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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
Metadata
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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 />4. Third Partv Health Benefit Exchanee Products (Continued) <br />Non-Affiliated "Cascade Care" Public Option Plans Not Included <br />Public Option Plans offered by a third party who is not a <br />CHPW ffiliate. <br />Network Name: CHPW Cascade Care Non-Affiliate Network <br />n exfritit B-4-A - Third Parfy Health Benefit Exchange Reimbursement Rates <br />n Exhibit B-4-B - Third Party Health Benefit Exchange Required Provisions <br />n Exhibit B-4-C- Third Party Health Benefit Exchange Value Based Payment Arrangement <br />! Exhibit B-4-D - Third Party Health Benefit Exchange QHP Addendum for IHCP's <br />Effective Date: 7 11 12025 <br />(CHPW TO COMPLETE) <br />2020 Facility Exh B - BenefitPlans Page 28 of51 Contract #5908-662684
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