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PSA between Kittitas County Public Health and Comm Health of Central WA
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2016-10-04 10:00 AM - Commissioners' Agenda
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PSA between Kittitas County Public Health and Comm Health of Central WA
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Last modified
6/14/2018 8:42:49 AM
Creation date
6/13/2018 11:05:22 AM
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Meeting
Date
10/4/2016
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
i
Item
Request to Approve a Community Health of Central Washington: Children With Special Health Care Needs Program Agreement
Order
9
Placement
Consent Agenda
Row ID
32188
Type
Agreement
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EXlDBIT "B" <br />COMPENSATION <br />As full compensation for satisfactory performance of the work, the County shall pay Contractor <br />compensation not to exceed: <br />I) Payments of $13,258 and up to a maximum amount of $14,000 for the delivery of CSHCN care <br />coordination program services. These amounts are based on projected funding from the Washington <br />State Department of Health Maternal Child Health Block Grant, which is contingent on the final <br />award from the Washington State Department of Health. In the event of a reduction of funding, <br />Contractor agrees to an amendment of this section consistent with the reduction in funding. <br />Restrictions on Funds: Contractor agrees that payments received from the County under this Agreement <br />shall not be used for: <br />1) Inpatient services, other than inpatient services for children with special health care needs or high risk <br />pregnant women and infants, and other patient services approved by Health Resources and Services <br />Administration (HRSA). <br />2) Cash payments to intended recipients of health services. <br />3) The purchase or improvement of land, the purchase construction, or permanent improvement of any <br />building or other facility, or the purchase of major medical equipment. <br />4) Meeting other federal matching funds requirements. <br />5) Providing funds for research or training to any entity other than a public or nonprofit private entity. <br />6) Payment for any services furnished by a provider or entity who has been excluded under Title XVIII <br />(Medicare), Title XIX (Medicaid), or Title XX (social services block grant).[Sociai Security Law, Sec <br />504(b)}. <br />If any charges are imposed for the provision of health services using Title V (Maternal Child Health <br />Block Grant) funds, such charges will be pursuant to a public schedule of charges; will not be imposed <br />with respect to services provided to low income mothers or children; and will be adjusted to reflect the <br />income, resources, and family size of the individual provided the services. [Social Security Law, Sec. 505 <br />(l)(D)]. <br />The Contractor may use an approved federally recognized indirect costs rate negotiated between the <br />subrecipient and the federal government or, if no such rate exists, a rate negotiated between the pass- <br />through entity and the subrecipient or a de minimis indirect costs rate. A de minimis indirect cost rate is <br />defined in the Federal Office of Management and Budget Uniform Grant Guidance §200.414 as 10% of <br />modified total direct costs. The Contractor will inform the County as to which indirect cost rate will be <br />used on invoices sent to the County during the period of this agreement before the first invoice of this <br />agreement is paid. <br />Contractor agrees to submit an invoice for services provided during each calendar month. The invoice for <br />services is due to the Accountant at the Kittitas County Public Health Department within thirty (30) days <br />following the last day of each calendar month. Invoices will include a tracking spreadsheet for <br />expenditure breakdown, and supporting documentation for all non-payroll charges. Payroll charges must <br />reflect actual time worked on the program in order to comply with the Uniform Grant Guidance §200.430 <br />Professional Services Agreement <br />Page 13
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