Interagency Agreement between Wa Healthcare Authority and KC

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UVI:Ubl l I CI IVCIVF/C IU. %-, I JV%'U4.7-/ V.'7C-4CV V-M4U.7-4M I UIiCUOIIOUV ATTACHMENT 1: STATEMENT OF WORK The purpose of this Agreement is to support Medicaid related outreach and linkage activities performed by Local Health Jurisdictions (LHJ) to Washington State residents who live within its jurisdiction. These activities assist residents who have no or inadequate medical coverage, and includes explaining the benefits of the Medicaid program, assisting them in the Medicaid application and renewal processes, and linking them to Medicaid covered services. This Agreement provides a process for partially reimbursing the Contractor for allowable and reasonable expenses associated with the time its staff spend performing Medicaid Administrative Claiming (MAC) activities. The Contractor must provide staff and perform all activities necessary to do the work outlined in this Agreement. 1. Contractor Responsibilities The Contractor is responsible for monitoring its MAC program to ensure compliance with all applicable laws, regulations and guidelines specific to the MAC program as described in this Agreement and comply with all roles, responsibilities, limitations, restrictions, and documentation requirements described in the CAP, Manual, associated federal and state regulations, and this Agreement. Only expenses that are reasonable and allowable, are permitted for reimbursement. HCA expects the MAC program to be managed similarly to other federal awards and expects the RMTS and Fiscal coordinators to report to, or work closely, with an administrator assigned oversight authority of the LHJ. The Contractor must: 1.1. Provide the necessary staff to perform the allowable MAC activities described in the Cost Allocation Plan (CAP), and perform the work necessary to ensure all applicable laws, regulations and guidelines specific to the MAC program and this Agreement are in compliance including but not limited to: Code of Federal Regulation (CFR) Title 42 and Title 45; 1903(w)(6)(A) of the Social Security Act; Delivering Services in School -Based Settings: A Comprehensive Guide to Medicaid Services and Administrative Claimin 2023; Revised Code of Washington (RCW); The LHJ MAC Claiming Manual; HCA-approved LHJ MAC training documents; Washington State 16 HCA Contract #K8630 Health Care Authority Attachment 5