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DocuSign Envelope ID: 78CDD188-656B-44E9-9F46-9AFBF222884F <br />1 OVERVIEW <br />1.1 PURPOSE <br />The purpose of this Contract is to support Medicaid related outreach and linkage activities <br />performed by Local Health Jurisdictions (LHJ) to Washington State residents who live within <br />its jurisdiction. These activities assist residents who have no or inadequate medical <br />coverage, and includes explaining the benefits of the Medicaid program, assisting them in <br />the Medicaid application and renewal processes, and linking them to Medicaid covered <br />services. This Agreement provides a process for partially reimbursing the Contractor for <br />allowable and reasonable expenses associated with the time its staff spend performing <br />Medicaid Administrative Claiming (MAC) activities. <br />1.2 STATEMENT OF WORK (SOW) <br />The Contractor shall provide the goods and/or services and staff as described in Schedule <br />A, Statement of Work. <br />2 SPECIAL TERMS AND CONDITIONS <br />2.1 TERM <br />Subject to its other provisions, the Term under this Contract shall be from January 1, 2017 <br />through December 31, 2018 unless terminated sooner as provided herein. <br />HCA, at its sole discretion, may extend this Contract for two (2) additional one-year periods <br />unless terminated sooner as provided herein. <br />Work performed without a contract or amendment, signed by authorized representative of <br />both parties, shall be at the sole risk of the Contractor. HCA shall not pay any costs incurred <br />before a contract or any subsequent amendment is fully executed. <br />2.2 COMPENSATION AND PAYMENT <br />Compensation payable to the Contractor for satisfactory performance of the work under this <br />Agreement will be made on a cost reimbursement basis and shall be based on the following : <br />2.2.1 There is no maximum consideration payable to the Contractor under the Agreement; <br />2.2.2 The Federal Financial Participation Rate shall be : <br />2.2.2.1 <br />2.2.2.2 <br />50%, except; <br />75% for appropriately documented Skilled Professional Medical Personnel <br />and appropriately documented Interpreter staff. See Schedule A, Section <br />9, d and g, and Section 10. <br />2.2.3 Federal funds disbursed through this Contract were received by HCA through OMS <br />Catalogue of Federal Domestic Assistance (CFDA) Number: 93.778. Contractor <br />agrees to comply with applicable rules and regulations associated with these federal <br />funds and has signed Attachment 1, Federal Compliance, Certification and <br />State of Washington <br />Health Care Authority <br />Page 4 of 42 HCA Contract No. K1407-1