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Cash Management Improvement Act Agreement

between

The State of Washington

and

The Secretary of the Treasury,

United States Department of the Treasury

The Secretary of the Treasury, United States Department of the Treasury (hereafter 'Secretary'), and State of Washington

(hereafter 'State'), in order to implement Section 5 of the Cash Management Improvement Act of 1990, as amended (hereafter 

'Act'), agree as follows:

1.0 AGENTS OF THE AGREEMENT 

1.1 The Authorized Official(s) for the State of Washington shall be the Assistant Director, Accounting Division, Office of Financial 

Management in all matters concerning this Agreement.

1.2 The Assistant Commissioner, Revenue Collections Management, Bureau of the Fiscal Service (Fiscal Service), U.S. 

Department of the Treasury, shall act as the Secretary's representative in all matters concerning this Agreement.

2.0 AUTHORITY

2.1 The authority for this Agreement is the Cash Management Improvement Act of 1990 (Public Law 101-453), as amended by 

the Cash Management Improvement Act of 1992 (Public Law 102-589), codified at 31 U.S.C. 6501 and 31

U.S.C. 6503.

2.2 The regulations codified at 31 CFR Part 205 shall apply to all matters pertaining to this Agreement, and are incorporated 

herein by reference. In the event of any inconsistency between this Agreement and 31 CFR Part 205, the regulations shall govern.

3.0 DURATION, AMENDING, TERMINATING, AND MISCELLANEOUS PROVISIONS

3.1 This Agreement shall take effect on 07/01/2021 and shall remain in effect until 06/30/2022.

3.2 This Agreement may be amended at any time by written, mutual consent of the State and the Fiscal Service. This Agreement shall 

be amended annually to incorporate new programs that qualify as major Federal assistance programs and remove programs that no 

longer qualify as major Federal assistance programs. A State must notify the Fiscal Service in writing within 30 days of the time the 

State becomes aware of a change that involves additions or deletions of programs subject to Subpart A, changes in funding 

techniques, and/or changes in clearance patterns. The notification must include a proposed amendment for review by the Fiscal

Service.

3.3 Notwithstanding section 3.2, in the event of Federal or State non-compliance with Subpart B of 31 CFR, Part 205, the Fiscal 

Service may amend this Agreement at any time to incorporate additional programs and the entities that administer those programs.

3.4 This Agreement may be terminated by either party with 30 days written notice. If this Agreement is terminated, the Fiscal 

Service will prescribe the funding techniques, clearance patterns, and methods for calculating interest liabilities to be used by the 

State.

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3.1.1 This amendment is submitted due to a change in the federal programs that equal or exceed the state's CMIA 

threshold. The state's threshold is $75 million and is based on the state's 2020 Single Audit Report issued on June 3, 

2021. This amendment is effective July 1, 2021 through June 30, 2022, as required by 31 CFR 205.7(c).

4.0 PROGRAMS COVERED

4.1 The State's threshold and its major Federal assistance programs shall be determined based on the Schedule of Expenditures 

of Federal Awards for fiscal year ending 06/30/2020.

All major Federal assistance programs shall be covered by this Agreement, unless otherwise specified in section 4.4 of this 

Agreement.

4.2 The State's threshold for major Federal assistance programs is $75,000,000.

The following programs meet or exceed the threshold and are not excluded in Section 4.4:

CFDA Program Name

10.551 Supplemental Nutrition Assistance Program

10.555 National School Lunch Program

10.557 Special Supplemental Nutrition Program for Women, Infants, and 

Children

10.559 Summer Food Service Program for Children

10.561 State Administrative Matching Grants for the Supplemental 

Nutrition Assistance Program

17.225F Unemployment Insurance -- Federal Benefit Account and 

Administrative Costs

17.225S Unemployment Insurance -- State Benefit Account

20.205 Highway Planning and Construction

84.010 Title I Grants to Local Educational Agencies

84.027 Special Education -- Grants to States

93.558 Temporary Assistance for Needy Families

93.563 Child Support Enforcement

93.575 Child Care and Development Block Grant

93.658 Foster Care -- Title IV-E

93.767 Children's Health Insurance Program

93.778 Medical Assistance Program

97.036 Disaster Grants - Public Assistance (Presidentially Declared 

Disasters)

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4.3 The following programs fall below the State's threshold but have been required to be covered by Fiscal Service in 

accordance with the non-compliance provisions of Subpart B of 31 CFR Part 205:

There are currently no programs listed for Section 4.3.

4.4 The following programs exceed the State's threshold but have been excluded from coverage for the reason indicated:

CFDA Program Name Exclusion Reason

84.063 Federal Pell Grant Program Non-State

84.268 Federal Direct Student Loan Non-State

93.268 Immunization Grants Non-Cash

93.855 Allergy, Immunology and Transplantation 

Research

Non-State

5.0 ENTITIES COVERED

5.1 State agencies and instrumentalities that meet the definition of a State per 31 CFR Part 205, shall be subject to the terms of this 

Agreement. The following is a list of such entities that administer funds under the programs listed in Section

4.0 of this Agreement:

Bond Retirement Interest

Department of Children, Youth, and Families

Department of Health

Department of Social & Health Services

Department of Transportation

Employment Security Department

Healthcare Authority

Military Department

Superintendent of Public Instruction

5.2 Entities that meet the definition of a Fiscal Agent per 31 CFR Part 205 shall be subject to the terms of this Agreement. The 

following is a list of Fiscal Agents that administer funds under the programs listed in the Section 4.0 of this Agreement:

Fiscal Agent CFDA Program Name

FIS (Fidelity National Information Svcs, 

LLC)

10.551 Supplemental Nutrition Assistance 

Program

Wells Fargo 10.557 Special Supplemental Nutrition Program 

for Women, Infants, and Children

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6.0 FUNDING TECHNIQUES

6.1 General Terms

6.1.1 The State shall request Federal funds in accordance with the appropriate cut-off times shown in Exhibit I to ensure funds will 

be received and credited to a State account by the times specified in the funding techniques. Exhibit I is incorporated by reference 

herein.

6.1.2 The State shall schedule the receipt of Federal funds such that the funds are received and credited to a State account in 

accordance with the clearance patterns specified in Exhibit II - List of State Clearance Patterns. Exhibit II is incorporated by 

reference herein.

6.1.3 In instances where the receipt of funds is scheduled for a Saturday, the State shall request funds for deposit on Friday. In

instances where the receipt of funds is scheduled for a Sunday, the State shall request funds for deposit on Monday. In instances 

where the receipt of Federal funds is scheduled for deposit on a day when the State is not open for business, the State shall request 

funds for deposit the day following the scheduled day; in instances where the receipt of Federal funds is scheduled for deposit on a 

day when the Federal Government is not open for business, the State shall request funds for deposit the day prior to the scheduled 

day.

