Admatch K4649 Amendment 1 - Laserfiche WebLink

Home Browse Search

DocuSign Envelope ID: 262ABAl8-5354-41`41-9508-91313C8ACBA6D Schedule A Statement of Work The purpose of this Agreement is to support Medicaid related outreach and linkage activities performed by Local Health Jurisdictions (LHJ) to Washington State residents who live within its jurisdiction. These activities assist residents who have no or inadequate medical coverage, and includes explaining the benefits of the Medicaid program, assisting them in the Medicaid application and renewal processes, and linking them to Medicaid covered services. This Agreement provides a process for partially reimbursing the Contractor for allowable and reasonable expenses associated with the time its staff spend performing Medicaid Administrative Claiming (MAC) activities. The Contractor must provide staff and perform all activities necessary to do the work outlined in this Agreement. 1. Contractor Responsibilities The Contractor is responsible for monitoring its MAC program to ensure compliance with all applicable laws, regulations and guidelines specific to the MAC program as described in this Agreement and comply with all roles, responsibilities, limitations, restrictions, and documentation requirements described in the CAP, Manual, associated federal and state regulations, and this Agreement. Only expenses that are reasonable and allowable, are permitted for reimbursement. HCA expects the MAC program to be managed similarly to other federal awards and expects the RMTS and Fiscal coordinators to report to, or work closely, with an administrator assigned oversight authority of the LHJ. The Contractor must: 1.1. Provide the necessary staff to perform the allowable MAC activities described in the Cost Allocation Plan (CAP), and perform the work necessary to ensure all applicable laws, regulations and guidelines specific to the MAC program and this Agreement are in compliance including but not limited to: 1.1.1. Code of Federal Regulation (CFR) Title 42 and Title 45; 1.1.2. 1903(w)(6)(A) of the Social Security Act; 1.1.3. Medicaid School -Based Administrative Claiming Guide May 2003; 1.1.4. Revised Code of Washington (RCW); 1.1.5. The LHJ MAC Coordinator Manual; 1.1.6. HCA -approved MAC training documents; 1.1.7. 2 CFR 225 Cost Principles for State, Local, and Indian Tribal Governments; 1.1.8. OMB Compliance Supplements; Washington State Page 35 of 53 HCA IAA K4649 Health Care Authority Revised 10/2020