Laserfiche WebLink
DocuSign Envelope ID: 62955F1D-7A37-4CB0-A8D8-2BA7ADB5515E <br />6. Monitor network partner Navigator Program service delivery, enrollment volume, and integrity. <br />C. NAVIGATOR ADMINISTRATION. Contractor Shall: <br />1. Ensure Navigator staff of the Lead Organization and network partner organizations complete required <br />Navigator Program and HBE attestations, have a current background check with no disqualifying crimes, and <br />participate in HBE required Navigator training and certification processes. <br />2. Submit names of Navigator candidates qualified for certification following HBE procedures. <br />3. Ensure Navigator background checks are completed at least once every 24 months and no disqualifying <br />crimes are present. Contractor shall prohibit staff from providing services under his contract if a <br />disqualifying crime is present on their background check. <br />4. Collect and retain signed attestation and non -disclosure forms for all navigators within 30 days of contract <br />execution. <br />5. Ensure Navigator services are available and accessible to service area residents by trained and certified <br />Navigators. Assure Navigators deliver the full range of application, consumer education, and enrollment <br />services in-person; at no cost to consumers; use the Washington Healthplanfinder to record consumer <br />applications; provide language support and disability access without cost to the consumer. <br />6. Provide periodic forums for Navigators to network and receive updates. <br />7. Establish and maintain a consumer complaint resolution process and inform consumers about their <br />complaint resolution options beyond the consumer's Navigator. <br />D. NAVIGATOR LEAD ORGANIZATION SERVICES PAYMENT SCHEDULE. Contractor shall receive payment per the <br />following: <br />1. Contractor's overall award = $159,052.00 <br />2. Contract navigator service delivery portion of overall award is $135,194.00; 11 equal monthly installments = <br />$12,290.36 per month. If, due to a delay in contract execution, the contract period is less than 11 months, <br />the monthly installment amount will be recalculated using the number of contract months remaining. <br />3. QHP enrollment maximum incentive is $23,858.00. The Contractor's target and corresponding maximum <br />incentive payment for each county is as follows: <br />County <br />QHP Target <br />Maximum Incentive Payment <br />Kittitas <br />369 <br />$2,073 <br />Yakima <br />1,672 <br />$21,785 <br />Total <br />2,041 <br />$23,858 <br />E. PAYMENT TERMS. <br />1. Monthly compensation: Contractor will be paid 85% of overall contract award in 11 equal monthly <br />installments upon receipt and acceptance of the Contractor's monthly progress reports. Upon acceptance, <br />the HBE Navigator Program will initiate a Contractor payment authorization for HBE Finance each month. <br />HBE Finance will use the payment authorization to release payment to the Contractor. <br />2. QHP Enrollment Incentive: Contractor will be paid 15% of overall contract award: <br />a. For performance against the QHP enrollment target for each county. Enrollments that are counted <br />towards the Contractor's enrollment target are: (1) new Qualified Health Plan enrollments (plan is <br />selected and confirmed) and (2) Qualified Health Plan renewals (plan selected and confirmed) that are <br />navigator -assisted. <br />b. The enrollment target incentive payment is paid once at the conclusion of open enrollment and when <br />enrollment data has been validated by HBE. <br />HBE-349 YNHS Exhibit C — Statement Of Work Page 22 of 41 <br />