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Admatch K4649 Amendment 1
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12. December
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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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Template:
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: 262ABA18-5354-4F41-9508-9B13C8ACBA6D <br />HCA, CMS, or others to determine whether the costs are necessary for the proper and <br />efficient administration of the state plan. This includes but is not limited to; source <br />documentation of staff costs, operating expenses, and subcontracted vendor costs. <br />8.6. Review the RMTS Consortia organization and membership, including the Lead Agency <br />identified, annually and issuing an official notice of approval or denial. <br />8.7. Review all MAC related training materials prior to their use in the MAC program and <br />issuing an official notice of approval or denial. This includes multimedia video, audio, <br />digital, or other electronic sources, and paper based training materials. <br />8.8. Evaluate RMTS and claiming data prior to issuing quarterly reimbursements to ensure <br />the RMTS results and claimed costs are appropriate according to all applicable laws, <br />Regulations and guidelines specific to the MAC program. This evaluation will also be <br />used to identify trends, best practices for the MAC program, quality assurance, training <br />needs, areas in need of improvement, or other concerns related to the MAC program <br />and HCA's oversight responsibilities. <br />8.9. Issue corrective action plans as necessary and determined by HCA's oversight capacity <br />that includes but is not limited to, quarterly reviews of RMTS and claiming data, the <br />Contractor's failure to be in compliance with all applicable laws, Regulations and <br />guidelines specific to the MAC program and this Agreement, or other quality assurance <br />needs. <br />8.10. Produce and update the CAP, Manual, Contracts, training materials, or other MAC <br />related documentation as needed and make it available to the Contractor. <br />Washington State Page 53 of 53 HCA IAA K4649 <br />Health Care Authority Revised 10/2020 <br />
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