My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SHJ25-009 fully executed document
>
Meetings
>
2025
>
06. June
>
2025-06-17 10:00 AM - Commissioners' Agenda
>
SHJ25-009 fully executed document
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/17/2025 3:19:55 PM
Creation date
9/17/2025 3:19:18 PM
Metadata
Fields
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
51
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Docusign Envelope lD: CEBC6B3C-DFA1 -4BOC-AFE8-6A4A63440086 <br />ExrilsnB <br />BnNBnt Pr,aNs <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, terms, 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, Amendmenfs, CHPW may add <br />Benefit Plans, or otherwise make changes to this Exhibit B (e.g. termination of a Benefit Plan), <br />by notifiing 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 "lncluded" 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 <br />Washington Apple Health Integrated Managed Care Plans <br />Includes Behavioral Health Services Only, where applicable <br />NetworkName: CHPW AH Network <br />X Exhibit B-l-A - Medicaid Reimbursement Rates <br />X Exhibit B-1-B - Medicaid Required Provisions <br />tr Exhibit B-1-C - Medicaid Value Based Payment Arrangement <br />fl Exhibit B-l-D - Medicaid CHIP Managed Care Addendum for IHCP's <br />2. Medicare Advantase (MA) Plans <br />Medicare Advantage and Medicare Advantage <br />Prescription Drug Plans offered by CHPW. <br />NetworkName: CHPW MA Network <br />Not Included <br />2020 Facility Exh B - BenefitPlans Page 26 of51 Contract #5908 -662684
The URL can be used to link to this page
Your browser does not support the video tag.