Interagency Agreement between Wa Healthcare Authority and KC

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UUI:UJIIJ.II CI IVC1UPV ILJ. 1, I.'7V 1iU47-! V.7CW CUU-M'4 V.7-4M IUI,CL/OI+OVV 4.14.8. The Contractor must complete the assessment as frequently as necessary to ensure proper allocation of cost, but at least annually and must be available upon request. 4.14.9. If the assessment determines any portion of the scope of work overlaps with MAC activities, the entire cost objective is deemed to overlap and is prohibited from being used as CPE; and 4.14.10. Required to identify costs that must be offset, and verify the remaining net costs are allowable for inclusion in the MAC program and eligible for FFP reimbursement. 5. Skilled Professional Medical Personnel (SPMP) Requirements Contractor staff who have completed a two -or -more -year program leading to an academic degree or certificate in a medically related profession, demonstrated by possession of a medical license, certificate or other document issued by a recognized National or State medical licensure or certifying organization, or a degree in a medical field issued by a college or university certified by a professional medical organization are eligible for a seventy five percent (75%) enhanced reimbursement for specific MAC activities. Years of experience in the administration, direction, or implementation of the Medicaid program is not considered the equivalent of professional training in a field of medical care. The Contractor is permitted to perform SPMP activities as directed by HCA's Chief Medical Officer (CMO) to assist in achieving HCA's goals and administering the Medicaid State Plan. The Contractor must: 5.1. Monitor and ensure that FFP reimbursement for SPMP activities are in compliance with all federal, state, HCA and CMS Regulations, the CAP, Manual and this Agreement. Federal requirements include 42 CFR § 432.2, 432.45, 432.50, and 433.15. 5.2. Have all forms and documents supporting the designation of an SPMP entered into the System and retained according to the SOS record's retention schedule. 5.3. Not, and is prohibited from, requesting seventy five percent (75%) enhanced reimbursement for: 5.3.1. 5.3.2. 5.3.3. 5.3.4. Any staff who are not certified as an SPMP, as stated above; Any staff whose position descriptions do not require certified SPMP duties or responsibilities; Any staff who are not directly employed by the Contractor; Medical assistance expenditures; Washington State 30 HCA Contract #K8630 Health Care Authority Attachment 5