Laserfiche WebLink
~ Neii,borh~od 'lIP OH EALTH <br />Yakima Neighborhood Health Services <br />12 South glh St, PO Box 2605 <br />Yakima WA 98907-2605 <br />Phone (509) 454-4143 Fax (509) 454-3651 <br />www.ynhs.org <br />amended enroIlment target met for new and renewed plans selected through the end of the 2017 <br />Open EnroIlment period as validated by the Washington Healthplanfinder system data. <br />Total Base Payment = <br />Total Potential Incentive Payment <br />Maximum Nine Month Contract Award <br />C. Contractor Payment: <br />$17,069.22 <br />$ 4,931.00 <br />$22,000.22 <br />• Sub-Contractors will receive a one-time enroIlment outcome payment after the 2017 open <br />enroIlment period concludes. The payment will be generated upon validation through the <br />Washington Healthplanfinder system of the QHP new and QHP renewed plans selected by <br />service area navigators during the open enroIlment period. The payment will be based on the <br />proportion, up to but not exceeding 100%, of the QHP plan selection contract goal met at the <br />conclusion of the open enroIlment period. <br />• Should sub-contractor enroIl or re-enroIl fewer than 325 QHP members (as identified by the HBE <br />data system), sub-contractor's outcome-based enroIlment payment will be pro-rated to that same <br />percentage of the one-time incentive payment. <br />D. Reporting: <br />Sub-contractor agrees to continue reporting monthly outreach activities to contractor, using the format <br />provided by HBE and/or contractor, to include: Highlights of community outreach events or key <br />activities during the previous month: Outreach events conducted in report month, city/county, target <br />population; Key accomplishments; Barriers/Issues experienced during outreach effort <br />Reports are due by the 5th of the following month. <br />The parties hereto, having read this Sub-Contract Amendment in its entirety, do agree to the terms of the <br />amendment <br />Approved (Contractor) Approved (Sub-Contractor) <br />Yakima Neighborhood Health Services <br />~ . '=====--.-= ~ <br />Signature Signature <br />Print name aIld(~~~~(te ~.D <br />Accredited by the Joint Commission Patient Centered Medical Home Level 3