6.1.4 Estimates and Reconciliation of Estimates:

Where estimated expenditures are used to determine the amount of the drawdown, the State will indicate in the terms of the State 

unique funding technique how the estimated amount is determined and when and how the State will reconcile the difference 

between the estimate and the State's actual expenditures.

6.1.5 Supplemental Funding:

Unless otherwise defined by program rules, Supplemental Funding is the award of additional funds to provide for an increase in 

costs due to unforeseen circumstances.

The State will comply with all Federal program agency policies and procedures for requesting supplemental grant funding.

The State will comply with the following guidelines when requesting supplemental funding for the Medical Assistance Program 

and associated administrative payments (CFDA 93.778):

The State must submit a revised Medicaid Program Budget Report (CMS-37) to request supplemental funding. The CMS guidelines 

and instructions for completing the CMS-37 are provided in Section 2600F of the State Medicaid Manual (SMM). The CMS/CO must 

receive the revised Form CMS-37 through the Medicaid Budget Expenditure System/Children's Budget Expenditure System 

(MBES/CBES) no later than 10 calendar days before the end of the quarter for which the supplemental grant award is being 

requested.

Additional guidance on this policy is available from the respective CMS Regional Office, U.S. Department of Health & Human 

Services.

The State will comply with the following guidelines when requesting supplemental funding for TANF (CFDA 93.558), CCDF 

(CFDA 93.575), CSE (93.563), and the FC/AA (CFDA 93.658 and CFDA 93.659) programs administered by the

U.S. Department of Human Services, Administration for Children and Families (HHS/ACF):

a. Timing of the Request

A State should initiate its request for supplemental funding during a quarter as soon as it becomes aware of the fact that a shortfall 

does/will exist. For the TANF and CCDF grants, supplemental funding requests (estimates) may be submitted by a State, for 

consideration by ACF, up through and including the 15th day of the third month of the first, second or third quarter of any fiscal year. 

Since TANF and CCDF are block grant programs, all unawarded portions of the annual allotment will automatically be issued at the 

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beginning of the fourth quarter. Therefore, supplemental funding requests will not be available during the fourth quarter for these 

programs. For the CSE and FC/AA programs, supplemental funding requests may be submitted by a state, for consideration by ACF, 

up through and including the 15th day of the third month of any quarter of a fiscal year.

b. Justification for the Request

The request for a supplemental funding for any of the above-mentioned programs should contain a justification clearly documenting 

the need for the additional funding authority during the current quarter. This documentation should be in the form of State accounting 

records or similar documents that will show the actual expenditures through the most recent month for which such data are available, 

as well as the State's most accurate projection of its anticipated expenditures during the remaining month(s) of the quarter. For either 

the TANF or the CCDF program, the State's justification should also include an explanation of the activities requiring the obligation 

and/or expenditure of amounts that exceed the normal quarterly grant award restrictions and why these activities could not have been 

delayed until the next quarter.

c. Form Submittal

Supplemental funding requests should be made by completing the appropriate ACF quarterly report of expenditures and estimates

applicable to the particular program for which the grant award request is being made.

d. Approval Process

Upon receipt of the state's request for additional funding authority for a quarter, the ACF Regional Office will promptly review the 

supporting documentation. If the request is properly justified, so long as ACF has adequate funding availability, the State's request 

will be expedited and supplemental funding will be issued within 5 days of ACF receiving the request. The State will be notified by 

the Regional Office when the supplemental award has been transmitted to the Payment Management System (PMS) and when it 

may initiate drawdowns against the supplemental funding.

Additional guidance on this policy is provided in the U.S. Department of Health & Human Services, Administration for Children

and Families, letter (May 19, 2004) to State Administrators from the Deputy Assistant Secretary for Administration.

6.2 Description of Funding Techniques

6.2.1 The following are terms under which standard funding techniques shall be implemented for all transfers of funds to which the 

funding technique is applied in section 6.3.2 of this Agreement.

Funding Technique Name Description

Actual Clearance, ZBA - Same Day Payment The State shall request funds the same day it pays out funds, in accordance with the 

appropriate Federal agency cut-off time specified in Exhibit I. A Federal agency will 

deposit funds in a State account the same day as requested. The amount of the request 

shall be for the amount of funds that clear the State's account that day. This funding 

technique is interest neutral.

6.2.2 The following are terms under which funding techniques for administrative costs shall be implemented for all transfers 

of funds to which the funding technique is applied in section 6.3.2 of this Agreement.

There are currently no funding techniques listed in Section 6.2.2.

6.2.3 The following are terms under which miscellaneous funding techniques shall be implemented for all transfers of funds to 

which the funding technique is applied in section 6.3.2 of this Agreement.

There are currently no funding techniques listed in Section 6.2.3.

6.2.4 The following are terms under which State unique funding techniques shall be implemented for all transfers of funds to which 

the funding technique is applied in section 6.3.2 of this Agreement.

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Funding Technique Name Description

Direct Funding WSDOT The State shall request funds only after related cash expenditures have been recorded 

in TRAINS. Because the process is an automatic one, we expect reimbursement the 

same day wire requests are made. The amount of the request shall be the actual sum of 

cash expenditures that have been incurred, recorded, identified, and reconciled as 

billable from the preceding week. This funding technique is interest neutral.

Modified Administrative Costs - Annual Administrative costs will be drawn on an annual basis for disaster recovery projects 

administered by the Washington Military Department. The draw request will be made 

in accordance with the cut-off times as shown in Exhibit I. Funds requested will be an 

accumulation of the administrative costs since the last draw. This funding technique is 

interest neutral.

Modified Direct Program and Admin Costs -

Monthly

The state draws funds after the close of the fiscal month for direct program and 

indirect administrative costs. The draw request will be made in accordance with the 

cut-off time in Exhibit I. The funds drawn will be the accumulation of costs since the 

last draw. This funding technique is interest neutral.

Modified Direct Program Costs Except for managed care payments, the State shall request funds for direct program 

costs to providers and clients. The draw will occur on fixed intervals. Managed care 

payments will have a separate draw. The request shall be made in accordance with the 

appropriate Federal agency cut-off time specified in Exhibit I. Managed care 

payments will be drawn the day before the payment to providers, so funds are received 

on date of managed care payments. The amount of the draw will be an accumulation 

of program costs since the last draw. This funding technique is interest neutral.

