Before furnishing any service, each provider shall sign Form DSS-9 or Form DSS-9B, agreeing -
1. That service will not be paid through the Social Services Program before it is authorized by the worker;
2. To provide service only as authorized, in accordance with NDHHS's standards;
3. To submit Form DSS-5B, "Social Services Billing Document," after service is provided and within 90 days;
4. To accept social services reimbursement as payment in full for the contracted service(s) unless service is authorized on a sliding fee basis;
5. To accept a rate which is reasonable, necessary, and does not exceed the amount charged to private-paying persons;
6. To apply to social services clients the same standards applied to private-paying persons;
7. To retain financial and statistical records for four years to support and document all claims;
8. To allow federal, state, or local officials responsible for program administration or audit to review service records;
9. To permit federal, state, and local officials to monitor and evaluate the program by means such as inspecting the facility, observing service delivery, and interviewing staff members;
10. To keep current any state or local license required for service provision;
11. To respect every client's right to confidentiality and safeguard confidential information;
12. To not discriminate against any employee, applicant for employment, or social services program participant or applicant because of race, color, religion, sex, handicap, or national origin;
13. To not assign or transfer the agreement to anyone else;
14. To understand and accept responsibility for the client's safety and property;
15. To continue to meet all standards pertaining to the service provided;
16. To operate a drug-free workplace;
17. For child care providers only -
a. Notify the appropriate Department case manager if a child(ren) does not attend the child care for more than three consecutive days; and
b. Prohibit smoking within any part of an indoor child care facility; and
Note: This does not apply to child care provided in a provider's home or the child's home.
18. To allow Central Registry checks on himself/herself, or a family member, if appropriate, or if an agency, agree to allow Department staff to review agency policies regarding hiring and reporting to ensure that appropriate procedures regarding abuse, neglect, and law violations are in place.