State Operations Manual (Pub. 100-07), Ch. 4 § 4006.1
Negotiating Subagreements With Non-Public Entities
4006.1 - Negotiating Subagreements With Non-Public Entities
(Rev. 1, 05-21-04)
This represents an unusual situation because arrangements with non-public organizations
such as universities, hospital associations, etc., may create difficulties of program control.
A unique problem might compel using a non-public agency. However, an agreement
with a non-public agency would require a more precise contract than the agreement that
is considered sufficient with other governmental agencies. Agreements with such
agencies are not to be considered within the scope of the above sections. This is due to
their complexity, and the need to ensure that the results from such non-public services are
acceptable from an appeals standpoint. Not all SA agreements specify in §4006.A (A.3)
that the services of non-public agencies can be utilized. Accordingly, where this is
lacking, the §1864 agreement must be modified before such a request could be approved.