Modified Direct Program Costs - Admin, 

Payroll, Payments to Providers

The State shall request funds for all direct administrative costs and/or payroll costs, 

and/or payments made to providers and to support providers. The request shall be 

made in accordance with the appropriate Federal agency cut-off time specified in 

Exhibit I. The amount of the funds requested shall be based on the amount of 

expenditures recorded for direct administrative costs and/or payroll costs and/or

payments made to providers or to support providers since the last request for funds. 

The State payroll cycle is payday twice a month. Draws made the day before payday 

are for deposit on payday. The draw request will be made in accordance with the cutoff time in Exhibit 1. The amount of the funds requested shall be based on the amount 

of expenditures recorded for direct administrative costs and/or payroll costs and/or 

payments made to providers or to support providers since the last request for funds. 

This funding technique is interest neutral.

Modified Direct Program/Benefit Costs -

(ACH Drawdowns at Fixed Intervals - SPI)

The State shall request funds for all direct program/benefit payments to Providers. The 

request shall be made such that the funds are deposited to the State's account on the 

last working day of the month. The request shall be made in accordance with the 

appropriate Federal agency cut-off time specified in Exhibit I. The amount of the 

funds requested shall be based on the amount of expenditures recorded for the direct 

program/benefit payments to Providers since the last request for funds. This funding 

technique is interest neutral.

Modified Pre-Issuance (Post-Issuance) 

(Fedwire Same Day Payment)

The State shall request funds daily from the Unemployment Insurance Trust Fund to 

pay for State unemployment insurance benefits. The State shall request funds such that 

they are deposited into the state account after the state issues checks, but before the 

checks clear. The request shall be made in accordance with the appropriate Federal 

agency cut-off time specified in Exhibit I. A federal agency shall deposit funds in the 

State account the same day as requested. The amount of the request shall be based on 

the amount of the actual warrants disbursed except in the case of a holiday following a 

day upon which checks are issued. This funding technique is interest neutral.

Pre-Issuance Grant Anticipation Revenue 

Vehicle (GARVEE) Bond Repayment

The State of Washington Department of Transportation will request funds for the 

repayment of GARVEE Bonds issued and paid by the Bond Retirement Interest 

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Agency. Funds will be requested for payments of principal and interest on bonds. 

Funds may be requested at least seven business days in advance of the bond payment. 

This early drawdown has been approved by the Federal Highway Administration 

(FHWA) and Fiscal Service. This funding technique is interest neutral.

UI Admin - Modified Payment Schedule 

(Fedwire Semi-Monthly Drawdown on 

Payday)

The State shall request funds semi-monthly. It issues Electronic Funds Transfer (EFT) 

payments and Voucher payments for Administrative and Reed Act costs including 

payroll. The State shall request funds semi-monthly. Warrants for Administrative and 

Reed Act Costs including payroll are disbursed from the State's account. The State's 

request shall be made in accordance with the appropriate Federal agency cut-off time 

specified in Exhibit I. A federal agency shall deposit funds in the State account the 

same day as requested, if the request is made in accordance with the appropriate 

Federal agency cut-off time specified in Exhibit 1. The amount of the request shall be 

the amount of EFT payments and Journal Voucher payments for Administrative and 

Reed Act costs including payroll that are issued from the State's account and the 

amount of Warrants for Administrative and Reed Act costs including payroll that are 

disbursed from the State's account. This funding technique is interest neutral.

UI Federal (Fedwire Same Day Payment 

Modified Actual Clearance ZBA)

The State shall request funds daily from the Unemployment Insurance Trust Fund to 

pay for Federal unemployment insurance benefits. The State shall request funds the 

same day it pays out funds (based upon actual settlement from the bank for both 

checks and warrants), in accordance with the appropriate Federal agency cut-off time 

specified in Exhibit I. A federal agency shall deposit funds in the State account the 

same day as requested. The amount of the request shall be based on the amount of the 

actual warrants redeemed and checks cleared on that day in the State's account. This 

funding technique is interest neutral.

6.3 Application of Funding Techniques to Programs

6.3.1 The State shall apply the following funding techniques when requesting Federal funds for the component cash flows of the 

programs listed in sections 4.2 and 4.3 of this Agreement.

6.3.2 Programs

Below are programs listed in Section 4.2 and Section 4.3.

10.551 Supplemental Nutrition Assistance Program

Recipient: Department of Social & Health Services

% of Funds Agency Receives: 100

Component: Direct Wire Settlement to Electronic Benefit (EBT) 

system contractor or by Electronic Funds Transfer (EFT)

Technique: Actual Clearance, ZBA - Same Day Payment

Average Day of Clearance: 0 Days

10.555 National School Lunch Program

Recipient: Superintendent of Public Instruction

% of Funds Agency Receives: 100

Component: Payments - reimbursements to school districts, private 

schools, child & adult care programs

Technique: Modified Direct Program/Benefit Costs - (ACH 

Drawdowns at Fixed Intervals - SPI)

Average Day of Clearance: N/A

10.557 Special Supplemental Nutrition Program for Women, Infants, 

and Children

Recipient: Department of Health

% of Funds Agency Receives: 34

Component: Administrative costs including payroll - salary, benefits, 

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contractual and related expenditures

Technique: Modified Direct Program Costs - Admin, Payroll, Payments 

to Providers

Average Day of Clearance: 0 Days

10.557 Special Supplemental Nutrition Program for Women, Infants, 

and Children

Recipient: Department of Health

% of Funds Agency Receives: 66

Component: Direct program/benefit payments for food voucher 

redemption. Rebates offset the direct program/benefit payments. This is 

a zero balance account.

Technique: Modified Direct Program Costs

Average Day of Clearance: 0 Days

10.559 Summer Food Service Program for Children

Recipient: Superintendent of Public Instruction

% of Funds Agency Receives: 100

Component: Payments - reimbursements to school districts, private 

schools, child & adult care programs

Technique: Modified Direct Program/Benefit Costs - (ACH 

Drawdowns at Fixed Intervals - SPI)

Average Day of Clearance: 0 Days

10.561 State Administrative Matching Grants for the Supplemental 

Nutrition Assistance Program

Recipient: Department of Social & Health Services

% of Funds Agency Receives: 100

Component: Direct Wire Settlement to Electronic Benefit (EBT) 

system contractor or by Electronic Funds Transfer (EFT)

Technique: Actual Clearance, ZBA - Same Day Payment

Average Day of Clearance: 0 Days

17.225F Unemployment Insurance -- Federal Benefit Account and 

Administrative Costs

Recipient: Employment Security Department

% of Funds Agency Receives: 76

Component: Benefit Payments - Federal

Technique: UI Federal (Fedwire Same Day Payment Modified Actual 

Clearance ZBA)

