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4. Data Collection. <br />Participation requires performance monitoring activities, including requiring timely and accurate <br />data reporting to the Health Care Authority, Division of Behavioral Health, and Recovery (HCA <br />DBHR. Further evaluation, including on- and off-site data collection may be conducted by HCA <br />DBHR or a third -party. <br />b. The contractor will submit a monthly report, template provided by HCA DBHR, by the 10th day of <br />the month with the following participant information, (identified as having a current OUD), for the <br />previous month: <br />i. Full name <br />ii. Date of birth <br />iii. Provider One #, SSN or another unique identifier <br />iv. Date of booking <br />v. Date MOUD started: continued or induction? <br />vi. Date of release if applicable <br />vii. Scheduled first MOUD appointment upon release <br />viii. Which MOUD provided upon release <br />Information will be collected via the Secure file Transfer (SFT) which HCA will assist with setting <br />up. It will be shared with Research Data and Analysis (RDA) for evaluation purposes. <br />Contract Management/Accounting. <br />a. Submit invoices for payment, ensure specific tools, such as job descriptions, policies and <br />procedures, and statements of work, are developed, and staff are adequately trained on these <br />tools, to ensure consistent and appropriate practice. <br />b. Attend monthly meetings with HCA DBHR program administrator to discuss project contract <br />requirements, compliance, problem -solving and attend trainings. Attend additional meetings as <br />required or deemed necessary by the HCA DBHR program administrator. <br />c. Contractor will cooperate with periodic site visits by the HCA DBHR program administrator or <br />designee and make all relevant records and personnel available. <br />d. Submit a monthly report as detailed in the Deliverables Table with the invoice to the HCA DBHR <br />program administrator. <br />FY2023 Contract Deliverables <br />Table <br />Activity <br />Deliverable <br />Due Date <br />Payment <br />Monthly progress <br />Report must include <br />Monthly: <br />reports <br />status of hiring staff, <br />Reports due on the <br />X 12 <br />status of MOUD <br />10th of every month <br />months= <br />m onth0 <br />purchases and other <br />beginning with <br />$126,000 <br />supplies requested in <br />August 10, 2022. <br />the budget, core <br />components (Section 2) <br />being met or progress <br />towards meeting the <br />core components, <br />barriers and successes, <br />technical assistance and <br />training participation, <br />staff changes and <br />additional information <br />as needed. <br />Washington State <br />Health Care Authority Page 5 HCA Contract No. K5885-1 <br />