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SHJ25-009 KCJ AND CHPW - PARTIALLY EXECUTED
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2025-06-17 10:00 AM - Commissioners' Agenda
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SHJ25-009 KCJ AND CHPW - PARTIALLY EXECUTED
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Last modified
6/12/2025 12:54:55 PM
Creation date
6/12/2025 12:49:59 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 SHJ25-009 Community Health Plan of Washington - 1115 Medicaid Re-Entry Initiative
Order
16
Placement
Consent Agenda
Row ID
132242
Type
Contract
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EXHIBIT B <br />BENEFIT PLANS <br />Benefit Plan Controls. Nothing in this Exhibit B, or the Agreement, will have the effect of <br />]modifying any benefit, term, or condition of a Benefit Plan. In the event of a conflict between the <br />Agreement and a Benefit Plan, the benefits, terns, and condition of the Benefit Plan will govern <br />with respect to Covered Services provided to Members enrolled in the Benefit Plan. <br />Amendments. Consistent with Section 7.4 of the Agreement, Amendments, CHPW may add <br />Benefit Plans, or otherwise make changes to this Exhibit B (e.g. termination of a Benefit Plan), <br />by notifying Facility in writing of such addition(s) or change(s), and Facility shall not <br />unreasonably withhold its consent to participate in additional Benefit Plan(s) or accept such <br />change(s). If Facility fails to object in writing within sixty days of its receipt of such notice, <br />Facility will be deemed to have agreed to inclusion of the additional Benefit Plan(s). The <br />following Benefit Plans are designated as either "Included" or "Not Included" for purposes of <br />this Agreement. <br />CHPW Benefit Plans. The following are the Benefit Plans offered by Community Health Plan <br />of Washington that may be subject to this Agreement. The following Benefit Plans are <br />designated as either "Included" or "Not Included" for purposes of this Agreement, and any <br />Benefit Plan that is "Included" is accompanied by one or more Plan Exhibits, as indicated, that <br />will control with regard to services delivered to Members of that Benefit Plan. <br />1. Medicaid Plans {Included - Medicaid) <br />Washington Apple Health Integrated Managed Care Plans <br />Includes Behavioral Health Services Only, where applicable <br />Network Name: CHPW AH Network <br />❑ Exhibit 13-1-A — Medicaid Reimbursement Rates <br />❑ Exhibit B-1-B —Medicaid Required Provisions <br />❑ Exhibit B-1-C —Medicaid Value Based Payment Arrangement <br />❑ Exhibit B-1-D —Medicaid CHIP Managed Care Addendum for IHCP's <br />2. Medicare Advantage (MA) Plans <br />Medicare Advantage and Medicare Advantage <br />Prescription Drug Plans offered by CHPW. <br />Network Name: CHPW MA Network <br />{Included - Medicare) <br />2020 Facility Exh B - BenefitPlans Page 26 of 51 Contract #{Contract #}-1PRC Agreement ID} <br />
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