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A 1�IeiL T ghboH <br />H E A L T H <br />Yakima Neighborhood Health Services <br />12 South 8" St, PO Box 2605 <br />Yakima WA 98907-2605 <br />Phone (509) 454-4143 Fax (509) 454-3651 <br />www.ynhs.org <br />Total Base Payment = 823,744 <br />Total Potential Incentive Payment S 4,283 <br />Maximum Twelve Month Contract Award $28,027 <br />C. Contractor Payment: <br />Sub -Contractors will receive a one-time enrollment outcome payment after the 2019 open <br />enrollment 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 enrollment 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 enrollment period. <br />Should sub -contractor enroll or re -enroll fewer than 357 QHP members (as identified by the <br />HBE data system), sub -contractor's outcome -based enrollment payment will be pro -rated to that <br />same 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 5t' of the following month in order for YNHS to roll up reports and submit to HBE <br />by the required monthly reporting deadline. <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 Sub -Contractor Agency <br />7/1/18 <br />Signature date Signature date <br />Anita Monoian. President / CEO <br />Print name and title Print name and title <br />Accredited by the Joint Commission Patient Centered Medical Home Level 3 <br />