Average Day of Clearance: 0 Days

17.225F Unemployment Insurance -- Federal Benefit Account and 

Administrative Costs

Recipient: Employment Security Department

% of Funds Agency Receives: 24

Component: Unemployment Insurance Administrative

Technique: UI Admin - Modified Payment Schedule (Fedwire Semi-

Monthly Drawdown on Payday)

Average Day of Clearance: 0 Days

17.225S Unemployment Insurance -- State Benefit Account

Recipient: Employment Security Department

% of Funds Agency Receives: 100

Component: Benefit payments - State

Technique: Modified Pre-Issuance (Post-Issuance) (Fedwire Same Day 

Payment)

Average Day of Clearance: 0 Days

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20.205 Highway Planning and Construction

Recipient: Department of Transportation

% of Funds Agency Receives: 84.84

Component: Contractor payments, payroll, administrative and other 

program costs

Technique: Direct Funding WSDOT

Average Day of Clearance: 1 Day

20.205 Highway Planning and Construction

Recipient: Bond Retirement Interest

% of Funds Agency Receives: 15.16

Component: Debt service

Technique: Pre-Issuance Grant Anticipation Revenue Vehicle 

(GARVEE) Bond Repayment

Average Day of Clearance: N/A

84.010 Title I Grants to Local Educational Agencies

Recipient: Superintendent of Public Instruction

% of Funds Agency Receives: 5

Component: Administrative costs including payroll

Technique: Modified Direct Program Costs - Admin, Payroll, Payments 

to Providers

Average Day of Clearance: 1 Day

84.010 Title I Grants to Local Educational Agencies

Recipient: Superintendent of Public Instruction

% of Funds Agency Receives: 95

Component: Direct program/benefit payments to school districts, non-

profits, service providers, and local educational agencies (LEA)

Technique: Modified Direct Program/Benefit Costs - (ACH 

Drawdowns at Fixed Intervals - SPI)

Average Day of Clearance: 1 Day

84.027 Special Education -- Grants to States

Recipient: Superintendent of Public Instruction

% of Funds Agency Receives: 5

Component: Administrative costs including payroll

Technique: Modified Direct Program Costs - Admin, Payroll, Payments 

to Providers

Average Day of Clearance: 0 Days

84.027 Special Education -- Grants to States

Recipient: Superintendent of Public Instruction

% of Funds Agency Receives: 95

Component: Direct Program/Benefit payments to public or private 

schools and service providers

Technique: Modified Direct Program/Benefit Costs - (ACH 

Drawdowns at Fixed Intervals - SPI)

Average Day of Clearance: N/A

93.558 Temporary Assistance for Needy Families

Recipient: Department of Social & Health Services

% of Funds Agency Receives: 81.54

Component: Direct Assistance to clients via the Electronic Benefit 

Transfer (EBT) system or by Electronic Funds Transfer (EFT) & One-

Time Benefit Payments

Technique: Modified Direct Program Costs - Admin, Payroll, Payments 

to Providers

Average Day of Clearance: 0 Days

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93.558 Temporary Assistance for Needy Families

Recipient: Department of Social & Health Services

% of Funds Agency Receives: 18.46

Component: Administrative costs including payroll

Technique: Modified Direct Program Costs - Admin, Payroll, Payments 

to Providers

Average Day of Clearance: 0 Days

93.563 Child Support Enforcement

Recipient: Department of Social & Health Services

% of Funds Agency Receives: 100

Component: Administrative costs including payroll

Technique: Modified Direct Program Costs - Admin, Payroll, Payments 

to Providers

Average Day of Clearance: 0 Days

93.575 Child Care and Development Block Grant

Recipient: Department of Children, Youth, and Families

% of Funds Agency Receives: 5

Component: Administrative costs

Technique: Modified Direct Program Costs - Admin, Payroll, Payments 

to Providers

Average Day of Clearance: N/A

93.575 Child Care and Development Block Grant

Recipient: Department of Children, Youth, and Families

% of Funds Agency Receives: 95

Component: Program Costs

Technique: Modified Direct Program Costs - Admin, Payroll, Payments 

to Providers

Average Day of Clearance: N/A

93.658 Foster Care -- Title IV-E

Recipient: Department of Children, Youth, and Families

% of Funds Agency Receives: 100

Component: Direct benefit payments

Technique: Modified Direct Program Costs - Admin, Payroll, Payments 

to Providers

Average Day of Clearance: N/A

93.767 Children's Health Insurance Program

Recipient: Department of Social & Health Services

% of Funds Agency Receives: .14

Component: Admin and Payroll

Technique: Modified Direct Program Costs - Admin, Payroll, Payments 

to Providers

Average Day of Clearance: 0 Days

93.767 Children's Health Insurance Program

Recipient: Healthcare Authority

% of Funds Agency Receives: 98.14

Component: Direct payments to providers for EFT and non-EFT 

payments

Technique: Modified Direct Program Costs

Average Day of Clearance: 0 Days

93.767 Children's Health Insurance Program

Recipient: Department of Social & Health Services

% of Funds Agency Receives: 1.15

Component: Direct payment to providers for EFT and non-EFT 

payments

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Technique: Modified Direct Program Costs

Average Day of Clearance: 0 Days

93.767 Children's Health Insurance Program

Recipient: Healthcare Authority

% of Funds Agency Receives: .57

Component: Admin and Payroll

Technique: Modified Direct Program Costs - Admin, Payroll, Payments 

to Providers

Average Day of Clearance: 0 Days

93.778 Medical Assistance Program

Recipient: Healthcare Authority

% of Funds Agency Receives: 5.29

Component: Administrative costs including payroll

Technique: Modified Direct Program Costs - Admin, Payroll, Payments 

to Providers

Average Day of Clearance: 0 Days

93.778 Medical Assistance Program

Recipient: Department of Social & Health Services

% of Funds Agency Receives: 3.28

Component: Administrative costs including payroll

Technique: Modified Direct Program Costs - Admin, Payroll, Payments 

to Providers

Average Day of Clearance: 0 Days

93.778 Medical Assistance Program

Recipient: Department of Children, Youth, and Families

% of Funds Agency Receives: .12

Component: Admin and payroll costs

Technique: Modified Direct Program Costs - Admin, Payroll, Payments 

to Providers

Average Day of Clearance: 0 Days

93.778 Medical Assistance Program

Recipient: Department of Children, Youth, and Families

% of Funds Agency Receives: .18

Component: Direct payments to providers for EFT and non-EFT 

payments

Technique: Modified Direct Program Costs

Average Day of Clearance: 0 Days

93.778 Medical Assistance Program

Recipient: Healthcare Authority

% of Funds Agency Receives: 66.31

Component: Direct payments to providers for EFT and non-EFT 

payments

Technique: Modified Direct Program Costs

Average Day of Clearance: 0 Days

93.778 Medical Assistance Program

Recipient: Department of Social & Health Services

% of Funds Agency Receives: 24.82

Component: Direct payment to providers for EFT and non-EFT 

payments

Technique: Modified Direct Program Costs

Average Day of Clearance: 0 Days

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97.036 Disaster Grants - Public Assistance (Presidentially Declared 

