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Washington State Association of Local Public Health Officials: WSALPHO is a 501(c)3 private, <br />non-profit organization operating on behalf of Local Health Jurisdictions to advance the interests <br />oflocal public health in Washington State. <br />WSALPHO Contractor: Vendor contracted through WSALPHO to operate an RMTS and <br />claiming system [including offset, indirect rate, and Medicaid Eligibility Rate (MER)] for the <br />MAC program that is compliant with the currently approved LHJ Cost Allocation Plan and to <br />provide consultation and technical assistance to the Steering Committee and LHJs, as directed by <br />the Steering Committee. <br />ARTICLE III <br />AUTHORIZED REPRESENTATIVES <br />Kittitas County Public Health Department <br />Robin Read <br />Administrator <br />507 N Nanum St, Ste 102 <br />Ellensburg, W A 98926 <br />ARTICLE IV <br />WSALPHO <br />Jaime Bodden <br />Managing Director <br />206 10th A ve. SE <br />Olympia, W A 98501 <br />RESPONSIBILITIES OF LOCAL HEALTH JURISDICTIONS <br />Local Health Jurisdictions participating in the Medicaid Administrative Claiming program will: <br />• Participate in the MAC claiming program through an inter-local AGREEMENT between the <br />LHJ and HCA, and participate in an RMTS operated by the WSALPHO Contractor. <br />• Participate in peer review or other quality assurance activities to ensure the program's <br />compliance with all federal regulations and federal and state published guidance. <br />• Name an employee to act as the MAC Coordinator who will oversee MAC activities at the <br />LHJ and monitor their compliance with federal and state regulations and published guidance, <br />including the RMTS and the development and updating of all non-fiscal documents required <br />for the MAC audit file. <br />• Name an employee to act as the MAC fiscal coordinator, who will oversee the development <br />of the quarterly MAC invoice, certify its accuracy, and maintain the fiscal sections of the <br />MAC audit file. <br />• The LHJ MAC Coordinator or designee will attend WSALPHO-sponsored trainings as <br />scheduled. <br />• The LHJ fiscal coordinator will attend WSALPHO-sponsored fiscal trainings as scheduled. <br />• The LHJ MAC coordinator will participate in regularly-scheduled Coordinator conference <br />calls convened by WSALPHO. <br />3 <br />Final 12115 2017