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DDA and KCPHD Service Agreement
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2021-08-03 10:00 AM - Commissioners' Agenda
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DDA and KCPHD Service Agreement
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Last modified
10/5/2023 3:25:09 PM
Creation date
10/5/2023 3:24:46 PM
Metadata
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Meeting
Date
8/3/2021
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
Item
Request to Approve County Program Agreement with the Department of Social and Health Services for DDA County Services
Order
11
Placement
Consent Agenda
Row ID
79309
Type
Agreement
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5. <br />Special Terms and Conditions <br />they shall also immediately report to the appropriate law enforcement agency. <br />m. Contractors are specifically authorized to have data storage on portable devices or media in <br />accordance with the Data Security Requirements. <br />n Order of Precedence: ln the event of any inconsistency in this Program Agreement and any <br />attached exhibits, unless otherwise provided herein, the inconsistency shall be resolved by giving <br />precedence, in the following order, to: <br />(1) County Program Agreement; <br />(2) Attached Exhibits. <br />Duty to Disclose: Under 42 CFR 5455.104, the Administration must obtain certain disclosures and <br />complete required screenings to ensure the State does not pay federalfunds to excluded person or <br />entities. The Gounty is required to provide disclosures from managing employees, specifically the <br />persons in the positions of Developmental Disabilities Director and Fiscal/Budget Director, i.e, the <br />person who authorizes expenditures. A completed Medicaid Provider Disclosure Statement, DSHS <br />Form 27-094, should be submitted to the Administration to complete the required screenings. <br />Disclosures must be provided at contract renewal and within thirty-five (35) days whenever there is a <br />ahange in the staff holding these management positions [42 CFR 455.104 (cX1)1. <br />Statement of Work: The County shall provide the services and staff, and otherwise do all things <br />necessary for or incidental to the performance of work, as set forth below. Working collaboratively and <br />sharing information as needed for service coordination, the parties shall administer DD services within <br />the county as set forth below: <br />a. The DDA region shall: <br />(1) Review subcontractors and shall immediately notify the County of any concerns with the <br />subcontractors identified by the County; <br />(2) lnform and include the County in the discharge planning of individuals leaving institutions and <br />returning to the community who will need program funding; <br />(3) lnform the County of individuals who have had their waiver status changed; <br />6. <br />authorization is not issued; <br />(5) Authorize new service within 5 working days and will extend existing service authorization <br />before expiration date; <br />(6) lnform Clients of service changes through Planned Action Notice(s); <br />/7\ lA/nrkurifhfhaf'-nrrntrrfadar.rrmantnlannar{canrinocinfholndivir{rral'cPcrcnn(lcnfcrar{Saruina'' r'-"' <br />Plan including notification of assessment dates; <br />(8) Work with the County when terminating services; <br />(9) Work with DDA Head Quarters and the County on Spending Plan adjustments; and <br />(10) Work with the County in participating in evaluation of direct service providers. <br />Page 6 <br />DSHS Central Contraci Services <br />1 769CS County Agreement 06-08-2021
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