the N.C. Single <br />Audit Implementation Act of 1987. If the Provider is a <br />nongovernmental entity, such entity as subject to the <br /> <br />\=- - to <br />