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2016-08-02-agreement-elmview
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2016-08-02-agreement-elmview
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Last modified
6/14/2018 8:41:53 AM
Creation date
6/13/2018 11:02:20 AM
Metadata
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Meeting
Date
8/2/2016
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
j
Item
Request to Approve a Professional Services Agreement between Elmview and the Kittitas County Health Department
Order
10
Placement
Consent Agenda
Row ID
30912
Type
Agreement
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Special Terms and Conditions <br />volunteers who may have unsupervised access to vulnerable DSHS Clients, in accordance with <br />RCW 43.43.830-845, RCW 74.15.030, and Chapter 388 WAC. If the entity reviewing the application <br />elects to hire or retain an individual after receiving notice that the applicant has a conviction for an <br />offense that would disqualify the applicant from having unsupervised access to vulnerable adults as <br />defined in Chapter 74.34 RCW, then DDA shall deny payment for any subsequent services <br />rendered by the disqualified individual provider. The DSHS Background Check Central Unit (BCCU) <br />must be utilized to obtain background clearance. <br />f. Qualified Advisory Board Members: A Developmental Disabilities advisory board shall include <br />members knowledgeable about developmental disabilities. No board member shall have a contract <br />with the County to provide Training, Community Information Activities, Consumer Support as <br />defined in this agreement, and shall not be a board member, officer, or employee of an agency <br />subcontracting with the County to provide such services. <br />g. Qualified Service Providers: The County assures that a" service providers meet qualifications as <br />outlined in the DDA Policy 6.13, Program Provider Qualifications. <br />h. Home and Community Based Waiver Services Assignment of Medicaid Billing Rights: The County <br />assures that each subcontractor has agreed to assign to DDA its Medicaid billing rights for services <br />to DDA Clients eligible under Title XIX programs in this agreement. Written documentation shall be <br />available to DSHS on request. <br />i. Reporting Abuse and Neglect: The County staff and its subcontractors who are mandated reporters <br />under RCW 74.34.020(11) must comply with reporting requirements described in RCW 74.34.035, <br />.040 and Chapter,26.44 RCW. If the County is notified by DSHS that a subcontractor staff member <br />is cited or on the registry for a substantiated finding, then that associated staff will be prohibited <br />from providing services under this Program Agreement. <br />j. Counties who provide Child Development Services (birth to three early intervention services), must <br />provide those services under the regulations implementing the Individuals with Disabilities <br />Education Act (IDEA), P~rt C, aryd Washington State's Early Support for Infant and Toddler <br />Federally Approved Plan. <br />k. The County staff who perform on-site evaluations of subcontractor work sites will promptly report to <br />DSHS per DDA Policy 5.13, Protection from Abuse: Mandatory Reporting, if: <br />(1) They have reasonable cause to believe that abandonment, abuse, financial exploitation or <br />neglect (as defined in RCW 74.34.020) of a person who has a developmental disability (as <br />defined in RCW 71A.1 0.020) has occurred, and, <br />(2) If they have reason to suspect that sexual or physical assault of such a person has occurred, <br />they shall also immediately report to the appropriate law enforcement agency. <br />6. Duty to Disclose: Pursuant to 42 CFR §455.1 04, the Administration must obtain certain disclosures <br />and complete required screenings to ensure the State does not pay federal funds to excluded person or <br />entIties. The County is required to provide disclosures from managing employees, specifically the <br />persons in the positions of Developmental Disabilities Director and Fiscal/Budget Director, Le. the <br />person who authorizes expenditures. A completed Medicaid Provider Disclosure Statement, DSHS <br />Form 27-094, should be submitted to the Administration to complete the required screenings. <br />Disclosures must be provided at contract renewal and within thirty-five (35) days whenever there is a <br />change in the staff holding these management positions [42 CFR 455.104 (c)(1)]. <br />DSHS Central Contract SelVices <br />1769CS County Agreement 7-14-2015 <br />Page 7
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