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Medicaid Admin Claiming
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2018
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12. December
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2018-12-18 10:00 AM - Commissioners' Agenda
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Medicaid Admin Claiming
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Last modified
1/11/2019 9:36:04 AM
Creation date
1/11/2019 9:35:07 AM
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
Fully Executed Version
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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DocuSign Envelope ID: 4166FC64-6496-4305-B555-38A174BDAA73 <br />3. SPECIAL TERMS AND CONDITIONS <br />3.1 TERM <br />3.1.1 The initial term of the Contract will commence on January 1, 2019, and continue <br />through December 31, 2020, unless terminated sooner as provided herein. <br />3.1.2 This Contract may be extended through December 31, 2023 in whatever time <br />increments HCA deems appropriate. No change in terms and conditions will be <br />permitted during these extensions unless specifically agreed to in writing. <br />3.1.3 Work performed without a contract or amendment signed by the authorized <br />representatives of both parties will be at the sole risk of the Contractor. HCA will not <br />pay any costs incurred before a contract or any subsequent amendment(s) is fully <br />executed. <br />3.2 COMPENSATION <br />Compensation payable to the Contractor for satisfactory performance of the work under <br />this Agreement will be made on a cost reimbursement bases and shall be based on the <br />following: <br />3.2.1 There is no maximum consideration payable to the Contractor under the <br />Agreement; <br />3.2.2 The Federal Financial Participation Rate shall be: <br />3.2.2.1 50%, except; <br />3.2.2.2 75% for appropriately documented Skilled Professional Medical <br />Personnel and appropriately documented Interpreter staff. See Schedule <br />A, Section 7, d and g, and Section 8. <br />3.2.3 Federal funds disbursed through this Contract were received by HCA through 0MB <br />· Catalogue of Federal Domestic Assistance (CFDA) Number: 93. 778, Medical <br />Assistance Program, Contractor agrees to comply with applicable rules and <br />regulations associated with these federal funds and has signed Attachment 2: <br />Federal Compliance, Certification and Assurances, attached. <br />3.2.4 HCA will not issue reimbursement for any quarters where HCA receives credible <br />evidence or suspected evidence of a system failure that has the potential to impact <br />the integrity of the reimbursement request. This includes but is not limited to failures <br />related to the time study, MER calculation, claim calculation, or reconciliation. <br />3.2.4.1 HCA will pursue corrective acti9n as needed, and will restore payment <br />after any issues related to the reimbursement request are resolved, and <br />the requested amount is acurate. <br />Local Health Jurisdiction <br />Washington State Health Care Authority <br />Page 11 of 59 Medicaid Administrative Claiming <br />Contract # K3069
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