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Docusign Envelope lD: CCDS6BBF-645D-4579-9C75-F803991 1CF89 <br />HCA will provide lT infrastructure funding through the Capacity Building Program. lf <br />needed, HCA will collaborate with facilities on solutions for electronic health record (EHR) <br />systems and systems that billfor Medicaid services. <br />HCA is soliciting for TPA to provide administrative support possibly starting as early as Q1 <br />2025.The administrative support may include but may not be limited to assisting clients <br />with Medicaid eligibility screening and application, supporting providers to become enrolled <br />as a Medicaid provider, and serving as a claim clearinghouse that helps facilities and <br />providers prepare and submit claims. <br />6. Capacity Building Program Funding <br />Contractors that complete Milestone 2 - Capacity Building Application, HCA will provide <br />capacity building funding to facilities to support the planning for and implementation of the <br />Demonstration. Eligible uses of the funding are available in Appendix A, and include the <br />following activities: <br />a. lT infrastructure funding to support systems changes for data exchange, access to <br />virtual health services, and other lT needs. <br />b. Reentry planning and implementation funding to support planning expenses, such <br />as the development of process changes, protocols, and procedures for <br />implementation and hiring and training of staff. <br />Maximum funding for reentry planning and implementation willvary by facility size, based <br />on their average daily population for the period of time specified in the Contractor's Letter of <br />lntent response. The table below delineates the maximum funding amounts for Tier 2 <br />facilities. The maximum lT infrastructure funding will be $1 million for each participating <br />facility. <br />Tier2(50-249)$1,250,000 ,000,000 $2,250,000 <br />7. Milestone Deliverables Compensation Table <br />HCA will assess Contractor's progress towards achieving the lnitiative goals based on <br />achievement of specific milestones and measured by these milestones. Distribution of <br />Capacity Building funding to Contractor is based on a Contractor's tier as described below <br />and is contingent upon their completion of the implementation milestones described below. <br />Milestones will be developed by the State in consultation with stakeholders and members <br />of the public and approved by CMS. Generally, progress milestones will be organized into <br />the following categories: <br />Facility tier <br />(based on average daily <br />population) <br />Total capacity <br />building funding <br />per facility <br />Total lT <br />infrastructure <br />funding <br />Totalfunding <br />per facility <br />Milestones Fundin0 lT Fundinq TiminE for Gohort { <br />Planninq Milestones Before Go-Live with Pre-Release Services <br />1) Letter of lntent <br />Submission <br />10% of total RPP funding <br />upon submission: <br />Tier 2: $125,000 <br />N/A Due Date June 1 ,2024 <br />Funding Paid: July 2024 <br />Washington State <br />Health Care Authority <br />'13 HCA Contract #K7843