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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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Last modified
12/13/2018 1:36:32 PM
Creation date
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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(4) Calculation and application of the indirect cost rate; and <br />(5) Application of the appropriate FFP rate. <br />b) Cost pool construction <br />The Contractor must comply with all federal, state, HCA and CMS Regulations, the <br />CAP, Manual, and this Agreement when constructing cost pools. <br />ii. The Contractor is prohibited from including any unallowable costs in any cost pool. <br />iii. The Contractor must include all costs used to calculate the FFP reimbursement to one <br />of these six cost pools: <br />(1) Cost Pool 1: MAC SPMP; <br />(2) Cost Pool 2: MAC Non-SPMP; <br />(3) Cost Pool 3a and 3b: Non -MAC; <br />(4) Cost Pool 4: MAC Direct Charge — enhanced; <br />(5) Cost Pool 5: MAC Direct Charge — non-enhanced; and <br />(6) Cost Pool 6: Allocated. <br />iv. Costs included in the calculation of an indirect cost rate are prohibited from <br />being assigned to any of the six cost pools except by application of the indirect <br />cost rate. <br />V. All costs assigned to each cost pool must be allowable and comply with the <br />descriptions in the CAP and Manual. <br />c) Calculating allowable Medicaid Administrative Time <br />The Contractor must only use the RMTS or the Direct Charge method to calculate <br />the percent of reimbursable time. <br />ii. The Contractor must use the RMTS for all eligible staff who are not certified as a <br />Single Cost Objective. <br />(1) The Contractor must use the RMTS results produced by the System. <br />(2) The Contractor is prohibited from altering the RMTS results and certifies <br />the accuracy of the data by signing the A19 by an authorized Contractor <br />representative. <br />iii. The Contractor may only use the Direct Charge method for staff who are certified <br />as a Single Cost Objective. <br />(1) These staff are required to document their daily work activities in fifteen (15) <br />minute increments. <br />Local Health Jurisdiction Page 52 of 59 Medicaid Administrative Claiming <br />Washington State Health Care Authority Contract # K3069 <br />
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