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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
Metadata
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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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numbers, financial profiles, credit card numbers, financial identifiers and any other identifying <br />numbers, law enforcement records, HCA source code or object code, or HCA or State security <br />information. <br />"Contract" means this Contract document and all schedules, exhibits, attachments, <br />incorporated documents and amendments. <br />"Contractor" means Kittitas County Health Dept., its employees and agents. Contractor <br />includes any firm, provider, organization, individual or other entity performing services under <br />this Contract. It also includes any Subcontractor retained by Contractor as permitted under the <br />terms of this Contract. <br />"Coordinator Manual" or "Manual" means the HCA document or its successor including <br />any updates, that describes how the Contractor must manage their MAC program and <br />provides program guidance. <br />"Corrective Action Plan" or "Corrective Action" means the written description of the plan <br />the Contractor will complete in order to correct any finding or deficiency as identified by <br />HCA or government entity. <br />"Cost Allocation Plan" or "CAP" means the HCA document that describes the <br />allocation methodology that includes a description of the procedures HCA will use to <br />identify and measure costs for a MAC program and must be approved by CMS. <br />"Covered entity" means a health plan, a health care clearinghouse or a health care provider <br />who transmits any health information in electronic form to carry out financial or administrative <br />activities related to health care, as defined in 45 CFR 160.103. <br />"CPE Local Match Certification" means HCA's form the Contractor must submit with <br />each quarterly invoice to report the source of funds certified as public expenditures and <br />therefore eligible to be used as match for the MAC program. <br />"Data" means information produced, furnished, acquired, or used by Contractor in meeting <br />requirements under this Contract. <br />"Direct Charge Method" means the method of accounting for Direct Costs without a <br />stepdown allocation for single funding sources expenses wholly attributed to the MAC <br />program. <br />"Direct Cost" means an Operating Expense that is wholly attributable to the MAC program <br />and is not included in an Indirect Cost Rate. Direct costs must be a single cost objective, <br />and must be certified quarterly. <br />"Direct Medical Service" means the provision of a medical, dental, vision, mental health, <br />family planning, pharmacy, substance abuse or a Medicaid covered service and all <br />related activities, administrative or otherwise, that integral to, or an extension of the <br />healthcare service." <br />Local Health Jurisdiction Page 6 of 59 Medicaid Administrative Claiming <br />Washington State Health Care Authority Contract # K3069 <br />
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