Disasters)

Recipient: Military Department

% of Funds Agency Receives: 7

Component: Admin costs

Technique: Modified Administrative Costs - Annual

Average Day of Clearance: N/A

97.036 Disaster Grants - Public Assistance (Presidentially Declared 

Disasters)

Recipient: Military Department

% of Funds Agency Receives: 93

Component: Direct program costs

Technique: Modified Direct Program and Admin Costs - Monthly

Average Day of Clearance: N/A

6.3.3 Materiality Exemptions

Agencies exempt from coverage on the basis of materiality:

There are currently no agencies exempt from coverage on the basis of materiality.

7.0 CLEARANCE PATTERNS

7.1 The State shall develop separate clearance patterns for each of the following:

With the exception of programs administered by recipient Agency 350, Superintendent of Public Instruction, where all federal program 

payroll charges are based on 100% EFT payroll, the State shall develop a clearance pattern for the payroll and administrative function. 

This clearance pattern shall be applied to the payroll and administrative components of all programs.

7.2 The following shall develop the State's clearance patterns:

The Office of Financial Management, in conjunction with the Office of the State Treasurer (OST) and the applicable agency, shall 

develop all of the State's clearance patterns.

7.3 The sources of data the State shall use when developing its clearance patterns are as follows:

Type of Clearance Pattern: Payroll and Administrative; Source of Data: Human Resource Management System (HRMS) and OST's 

EFT and warrant redemption records. Type of Clearance Pattern: Program specific; Source of Data: Agency warrant registers and 

OST's warrant redemption records. For CFDA 20.205, the agency system is TRAINS.

7.4 The State shall use the following methodology when developing its clearance patterns:

When developing each clearance pattern, the State shall track at least 99% of the funds disbursed, from issuance to clearance, for a 

period of at least three months.

7.5 The State shall identify for each check or warrant (hereafter, check) in the population: (1) the date the check was released 

for payment; (2) the date the check was debited from the State's account, and, (3) the amount of the check.

7.6 The State shall use the following method to calculate the dollar-weighted average day of clearance:

To determine the number of days each check was outstanding (clearance time), the issue date shall be subtracted from the date the 

check cleared the State's account.

To determine the percentage of the disbursement paid out each day following issuance, the amount of the checks that clear the 

State's account each day shall be summed and then divided by the amount of the total disbursement.

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For each day following issuance, the clearance time of the checks paid out that day shall be multiplied by the percentage of the total 

disbursement those checks represent. This product is the clearance factor.

The dollar-weighted average day of clearance for the disbursement shall be determined by summing the clearance factor of each day 

following the disbursement.

7.7 The State shall adjust each clearance pattern to reflect the dollar-weighted proportion of funds paid out by EFT/Direct payroll, 

with the following exceptions:

For most programs, the State distinguishes the payroll clearance from the recipient/benefit payments as a separate cash flow. However, 

in Agency 300, composite rate payroll clearance patterns are included in the agency's composite rate. Both the warrant clearance and 

the EFT payroll are considered in calculating the composite rate.

The State shall also adjust each clearance pattern to reflect:

None. Not applicable.

7.8 Each of the State's clearance patterns is calculated in Calendar days.

7.9 An authorized State official shall certify that each clearance pattern developed by the State accurately corresponds to the 

clearance activity of the programs to which it is applied. This certification shall be provided to the Fiscal Service prior to the 

effective date of the Agreement. The State shall recertify its clearance patterns at least every five years.

7.10 The State shall follow the procedures of 31 CFR 205 if it has actual or constructive knowledge, at any time, that a clearance

pattern does not correspond to a program's clearance activity.

7.11.0 Program Specific- The State shall develop program-specific clearance patterns for each of the following 

programs: CFDA 20.205, Highway Planning and Construction; CFDA 10.551 Supplemental Nutrition 

Assistance Program, CFDA 10.557, Special Supplemental Nutrition Program for Women, Infants, and Children, 

CFDA 84.010 Title I Grants to Local Education Agencies, and CFDA 93.778 Medical Assistance Program.

7.12.0 Actual Activity - Non-Payroll. The State shall track 100 percent of the funds disbursed during a time period of 

at least three consecutive months. The State shall carry out the clearance pattern until at least 99 percent of the 

funds have cleared. This methodology shall be applied for all clearance patterns except payroll.

7.12.1 Actual Activity - Payroll. The State shall track the payroll funds disbursed by warrant during the time period of 

at least three consecutive months. The State shall adjust the warrant clearance pattern to reflect the percentage 

of payroll direct deposits applicable to each federal program. The composite clearance pattern for payroll 

warrants and direct deposit shall be carried out until at least 99 percent of payroll funds have cleared. The 

clearance pattern shall be based on 100% of the data, or on a sample size sufficient to ensure, at a minimum, a 

95% confidence interval no wider than + or - 0.25 weighted-days about the estimated mean.

7.13.0 Clearance patterns were completed for Payroll (Average Clearance = 0 day), CFDA 20.205 Highway Planning 

and Construction (Average Clearance = 1 days), CFDA 10.551 Supplemental Nutrition Assistance Program, 

(Average Clearance = 1 days), CFDA 10.557 Special Supplemental Nutrition Program for Women, Infants, and 

Children, ( Average Clearance = 0 days), CFDA 84.010 Title I Grants to Local Education Agencies, (Average 

Clearance = 1 days), and CFDA 93.778 Medical Assistance Program (Average Clearance = 0 days) and 

submitted with the June 30, 2018, amendment. The clearance patterns were certified as to accuracy by the State 

of Washington, in compliance with Fiscal Service CMIA.

8.0 INTEREST CALCULATION METHODOLOGY

8.1 General Terms

8.1.1 The State and the Secretary agree that no interest liabilities will be incurred for transfers of funds made in accordance 

with the procedures specified in section 6 of this Agreement where the following funding techniques are applied:

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Actual Clearance, ZBA - Same Day Payment

Direct Funding WSDOT

Modified Administrative Costs - Annual

Modified Direct Program and Admin Costs - Monthly

Modified Direct Program Costs

Modified Direct Program Costs - Admin, Payroll, Payments to Providers

Modified Direct Program/Benefit Costs - (ACH Drawdowns at Fixed Intervals - SPI)

Modified Pre-Issuance (Post-Issuance) (Fedwire Same Day Payment)

Pre-Issuance Grant Anticipation Revenue Vehicle (GARVEE) Bond Repayment

UI Admin - Modified Payment Schedule (Fedwire Semi-Monthly Drawdown on Payday)

UI Federal (Fedwire Same Day Payment Modified Actual Clearance ZBA)

8.1.2 The State shall maintain information on disbursements and receipts of funds to verify the implementation of any funding 

technique and document interest liabilities.

