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2019
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01. January
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2019-01-15 10:00 AM - Commissioners' Agenda
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PSA CHCW
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Last modified
1/30/2019 9:16:48 AM
Creation date
1/30/2019 9:15:40 AM
Metadata
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Meeting
Date
1/15/2019
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
k
Item
Request to Approve a Professional Services Agreement between Community Health of Central Washington (CHCW) and Kittitas County Public Health (KCPHD)
Order
11
Placement
Consent Agenda
Row ID
50670
Type
Agreement
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EXHIBIT "B" <br />COMPENSATION <br />As full compensation for satisfactory performance of the work, the County shall pay Contractor <br />compensation not to exceed: <br />1) Payments of $13,258.00 for the twelve month contract, with a maximum of $3,400 from October 1, <br />2018 through September 30, 2019 for the delivery of CYSHCN care coordination program <br />services. These amounts are based on projected funding from the Washington State Department of <br />Health Maternal Child Health Block Grant, which is contingent on the final award from lhe <br />Washington State Department of Health. In the event of a reduction of funding, Contractor agrees to <br />an amendment of this section consistent with the reduction in funding. <br />Restrictions on Funds: Contractor agrees that payments received from the County under this Agreement <br />shall nQ! be used for : <br />1) Inpatient services, other than inpatient services for children with special health care needs or high risk <br />pregnant women and infants, and other patient services approved by Health Resources and Services <br />Administration (HRSA). <br />2) Cash payments to intended recipients of health services. <br />3) The purchase or improvement of land, the purchase, construction, or permanent improvement of any <br />building or other facility, or the purchase of major medical equipment. <br />4) Meeting other federal matching funds requirements. <br />5) Providing funds for research or training to any entity other than a public or nonprofit private entity. <br />6) Payment for any services furnished by a provider or entity who has been excluded under Title XVIII <br />(Medicare), Title XIX (Medicaid), or Title XX (social services block grant).{Social Security Law, Sec <br />504(b)J. <br />If any charges are imposed for the provision of health services using Title V (Maternal Child Health <br />Block Grant) funds, such charges will be pursuant to a public schedule of charges; will not be imposed <br />with respect to services provided to low income mothers or children; and will be adjusted to reflect the <br />income, resources, and family size of the individual provided the services. [Social Security Law, Sec. 505 <br />(l)(D)]. <br />The Contractor may use an approved federally recognized indirect costs rate negotiated between the <br />subrecipient and the federal government or, if no such rate exists, a rate negotiated between the pass- <br />through entity and the subrecipient or a de rninimis indirect costs rate. A de rninimis indirect cost rate is <br />defined in the Federal Office of Management and Budget Uniform Grant Guidance §200.414 as 10% of <br />modified total direct costs. The Contractor will inform the County as to which indirect cost rate will be <br />used on invoices sent to the County during the period of this agreement before the first invoice of this <br />agreement is paid. <br />Contractor agrees to submit an invoice for services provided during each calendar month. The invoice for <br />services is due to the Accountant at the Kittitas County Public Health Department within thirty (30) days <br />following the last day of each calendar month. Invoices will include a tracking spreadsheet for <br />expenditure breakdown, and supporting documentation for all non-payroll charges. Payroll charges must <br />Professional Services Agreement <br />Page 13
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