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SHJ25-008 COORDINATED CARE CONTRACT - PARTIALLY EXECUTED
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2025-06-17 10:00 AM - Commissioners' Agenda
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SHJ25-008 COORDINATED CARE CONTRACT - PARTIALLY EXECUTED
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Last modified
6/12/2025 12:53:41 PM
Creation date
6/12/2025 12:49:58 PM
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Meeting
Date
6/17/2025
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 Agreement SHJ25-008 Coordinated Care - 1115 Medicaid Re-Entry Initiative
Order
15
Placement
Consent Agenda
Row ID
132242
Type
Contract
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3.58. Integrated Patient Record/Clinical Data Re o�rX. If Provider has a certified electronic health <br />record (EHR) system, Provider shall submit automated exports of standard Continuity of Care Document (CCD)/ <br />Consolidated Clinical Document Architecture (CODA), or subsequent ONC-specified standard healthcare <br />transactions, as specified by HCA and consistent with the design of the integrated patient record, from their EHR to <br />the call detail record (CDR) via the health information exchange (HIE) each time a Covered Person is seen. <br />3.59. Training. If Provider is a behavioral health network provider, Provider must participate in training <br />when requested by HCA, unless Provider receives an exception from the HCA after submitting to the HCA a written <br />exception request along with a plan for how the required information will be provided to the Provider's staff. <br />3.60. WISe Service Providers. If Provider provides Wraparound with Intensive Services ("WISe") <br />services, Provider shall adhere to the most current version of the WISe Manual and participate in all WISe-related <br />activities. Without limiting the generally of the foregoing, Provider shall participate in a review of WISe services <br />conducted using the WISe Quality Improvement Review Tool (QIRT) at least once during the contract period. <br />3.61. GAIN -SS. Provider shall use GAIN -SS and assessment process that includes use of the quadrant <br />placement. Provider shall be subject to corrective action if the Integrated Co -Occurring Disorder Screening and <br />Assessment process is not implemented and maintained throughout the term of the Agreement. <br />3.62. Disaster Recovery Plan. If applicable, Provider shall develop and maintain a business continuity and <br />disaster recovery plan that ensures timely reestablishment of the Covered Person information system following total <br />loss of the primary system or a substantial loss of functionalist. Provider's plan shall comply with all relevant <br />requirements in the State Contract and Provider shall cooperate with Health Plan to comply with all related reporting <br />requirements. <br />3.63. Indian Health Care Provider. If Provider is an Indian Health Care Provider (IHCP), then it shall be <br />subject to the "Medicaid and Children's Health Insurance Program (CHIP) Managed Care Addendum for Indian <br />Health Care Providers (IHCPs)" schedule set forth in the Agreement. <br />PPA WA - Kittitas County Public Health - 05.07.2025 - ICMProviderAgreement_360268 Page 12 of 12 <br />
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