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12. December
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2018-12-18 10:00 AM - Commissioners' Agenda
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Health Care Authority 2019
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12/13/2018 1:36:32 PM
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12/13/2018 1:33:30 PM
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Meeting
Date
12/18/2018
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
p
Item
Request to Approve a Contract with the Washington State Health Care Authority for Professional Services for Medicaid Administrative Claiming
Order
16
Placement
Consent Agenda
Row ID
50104
Type
Contract
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(2) The Contractor must submit contact information to the HCA Contract Manager for <br />each coordinator, including their assigned role, name, telephone number, fax <br />number, email, and address prior to participation in the MAC program, within seven <br />(7) calendar days of the change. <br />(3) The Coordinators must participate in the monthly statewide coordinator conference <br />calls. <br />(4) The Coordinators must participate in any scheduled RMTS consortium conference <br />calls. <br />(5) The Coordinators must ensure federal, state, and HCA MAC policies are <br />implemented. <br />(6) The Contractor must ensure the Coordinators accurately perform all responsibilities <br />listed in the CAP, Manual and this Agreement. <br />iii. Certify all data entered into the System is true and accurate, and based on actual <br />expenditures incurred during the period of performance of the invoice. This certification <br />must be maintained within the System. This includes, but is not limited to: calendaring, <br />Staff/Participant lists, salary and benefits, direct charges or other claimed costs, <br />indirect rate, MER, and any other data used to generate a claim to HCA for <br />reimbursement; <br />iv. Verify all data that is determined necessary to be stored electronically within the <br />System or other associated websites, or databases as described in the CAP, Manual <br />and this Agreement is physically entered and stored according to the SOS Retention <br />Schedule. This data includes, but is not limited to: calendaring, Staff/Participant lists, <br />salary and benefits, direct charges or other claimed costs, indirect rate, MER, and any <br />other data used to generate a claim to HCA for reimbursement; <br />V, Prepare an annual MER proposal to include the MER calculation and formula, the data <br />sources used to determine the MER, the data collection process, the Contractor's <br />monitoring process to ensure accuracy of the MER and any other relevant information; <br />(1) The proposal must be submitted to HCA no later than December first of each year. <br />(2) The proposal must be updated and re -submitted if the data source or collection, <br />calculations, or monitoring changes thirty (30) business days prior to the change. <br />vi. Submit a quarterly MER certification with each invoice validating the accuracy of the <br />MER(this certification may be maintained in the System); <br />vii. Submit a quarterly CPE certification identifying the revenue account codes as found in <br />the BARS manual with each invoice validating the accuracy of the CPE; <br />viii. Submit an annual certificate of indirect costs that certifies the accuracy of indirect cost <br />rate proposal submitted to their Cognizant Agency each January; <br />X. Certify the accuracy of all data used to determine a quarterly MAC reimbursement by <br />signing the A19 by an authorized representative. This certification extends to all RMTS <br />data and financial data; <br />Local Health Jurisdiction Page 46 of 59 Medicaid Administrative Claiming <br />Washington State Health Care Authority Contract # K3069 <br />
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