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Admatch K4649 Amendment 1
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2022-12-20 10:00 AM - Commissioners' Agenda
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Admatch K4649 Amendment 1
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Last modified
12/15/2022 12:19:18 PM
Creation date
12/15/2022 12:16:48 PM
Metadata
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Meeting
Date
12/20/2022
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Item
Request to Approve Amendment 1 to the Health Care Authority-Medicaid Admatch
Order
7
Placement
Consent Agenda
Row ID
97382
Type
Agreement
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DocuSign Envelope ID: 262ABAl8-5354-41`41-9508-91313C8ACBA6D <br />5.10.4.5. Failure to meet time study minimum response rates; <br />5.10.4.6. Failure to meet statistical validity requirements; and <br />5.10.4.7. Failure to comply with the terms and conditions of this Agreement. <br />6. Minimum Response Rate and Non -Responses <br />Non -responses are moments not completed by Participant within five (5) business days, with the <br />exception of expired moments where the Participant was on paid or unpaid leave. The return rate of <br />valid responses for the RMTS must be a minimum of eighty five percent (85%). The following <br />remedial action is required of the Contractor if the RMTS response rate drops below eighty five <br />percent (85%). <br />6.1. Non -response rates greater than fifteen percent (15%): <br />6.1.1, HCA may send written notification to the Contractor requesting a Corrective <br />Action Plan to ensure a minimum eighty five percent (85%) compliance rate <br />for the RMTS is achieved in subsequent quarters. <br />6.1.2. The Contractor must develop and submit the plan to HCA for approval within <br />thirty (30) business days of HCA's notification. <br />6.1.3, Failure to provide a timely Corrective Action Plan within thirty (30) business <br />days may result in the Contractor being prohibited from participation in MAC <br />for the following quarter or Contract termination; and <br />6.1.4. An eighty five percent (85%) compliance rate for the RMTS must be met in <br />the following quarter. <br />6.2. Non -response rates greater than fifteen percent (15%) for two (2) consecutive quarters: <br />6.2.1. HCA may reduce reimbursement by thirty five percent (35%) for the second <br />consecutive quarter. <br />6.2.2. The Contractor will be notified via Certified Mail of the reduced <br />reimbursement; and <br />6.2.3. Eighty five percent (85%) compliance rate for the RMTS must be met in the <br />following quarter. <br />6.3. Non -response rates greater than fifteen percent (15%) for three (3) consecutive quarters: <br />6.3.1. <br />6.3.2. <br />6.3.3. <br />6.3.4. <br />Washington State <br />Health Care Authority <br />HCA may deny all reimbursement for the third consecutive quarter; <br />The Contractor may be prohibited from participating in MAC for the following <br />quarter, which is the fourth consecutive quarter; <br />The Contractor will be notified via certified mail of the denied reimbursement <br />for the third (3`d) consecutive quarter and prohibited participation in the MAC <br />program; <br />The Contractor may not claim any denied or withheld reimbursement; <br />Page 51 of 53 <br />HCA IAA K4649 <br />Revised 1012020 <br />
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