For each disbursement, the State shall be able to identify:

(1) amount of the issuance

(2) date of issuance

(3) date Federal funds are received and credited to a State account

(4) amount of Federal funds received

(5) date funds were requested

8.2 Federal Interest Liabilities

8.2.1 A Federal interest liability shall accrue from the day the State pays out its own funds for program purposes to the day Federal 

funds are credited to a State account. With regard to funds transferred out of the Federal Highway Trust Fund, if a State does not bill 

at least weekly for current project costs, the Federal interest liability shall not accrue prior to the day the State submits a request for 

funds.

8.2.2 The State shall use the following method to calculate Federal interest liabilities:

For all transactions where the State pays out its own funds for program purposes prior to receiving Federal funds, the State shall track 

each payment from the date it is paid out of a State account to the date Federal funds are subsequently credited to a State account to 

cover that outlay. The Federal interest liability on each payment shall be based on the difference in whole days between the two events. 

With Federal-State matching programs, interest shall be calculated on the Federal percentage of the disbursement.

8.3 The Unemployment Trust Fund

8.3.1 The State shall use the following method to calculate State interest liabilities on funds withdrawn from the several accounts 

in the Unemployment Trust Fund:

The State shall use the following methodology to calculate State interest liabilities on funds withdrawn from the State account in the 

UTF under the Unemployment Insurance program.

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Based on statements provided by its financial institution (or other appropriate sources), the State shall determine the actual interest 

earnings and the related banking costs attributable to funds withdrawn from its account in the UTF. At the end of the State's fiscal year, 

the State shall calculate the percentage of its total unemployment compensation expenditures for (1) funds withdrawn from the State 

account in the UTF, or the State %, and (2) funds withdrawn from the Federal Employees Compensation Account (FECA) and the 

Extended Unemployment Compensation Account (EUCA) and any other accounts of Federal funds in the UTF, or the Federal %.

The actual interest earnings of the benefit payment account on the whole constitute the actual interest earnings attributable to funds 

withdrawn from the State account in the UTF, since the State shall apply an appropriate interest neutral funding technique, to funds 

withdrawn from the FECA and EUCA and any other benefit accounts of Federal funds in the UTF from which the State draws.

The State shall calculate the related banking costs attributable to funds withdrawn from the State account in the UTF by multiplying the 

State % by the amount of the related banking costs of the benefit payment account as a whole. The States liability for interest on funds 

withdrawn from its account in the UTF shall consist of the actual interest earnings of the benefit payment account on the whole less the 

related banking costs attributed to such funds.

8.4 Refund Liabilities

8.4.1 The State shall be liable for interest on refunds from the date the refund is credited to a State account until the date the refund 

is debited from the State account for program purposes. The State shall apply a $50,000 refund transaction threshold below which 

the State shall not incur or calculate interest liabilities on refunds. A transaction is defined as a single deposit.

8.4.2 For each refund, the State shall maintain information identifying:

(1) date a refund is credited to a State account

(2) date of the subsequent deposit of Federal funds against which the refund is offset

(3) amount of the refund

8.4.3 The State shall use the following methodology to calculate interest liabilities on refunds:

With programs to which applicable interest neutral funding techniques are applied, the State interest liability shall be based on the 

difference in whole days between the date the refund is deposited in a State account and the date the refund is offset against a 

subsequent deposit of Federal funds.

8.5 Exemptions

8.5.1 Where more than one State agency is a recipient of Federal funds under a program, a particular State agency's funding may be 

excluded from interest calculation procedures if the State agency receives an amount of funds less than 5

% of the State's threshold for major Federal assistance programs. Notwithstanding this potential exemption, however, in no case 

shall less than 90% of a program's total funding be subject to interest calculation procedures.

Proration of calculations: If less than total program funding is subject to interest calculation procedures, the resulting interest 

liability calculations shall be prorated to 100% of program funding.

8.6 State Interest Liabilities

8.6.1 The State shall be liable for interest on Federal funds from the date Federal funds are credited to a State account until the 

date those funds are paid out for program purposes.

8.6.2 The State shall use the following method to calculate State interest liabilities on Federal funds:

8.6.2.1 Measuring Time Funds Are Held

To determine the total time Federal funds are held, the State shall measure the time between the date Federal funds are received and 

credited to a State's account and the date those funds are debited from the State's account.

8.6.2.2 Source of Data

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The time period from the date Federal funds are received and credited to the State's account and the date those funds are 

debited from the State's account shall be determined from information captured by AFRS (Agency Financial Reporting 

System).

8.6.2.3 Standards Applied

Census (Average Daily Balance):

The average daily cash balance of Federal Funds in the program's account reflects the actual activity of each draw from the date of 

deposit to the date of issuance or clearance, whichever is pertinent.

8.6.2.4 Calculation Procedure

I = ADB x R, where

I = State's total interest liability

ADB = Average Daily Balance of cash in a program's account, measured from deposit to clearance

R = Annualized rate equal to the average equivalent yields of 13-week Treasury bills auctioned during a State's fiscal year

8.7.0 State interest liabilities may accrue if Federal funds are received by the State prior to the day the State pays out the 

funds for Federal assistance program purposes, in those cases where the State has not followed the interest-neutral 

funding techniques described in Section 6 of this Agreement. State interest liability accrues from the day Federal 

funds are credited to a State account to the day the State pays out the Federal funds for Federal assistance program 

purposes. (31 CFR 205.15.(a)) The State does not incur an interest liability to the Federal government if a Federal 

statute requires the State to retain or use for Federal assistance program purposes the interest earned on Federal 

funds. (31 CFR 205.15.(c)) In programs utilizing mandatory matching of Federal funds with State funds, the State 

must not arbitrarily assign its earliest costs to the Federal government. The State incurs interest liabilities if it draws 

Federal funds in advance and/or in excess of the required proportion of agreed upon levels of State contributions in 

programs utilizing mandatory matching of Federal funds with State funds. (31 CFR 205.15.(d))

9.0 REVERSE FLOW PROGRAMS

The State is not required to cover any reverse flow programs under the terms of this Agreement because the State does not 

participate in the program.

