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L/UUUJIyI CIIVCIUpu ILJ. u 1.7V1,U4.7-/ VU1=-+MVU-M'4UV-'TM IU%,CLJOI,OVU <br />4.1.1. Fifty percent (50%) of funds is received from the United States Department of <br />Health and Human Services under Medical Assistance Program CFDA 93.778; <br />and <br />4.1.2. Fifty percent (50%) is received from the Contractor's Local Matching Funds. <br />4.2. Source of funds for Administrative Claiming for appropriately documented Skilled Professional <br />Medical Personnel and appropriately documented Interpreter staff Administrative Claiming are <br />as follows: <br />4.2.1. Seventy-five percent (75%) of funds is received from the United States <br />Department of Health and Human Services under Medical Assistance Program <br />CFDA 93.778; and <br />4.2.2. Twenty-five percent (25%) is received from the contractor's local matching funds. <br />4.3. Local matching funds must meet CPE requirements and must be in the Contractor's budget <br />and under the Contractor's control. These funds cannot be contributed by or certified by <br />healthcare providers or subcontractors. <br />4.4. HCA will not issue reimbursement for any quarters where HCA receives credible evidence or <br />suspected evidence of a system failure that has the potential to impact the integrity of the <br />reimbursement request. This includes but is not limited to failures related to the time study, <br />MER calculation, claim calculation, or reconciliation. <br />4.4.1. HCA will pursue corrective action as needed and will restore payment after any <br />issues related to the reimbursement request are resolved, and the requested <br />amount is accurate. <br />5. BILLING PROCEDURE <br />5.1. Contractor must submit accurate invoices to the HCA Contract Manager for all amounts to be <br />paid by HCA via e-mail to the HCA Contract Manager email address listed on the cover of this <br />Agreement. Include the HCA Contract number in the subject line of the email. <br />5.2. All invoices will be reviewed and must be approved by the Contract Manager or designee prior <br />to payment. <br />5.3. Contractor shall only submit invoices for Services or deliverables as permitted by this section <br />of the Contract. The Contractor shall not bill HCA for Services performed under this Contract, <br />and HCA shall not pay the Contractor, if the Contractor is entitled to payment or has been or <br />will be paid by any other source, including grants, for such Services or deliverables. <br />5.4. Contractor must submit properly itemized invoices to include the following information, as <br />applicable: <br />5.4.1. The HCA Contract number; <br />Washington State Page 10 of 35 HCA IAA K8630 <br />Health Care Authority Revised 07/2023 <br />