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UVI:UZ'1Y1I CI IVCIVFIC IU. l' I.'7V%.'UVU-/ V.7CW CUU-/'1V V.7-VM I VI.rGVO%. OVU <br />1.12. Complete a one hundred percent (100%) code review of all RMTS moments to <br />ensure the code and narrative correlate, within forty five (45) calendar days after <br />the end of the quarter. <br />1.13. Finalize and certify the accuracy of the 10% quality assurance review no more than <br />10 (ten) calendar days after the 10% review is received. <br />1.14. Monitor the RMTS non response rate, identify and take corrective action to resolve <br />any deficiencies in staff responses. <br />Corrective action must: <br />1.14.1. Be implemented within ten (10) business days; and <br />1.14.2. Be documented and available to HCA upon request. <br />1.15. Use a System that is statistically valid and in compliance with all state, and federal <br />laws and Regulations whether through a third -party or other means as stated in the <br />CAP. <br />1.16. Not participate in a time study or claiming process for the HCA MAC program with <br />any entity that does not have an executed agreement with HCA. <br />1.17. Not participate in an RMTS consortium without prior written approval from HCA <br />and express, written approval of the Consortia organization and membership. <br />1.18. If identified as a Lead Agency for the RMTS Consortium, the Contractor must <br />perform the Lead Agency duties described in the CAP and Manual and participate <br />in the current statewide LHJ Steering Committee, including attending LHJ MAC <br />work group meetings hosted by HCA. <br />1.19. Ensure all interpreter staff have been tested and certified by Washington State <br />Department of Social and Health Services (DSHS) as defined by DSHS. The <br />Contractor is prohibited from claiming the enhanced seventy five percent (75%) <br />rate for any interpretation activities unless: <br />1.19.1. The staff has been certified by DSHS; <br />1.19.2. The MAC activities performed are part of the staffs assigned job duties; <br />and <br />1.19.3. The allowable MAC activity was performed on behalf of children under <br />twenty one (21). <br />1.20. Ensure all Coordinators and Participants have completed and have certified their <br />understanding of the training prior to participating in the MAC program, and <br />annually thereafter. The contractor is prohibited from allowing any staff to <br />participate in the program unless they have completed and have certified their <br />understanding of the training. <br />Washington State 20 HCA Contract #K8630 <br />Health Care Authority Attachment 5 <br />