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SHJ25-009 fully executed document
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2025-06-17 10:00 AM - Commissioners' Agenda
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SHJ25-009 fully executed document
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Last modified
9/17/2025 3:19:55 PM
Creation date
9/17/2025 3:19:18 PM
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Template:
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
Fully Executed Version
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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Docusign Envelope lD: CEBC6B3C-DFA1 -486C-AFE8-6A4A63440080 <br />5.4.3 This Section 5.4 shall survive termination of the Agreement. <br />5.5 Record Retention, Access and Audits. <br />5.5.1 Each party shall cooperate and assist in providing access to records reasonably required <br />or permitted for inspection, evaluation and audit as set forth herein. <br />5.5.2 Consistent with industry standards and applicable state and federal laws and <br />regulations, including OIC regulations, each party or its representative may, during normal <br />business hours and upon giving reasonable notice to the other party, audit, examine and <br />inspect (to the extent necessary to perform the audit) the other parfy's books and records, <br />including medical records, related to this Agreement, to transactions between CHPW and <br />Facility hereunder, and to surveys for accreditation and compliance. <br />5.5.3 Each party shall retain and protect all applicable books and records for at least ten (10) <br />years after termination of this Agreement. Each Parly acknowledges that certain govemment <br />agencies, including the Secretary of the Department of Health and Human Services (HHS) <br />and the Comptroller General of the United States General Accounting Office, or any of their <br />duly authorized representatives, have the right to inspect and audit each party's books and <br />records for ten (10) years beyond the termination of this Agreement or until the completion <br />of any governmental audit that pertains to such books and records, whichever is later, unless: <br />(D HHS determines there is special need to retain a particular record or group of records for a <br />longer period and notifies the party at least thirty (30) days before the normal disposition <br />date; (ii) there has been a termination, dispute, or allegation of fraud or similar fault by either <br />party, in which case the retention may be extended to six (6) years from the date of any <br />resulting final resolution of the termination, dispute, fraud, or similar fault; or (iii) HHS <br />determines that there is a reasonable possibility of fraud or similar fault, in which HHS may <br />inspect, evaluate, and audit either party at any time. Without limiting the foregoing, <br />following the commencement of any audit by a government agency, the party subject to the <br />audit shall retain its relevant books and records until completion of said audit. This Section <br />5.5.3 shall survive termination of this Agreement for the period of time required by state and <br />federal law. Facility shall provide copies of such records to the auditing agency at Facility's <br />cost. <br />5.5.4 Pursuantto 42 CFR 422.50a@)Q), CMS may access facilities' records (including <br />medical records) that are to be used for risk-adjustment data validation (RADV) purposes to <br />determine amounts payable under a Medicare Advantage contract. <br />5.6 Marketing. <br />5.6.1 CHPW may use Facility's name for publication in its directory of facilities and <br />providers, and to otherwise carry out the terms of this Agreement. At its discretion, Facility <br />shall display CHPW-approved signs and material related to provision of services, participate <br />in CHPW-approved marketing programs for its products and perform other marketing duties <br />CHPW may request. <br />2020 Facility Agmt- Template Page 17 of51 Contract #5908-662684
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