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ATTACHMENT 1: STATEMENT OF WORK <br />The Contractor will provide the services and staff, and otherwise do all things necessary for, or <br />incidental to, the performance of work, as described in this Schedule. <br />Background <br />In June 2023, the Health Care Authority (HCA) received federal approval for a Medicaid <br />waiver demonstration that includes the Initiative. This new Initiative under the Medicaid <br />Transformation Project (MTP) renewal known as the MTP 2.0. was approved by the federal <br />Centers for Medicare and Medicaid Services (CMS) to provide essential services for <br />individuals leaving a state prison, county/city jail, or youth correctional facility. The <br />Initiative will support the delivery of targeted pre-release services to Medicaid eligible adults <br />and youth in state prisons, jails, and youth carceral facilities that will be reimbursed by the <br />Medicaid program known as Apple Health in Washington State. <br />2. Purpose <br />The purpose of this project is to prepare people for a successful transition and reentry into <br />their community and help them live their healthiest life, improve health outcomes and <br />reducing rates of recidivism (re -offense), emergency department visits, substance use and <br />death. To stabilize and treat common conditions both prior and post release, so the <br />opportunity for a successful reentry is increased. <br />3. Project Objectives <br />Targeted Pre -Release Services. The first three services listed below will be mandatory for <br />facilities to implement. The last four services are optional. Contractor must support the <br />implementation of a targeted set of pre-release services, as described in the Special Terms <br />and Conditions (STC) of MTP 2.0 and the Reentry Implementation Plan approved by CMS: <br />a. Case management <br />b. Medications for alcohol and opioid use disorder <br />c. 30-day supply of medications and medical supplies at release <br />d. Medications during the pre-release period <br />e. Lab and radiology <br />f. Services by community health workers with lived experience <br />g. Physical and behavioral clinical consultations <br />As appropriate, a third -party administrator (TPA) as well as regional Accountable <br />Communities of Health (ACH) may assist the Contractor in the planning and <br />implementation of these services, including the delivery of appropriate Health Related <br />Social Needs (HRSN), and the milestones in Section 4. Additionally, HCA will collaborate <br />with facilities on solutions for electronic health record (EHR) systems and systems that bill <br />for Medicaid services. <br />Activities for implementing reentry services must include: <br />a. Communicating with HCA regarding Initiative implementation <br />b. Meeting cohort milestones as described below. <br />c. Ensuring that a client receives targeted pre-release services and when <br />feasible, providing HRSN services for clients reentering a community. <br />Washington State 11 HCA Contract #K7843 <br />Health Care Authority <br />