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RESOLUTION 9'7 - 255
DESIGNATING THE ARIZONA, COUNTIES RESEARCH FOUNDATION (ACRF)
AS FISCAL INTERMEDIARY BETWEEN _ MOHAVE COUNTY
AND AHCCCS FOH THE PURPOSE OF OBTAINING FEDERAL
REIMBURSEMENT OF ADMINISTRATIVE COSTS
PURSUANT TO ARIZONA REVISED STATUTES S S 11-297,
36-29015, ~a3-2905.03, AND 36-2905.05
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WHEREAS, Arizona Revised Statutes S S '11-297, 36-2905, 36-2905.03, and 36..2905.05
provides that beginning July 1, 199:3, Mohave County, Arizona, hereinafter
referred to as "County," is required to assist any person in completing an application for eligibility
for health care services pursuant to Arizona Revised Statutes ~ 36-2901.4(b)(iii) and shall submit
the completed application and requirEld documentation pertinent to the determination to the
Arizona Department of Economic 8ecllIrity which shall determine the applicant's eligibility; and
WHEREAS, Arizona Revised statutes ~ ~ "11-297, 36-2905, 36-2905.03, and 36-2905.05
provides that counties shall receive federal monies that are made available for administrative
costs associated with completing applications for persons potentially eligible for health care
services available pursuant to Arizona Hevised Statutes ~ 36-2901.4(b)(iii); and
WHEREAS, the County has lmtered into an Intergovernmental Agreement with the
Arizona Health Care Cost Containment System (AHCCCS) and the Arizona Department of
Economic Security (DES) to complete applications for persons potentially eligible for health care
services avaHable pursuant to Arizona Revised Statutes 9 36-2901.4(b)(iii) and pursuant to
Arizona Revised Statutes S s 11-2H7, ~,f3-2905, 36-2.905.03, and 36-2905.05; and
WHEREAS, in order for the County to obtain federal reimbursement of administrative
costs for eligibility efforts pursuant to Arizona Revis,ed Statutes 9 9 11-297, 36-2905, 36-2.905.03,
and 36-2905.05, the County must prov'ide the Arizona Health Care Cost Containment System
with quarterly expenditure reports and activity summaries; and
WHEREAS, the ~ohav~~ County Board of Supervisors desires to
delegate the Arizona Counties Research Foundation as its fiscal intermediary for the purpose of
obtaining fed,eral reimbursement 101' administrative costs incurred by the County pursuant to
Arizona Revised Statutes ~ S 11-297, 3€;-2905, 36-2905.03, and 36-2905.05; and
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BE IT FURTHER RESOLVED that the Arizona Counties Research Foundation as fiscal
intermediary for Mohave __ County is authorized:
1. To receive and compile the County's quarterly expenditure reports and activity
summaries j~ssociated with eligibility applications completed pursuant to Arizona Revised
Statutes 9 9 '11-297, 36-2905, 36-~~905.03, and 36-2905.05; and
2. To prepare the County's quarterly invoice which specifically identifies
expenditures and activities associated with Arizona Revised Statutes 9 9 11-297, 36-2905,
36-2905.03, and 36-2905.05; and
3. To submit the County's quarterly expenditure report and activities in invoice form
to the Arizona Health Care Cost Containment System; and
4, To receive any monies from the Arizona Health Care Cost Containment System
that are made available through Title XIX of the Social Security Act to reimburse the County for
administrativla costs incurred pursuant to Arizona Revised Statutes 9 9 11-297, 36-2905,
36-2905.03, and 36-2905.05; and
5. To provide nec:essary and appropriate training and technical assistance to
County employees responsible for random moment sampling and administrative cost rE~porting
required to identify direct and indirect County eligibility costs for SOBRA or other federal
programs' eli!~ibility determinations and S.A.v.E. verifications; and
6. To administer and pay for the County's cost of the contractual agreement
between Arizona Counties Research Foundation and David M. Griffith and Associates for the
annual maintenance of the Random Moment Sampling system; and
7. To disburse to the Co.lnty 95 percent (95%) of any monies received from the
Arizona Health Care Cost Containment System to r,eimburse the County for administrative costs
incurred pursuant to Arizona RevisHd Statutes 9 9 11-297, 36-2905, 36-2905.03, and
36-2905.05.
Signed this
7th
day of __.July
,1997.
MOHAVE
COU ~JTY
By: ~AA//~%:Y!L~~L.:
Chairman, Board of Supervisors
res97ahc.doc\6l23i97