10.0 INTEREST CALCULATION COSTS

10.1 As set forth in 31 CFR 205.27, interest calculation costs are defined as those costs necessary for the actual calculation of 

interest, including the cost of developing and maintaining clearance patterns in support of the interest calculations. Interest 

calculation costs do not include expenses for normal disbursing services, such as processing of checks or maintaining records for 

accounting and reconciliation of cash balances, or expenses for upgrading or modernizing accounting systems. Interest 

calculation costs in excess of $50,000 in any year are not eligible for reimbursement, unless the State provides justification with 

the annual report.

10.2 The State expects to incur the following types of interest calculation costs:

Interest calculation costs, Labor Costs and Data Processing costs related to developing warrant clearance patterns, and costs for 

calculating interest, including preparation of the CMIA annual report.

10.3 The State shall submit all claims for reimbursement of interest calculation costs with its Annual Report in accordance with 31 

CFR 205.

11.0 NON-COMPLIANCE

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11.1 The provisions of 31 CFR Part 205.29 and 31 CFR Part 205.30 shall apply in cases of non-compliance with the terms of 

this Agreement.

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12.0 AUTHORIZED SIGNATURES

Brian Tinney

Assistant Director, Accounting Division Office of Financial Management State of Washington

Signature: Date Signed:

Date Submitted 6/30/2021

Sandra R. Paylor

Acting Assistant Commissioner

Revenue Collections Management

Bureau of the Fiscal Service

U.S. Department of the Treasury

Signature: Date Signed:

DocuSign Envelope ID: AA563CA4-1E7B-459A-83BE-596ACB987025

7/6/2021

7/12/2021
Page 19 of 24

Exhibit I - Funds Request and Receipt Times Schedule

State of Washington

Federal Agency Payment Type Request Cut-Off Time Receipt Window

Agriculture-FNS ACH 11:59 PM 1 day

Agriculture-FNS Fedwire 5:45 PM 0 day

Agriculture-FS ACH 3:00 PM 1 day

Air National Guard ACH 12:00 PM 15 days

Army National Guard ACH 12:00 PM 15 days

Commerce-NOAA ACH 2:00 PM 1 day

Dept of Homeland Security (FEMA) Fedwire 2:00 PM 2 days

Dept of Homeland Security (ODP) ACH 2:00 PM 2 days

Dept of Homeland Security (ODP) Fedwire 2:00 PM 2 days

EPA ACH 2:00 PM 2 days

EPA Fedwire 2:00 PM 0 day

Education ACH 3:00 PM 1 day

Education Fedwire 2:00 PM 0 day

Energy ACH 4:00 PM 1 day

Energy Fedwire 3:00 PM 0 day

HHS ACH 5:00 PM 1 day

HHS Fedwire 3:00 PM 0 day

HUD ACH 5:30 PM 2 days

HUD Fedwire 3:00 PM 0 day

Interior-FWS ACH 11:59 PM 1 day

Interior-FWS Fedwire 5:45 PM 0 day

Interior-OSM ACH 3:00 PM 1 day

Interior-OSM Fedwire 1:00 PM 0 day

Justice ACH 11:00 PM 6 days

Justice Fedwire 2:00 PM 2 days

Labor-Non-UTF ACH 3:00 PM 1 day

Labor-UTF ACH 3:00 PM 1 day

Labor-UTF Fedwire 3:00 PM 0 day

National Science Foundation (NSF) ACH 8:00 PM 1 day

National Science Foundation (NSF) Fedwire 5:45 PM 0 day

Social Security Administration ACH 11:59 PM 1 day

Social Security Administration Fedwire 5:45 PM 0 day

Transportation (FAA) ACH 2:00 PM 1 day

Transportation (FHWA) ACH 12:00 PM 3 days

Transportation (FHWA) Fedwire 12:00 PM 0 day

Transportation (FTA) ACH 2:00 PM 1 day

Veterans Administration ACH 12:00 PM 3 days

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Exhibit II - State of Washington

LIST OF STATE CLEARANCE TIMES

(Rounded Dollar-Weighted Average Day of Clearance)

Clearance Times Where the Timing of A Draw Down Is Based on A Clearance Pattern

CFDA Program Name Recipient % Component Technique Rounded 

days

10.551 Supplemental 

Nutrition 

Assistance 

Program

Department of 

Social & Health 

Services

100.0 Direct Wire 

Settlement to 

Electronic Benefit 

(EBT) system 

contractor or by 

Electronic Funds 

Transfer (EFT)

Actual Clearance, 

ZBA - Same Day 

Payment

0 Days

10.555 National School 

Lunch Program

Superintendent of 

Public Instruction

100.0 Payments -

reimbursements to 

school districts, 

private schools, child 

& adult care 

programs

Modified Direct 

Program/Benefit 

Costs - (ACH 

Drawdowns at Fixed 

Intervals - SPI)

N/A

10.557 Special 

Supplemental 

Nutrition Program 

for Women, 

Infants, and 

Children

Department of 

Health

34.0 Administrative costs 

including payroll -

salary, benefits, 

contractual and 

related expenditures

Modified Direct 

Program Costs -

Admin, Payroll, 

Payments to 

Providers

0 Days

Special 

Supplemental 

Nutrition Program 

for Women, 

Infants, and 

Children

Department of 

Health

66.0 Direct 

program/benefit 

payments for food 

voucher redemption. 

Rebates offset the 

direct 

program/benefit 

payments. This is a 

zero balance account.

Modified Direct 

Program Costs

0 Days

10.559 Summer Food 

Service Program 

for Children

Superintendent of 

Public Instruction

100.0 Payments -

reimbursements to 

school districts, 

private schools, child 

& adult care 

programs

Modified Direct 

Program/Benefit 

Costs - (ACH 

Drawdowns at Fixed 

Intervals - SPI)

0 Days

10.561 State 

Administrative 

Matching Grants 

for the 

Supplemental 

Nutrition 

Assistance 

Program

Department of 

Social & Health 

Services

100.0 Direct Wire 

Settlement to 

Electronic Benefit 

(EBT) system 

contractor or by 

Electronic Funds 

Transfer (EFT)

Actual Clearance, 

ZBA - Same Day 

Payment

0 Days

17.225

F

Unemployment 

Insurance --

Federal Benefit 

Account and 

Employment 

Security 

Department

76.0 Benefit Payments -

Federal

UI Federal (Fedwire 

Same Day Payment 

0 Days

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Administrative 

Costs Modified Actual 

Clearance ZBA)

Unemployment 

Insurance --

Federal Benefit 

Account and 

Administrative 

Costs

Employment 

Security 

Department

24.0 Unemployment 

Insurance 

Administrative

UI Admin -

Modified Payment 

Schedule (Fedwire 

Semi-Monthly 

Drawdown on 

Payday)

