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Health Care Authority 2019
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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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viii. Is prohibited from using any private donations or non-public funds as a source for <br />CPE without authorization from CMS' Center for Medicaid and State Operations' <br />National Institutional Reimbursement Team (NIRT); <br />ix. Is prohibited from requiring or allowing private non -profits to participate in the <br />financing of the non-federal share of expenditures; <br />(1) Is prohibited from allowing non-governmental units to voluntarily provide, or <br />be contractually required to provide, any portion of the non-federal share of <br />the Medicaid expenditures. <br />ix. Is prohibited from using funds payable under this Agreement for lobbying activities of <br />any nature. The contractor certifies that no state or federal funds payable under this <br />Agreement shall be paid to any person or organization to influence, or attempt to <br />influence, either directly or indirectly, an officer or employee of a state or federal <br />agency, or an officer or member of any state or federal legislative body or committee <br />regarding the award, amendment, modification, extension, or renewal of a state or <br />federal contract grant; and <br />X. Must expend the total computable cost to Subcontractors for performance of allowable <br />MAC activities. <br />(1) The Contractor is prohibited from submitting a request for FFP reimbursement <br />to HCA until they have actually incurred the total computable cost; and <br />(2) The Contractor is prohibited from requiring the Subcontractor to provide the <br />non- federal share of the payment, or return any portion of the total computable <br />cost to the Contractor. <br />i) Revenue Offset <br />The Contractor is: <br />i. Prohibited from submitting a request for FFP reimbursement to HCA unless all funds <br />are appropriately offset according to all federal, state, HCA and CMS Regulations, the <br />CAP, Manual and this Agreement; <br />ii. Required to certify the accuracy of the funds that are offset and the accuracy of the <br />requested FFP reimbursement by signing the A19; <br />iii. Required to ensure there is no duplication in FFP reimbursement between programs <br />or cost objectives; <br />iv. Financially responsible for repayment of any duplicated funds; <br />Required to provide documentation that Coordinators have been trained and fully <br />understands the scope of work and terms of each funding source; and <br />vi. The Contractor is required to perform an assessment to determine whether each cost <br />objective contained within the MAC budget unit(s) has potential to overlap with MAC; <br />Local Health Jurisdiction Page 56 of 59 Medicaid Administrative Claiming <br />Washington State Health Care Authority Contract # K3069 <br />
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