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2016-12-20-WA-healthcare-authority
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Last modified
6/14/2018 8:41:54 AM
Creation date
6/13/2018 11:10:17 AM
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Meeting
Date
12/20/2016
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
h
Item
Request to Approve Amendment #1 to Contract Number K1407 between the Washington State Health Care Authority and the Kittitas County Public Health Department
Order
8
Placement
Consent Agenda
Row ID
33758
Type
Agreement
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DocuSign Envelope ID : 78CDD188-656B-44E9-9F46-9AFBF2228B4F <br />(1) Ensure all Coordinators receive HCA approved training prior to participation; <br />(2) Ensure all Participants certify completion of the online training before <br />performing any duties within the System or participating in the RMTS; <br />(3) Ensure all Participants fully understand each activity code and how to answer <br />moments according to what activity they are doing exactly at the sampled <br />moment; <br />(4) Train all Participants to maintain proper documentation for MAC related <br />activities; <br />(5) Only use training materials that have been approved in writing by HCA; and <br />(6) Track the completion and certification of training within the System, and <br />records of such tracking must be available upon request by HCA. <br />xvii) Comply with all HCA revisions and RMTS/claiming requirements as described in <br />the Manual; <br />xviii) Only use the Activity Codes (or their successor) in the Manual as approved by <br />HCA, for participation in MAC and are responsible for ensuring all Participating <br />Staff understand each code. <br />b) Health Care Authority <br />HCA is responsible for performing oversight of the Contractor's MAC program to <br />ensure the effective administration of the MAC program and complying with all roles, <br />responsibilities, limitations, restrictions, and documentation requirements described in <br />the CAP , Manual, and this Agreement includes, but is not limited to, the following . HCA <br />must: <br />i) Maintain oversight of the Contractor's MAC program and monitoring activities <br />including review of all components of the time study, claiming, training, or anything <br />MAC related. The Contractor is required to monitor its own MAC program to ensure <br />compliance with all applicable Regulations and facilitating HCA's oversight of the <br />program; <br />ii) Direct the MAC activities reimbursable at the enhanced seventy five percent (75%) <br />rate for all Skilled Professional Medical Personnel (SPMP) participating in the <br />Contractor's MAC program . The Contractor is prohibited from claiming the <br />enhanced rate for any SPMP activities without express, written approval from HCA, <br />see section 9 below; <br />iii) Review the Contractor's monitoring activities to ensure monitoring is occurring and <br />any identified issues are addressed as deemed appropriate by HCA. This includes , <br />but is not limited to, review of time study responses, accuracy of coding, <br />appropriateness of code changes, sufficiency of backup documentation, non- <br />response rates ; <br />iv) Verify the Contractor has entered all necessary data into the System and verify all <br />data entered was certified by the Contractor as accurate; <br />State of Washington <br />Health Care Authority <br />Page 31 of 42 HCA Contract No . K1407-1
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