0 Days

17.225

S

Unemployment 

Insurance -- State 

Benefit Account

Employment 

Security 

Department

100.0 Benefit payments -

State

Modified PreIssuance (PostIssuance) (Fedwire 

Same Day Payment)

0 Days

20.205 Highway Planning 

and Construction

Department of 

Transportation

84.84 Contractor payments, 

payroll, 

administrative and 

other program costs

Direct Funding 

WSDOT

1 Day

Highway Planning 

and Construction

Bond Retirement 

Interest

15.16 Debt service Pre-Issuance Grant 

Anticipation 

Revenue Vehicle 

(GARVEE) Bond 

Repayment

N/A

84.010 Title I Grants to 

Local Educational 

Agencies

Superintendent of 

Public Instruction

5.0 Administrative costs 

including payroll

Modified Direct 

Program Costs -

Admin, Payroll, 

Payments to 

Providers

1 Day

Title I Grants to 

Local Educational 

Agencies

Superintendent of 

Public Instruction

95.0 Direct 

program/benefit 

payments to school 

districts, non-profits, 

service providers, and 

local educational 

agencies (LEA)

Modified Direct 

Program/Benefit 

Costs - (ACH 

Drawdowns at Fixed 

Intervals - SPI)

1 Day

84.027 Special Education 

-- Grants to States

Superintendent of 

Public Instruction

5.0 Administrative costs 

including payroll

Modified Direct 

Program Costs -

Admin, Payroll, 

Payments to 

Providers

0 Days

Special Education 

-- Grants to States

Superintendent of 

Public Instruction

95.0 Direct 

Program/Benefit 

payments to public or 

private schools and 

service providers

Modified Direct 

Program/Benefit

Costs - (ACH 

Drawdowns at Fixed 

Intervals - SPI)

N/A

93.558 Temporary 

Assistance for 

Needy Families

Department of 

Social & Health 

Services

81.54 Direct Assistance to 

clients via the 

Electronic Benefit 

Transfer (EBT) 

system or by 

Electronic Funds 

Transfer (EFT) & 

One-Time Benefit 

Payments

Modified Direct 

Program Costs -

Admin, Payroll, 

Payments to 

Providers

0 Days

Temporary 

Assistance for 

Needy Families

Department of 

Social & Health 

Services

18.46 Administrative costs 

including payroll

Modified Direct 

Program Costs -

0 Days

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Admin, Payroll, 

Payments to 

Providers

93.563 Child Support 

Enforcement

Department of 

Social & Health 

Services

100.0 Administrative costs 

including payroll

Modified Direct 

Program Costs -

Admin, Payroll, 

Payments to 

Providers

0 Days

93.575 Child Care and 

Development 

Block Grant

Department of 

Children, Youth, 

and Families

5.0 Administrative costs Modified Direct 

Program Costs -

Admin, Payroll, 

Payments to 

Providers

N/A

Child Care and 

Development 

Block Grant

Department of 

Children, Youth, 

and Families

95.0 Program Costs Modified Direct 

Program Costs -

Admin, Payroll, 

Payments to 

Providers

N/A

93.658 Foster Care --

Title IV-E

Department of 

Children, Youth, 

and Families

100.0 Direct benefit 

payments

Modified Direct 

Program Costs -

Admin, Payroll, 

Payments to 

Providers

N/A

93.767 Children's Health 

Insurance 

Program

Department of 

Social & Health 

Services

0.14 Admin and Payroll Modified Direct 

Program Costs -

Admin, Payroll, 

Payments to 

Providers

0 Days

Children's Health 

Insurance 

Program

Healthcare 

Authority

98.14 Direct payments to 

providers for EFT 

and non-EFT 

payments

Modified Direct 

Program Costs

0 Days

Children's Health 

Insurance 

Program

Department of 

Social & Health 

Services

1.15 Direct payment to 

providers for EFT 

and non-EFT 

payments

Modified Direct 

Program Costs

0 Days

Children's Health 

Insurance 

Program

Healthcare 

Authority

0.57 Admin and Payroll Modified Direct 

Program Costs -

Admin, Payroll, 

Payments to 

Providers

0 Days

93.778 Medical 

Assistance 

Program

Healthcare 

Authority

5.29 Administrative costs 

including payroll

Modified Direct 

Program Costs -

Admin, Payroll, 

Payments to 

Providers

0 Days

Medical 

Assistance 

Program

Department of 

Social & Health 

Services

3.28 Administrative costs 

including payroll

Modified Direct 

Program Costs -

Admin, Payroll, 

Payments to 

Providers

0 Days

Medical 

Assistance 

Program

Department of 

Children, Youth, 

and Families

0.12 Admin and payroll 

costs

Modified Direct 

Program Costs -

Admin, Payroll, 

0 Days

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Payments to 

Providers

Medical 

Assistance 

Program

Department of 

Children, Youth, 

and Families

0.18 Direct payments to 

providers for EFT 

and non-EFT 

payments

Modified Direct 

Program Costs

0 Days

Medical 

Assistance 

Program

Healthcare 

Authority

66.31 Direct payments to 

providers for EFT 

and non-EFT 

payments

Modified Direct 

Program Costs

0 Days

Medical 

Assistance 

Program

Department of 

Social & Health 

Services

24.82 Direct payment to 

providers for EFT 

and non-EFT 

payments

Modified Direct

Program Costs

0 Days

97.036 Disaster Grants -

Public Assistance 

(Presidentially 

Declared 

Disasters)

Military 

Department

7.0 Admin costs Modified 

Administrative 

Costs - Annual

N/A

Disaster Grants -

Public Assistance 

(Presidentially 

Declared 

Disasters)

Military 

Department

93.0 Direct program costs Modified Direct 

Program and Admin 

Costs - Monthly

N/A

Certification

I hereby certify that an authorized State official has certified at least every five years that the "Rounded Days of Clearance" listed 

in Exhibit 2 of this Treasury-State Agreement:

1. Have been prepared in accordance with the standards provided in 31 CFR 205.20;

2. Accurately represent the flow of Federal funds under the Federal assistance programs to which they apply;

3. Reflect seasonal or other periodic variations in the clearance activities; and,

4. Are auditable.

Date: 

Printed Name: 

Certifying Signature: 

Title: 

DocuSign Envelope ID: AA563CA4-1E7B-459A-83BE-596ACB987025

7/6/2021

Brian Tinney

Assistant Director, Accounting
Page 24 of 24

DocuSign Envelope ID: AA563CA4-1E7B-459A-83BE-596ACB987025