SHJ25-007 Kittitas County and Wellpoint Agreement - PARTIALLY EXECUTED

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protection against any loss, liability or damage resulting from the operation of a motor vehicle by Provider, Provider's employees or agents. 5.28.3 Maintain workers' compensation insurance for Provider's employees. Said insurance shall be obtained from a carrier authorized to conduct business in the jurisdiction in which Provider operates and shall provide such limits of coverage as required by Regulatory Requirements. 5.28.4 Provide Wellpoint with evidence of Provider's compliance with the foregoing insurance requirements as reasonably requested by Wellpoint from time to time during the term of this Agreement, but in no event less than annually. Provider shall provide Wellpoint with at least thirty (30) days prior written notice of any cancellation or non -renewal of any required coverage or any reduction in the amount of Provider's coverage, and shall secure replacement coverage meeting the requirements hereunder so as to ensure no lapse in coverage. Provider shall furnish Wellpoint with a certificate of insurance evidencing such replacement coverage. Provider shall also furnish a certificate of insurance to a requesting Agency upon request. Provider may maintain coverage hereunder through a self -funded insurance plan, provided that Provider maintains actuarially sound reserves related to such self - funded plan and provides to Wellpoint on a semi-annual basis an opinion letter from an independent actuarial firm or other proof reasonably acceptable to Wellpoint attesting to the financial adequacy of such reserves. 5.29 Discharee Planning. In a twenty-four (24) hour setting, Provider shall provide discharge planning services that meet the standard set forth below: Provider shall coordinate, as needed with HCA and/or Division of Behavioral Health and Recovery (DBHR) prevention services, vocational services, housing services and supports, and other community resources and services that may be appropriate, including, but not limited to Department of Children, Youth, and Families (DCYF) services for children and families, including but not limited to, DCYF-contracted home visiting, Early Support for Infants and Toddlers (ESIT), Early Childhood Intervention and Prevention Services (ECLIPSE), Early Childhood Education and Assistance Program (ECEAP) and Head Start programs using the information letter template jointly developed by the DCYF and HCA. 5.30 Supervision by Behavioral Health Provider. As applicable, Provider will receive payment for the supervision of behavioral health providers whose license or certification restricts them to work under supervision. 5.31 Data Use Security and Confidentiality. Provider shall comply with all data use, security, and confidentiality terms and conditions applicable to the provider, as referenced in the applicable provider manual(s) or as required by Regulatory Requirements. 5.32 Telemedicine. If Provider is a telemedicine provider, in accordance with Regulatory Requirements: 5.32.1 Provider must obtain the Medicaid Member's consent for billing in advance of the service being delivered, if Provider intends to bill the Medicaid Member or Plan for audio -only telemedicine services, and; 5.32.2 As of January 1, 2023, for audio -only telemedicine services, Provider must have an established relationship with the Medicaid Member, as defined by Washington law. As defined in RCW 48.43.735(9)(d), "Established relationship" means the provider providing audio - only telemedicine has access to sufficient health records to ensure safe, effective, and appropriate care services and: (i) The covered person has had, within the past three years, at least one in -person appointment, orat least one real-time interactive appointment using both audio and video technology, with the provider providing audio -only telemedicine orwith a provider employed at the same medical group, at the same clinic, or by the same integrated delivery system operated by a carrier licensed under chapter 48.44 or 48.46 RCW as the provider providing audio -only telemedicine; or (ii) The covered person was referred to the provider providing audio -only telemedicine by another provider who has had, within the past three years, at least one in -person appointment, or at least one real- time interactive appointment using both audio and video technology, with the covered person and has provided relevant medical information to the provider providing audio -only telemedicine. 5.32.3 Wellpoint will reimburse Provider for a Medicaid Covered Service provided to a Medicaid Member through telemedicine or store and forward technology if: Washington Enterprise Provider Agreement Medicaid Attachment 26 1183932156 0 2024 July — Wellpolnt Washington, Inc. 05/05/2025