Interagency Agreement between Wa Healthcare Authority and KC

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LlUUUDIIJ.I I GI IvCluptC IV. %� 1 WVL'U-+U-1 UUF_—+MUU-M'FUU--t^ I Vl+CVOI.OVV Washington State Health Care uthority INTERAGENCY AGREEMENT I FICA Contract Number: K8630 for Contractor Contract Number: Medicaid Administrative Claiming THIS AGREEMENT is made by and between Washington State Health Care Authority (HCA) and Kittitas County, (Contractor), pursuant to the authority granted by Chapter 39.34 RCW. CONTRACTOR NAME CONTRACTOR DOING BUSINESS AS (DBA) Kittitas County CONTRACTOR ADDRESS Street Citv State Zip Code 507 N Nanum Street, STE 102 Ellensburg WA 98926 CONTRACTOR CONTRACT MANAGER CONTRACTOR TELEPHONE CONTRACTOR E-MAIL ADDRESS Candi Blackford J (509) 962-7515 candi.blackford@co.kittitas.wa.us HCA PROGRAM Medicaid Administrative Claiming HCA DIVISION/SECTION Medicaid Programs Division/Community Services HCA CONTRACT MANAGER NAME AND TITLE HCA CONTRACT MANAGER ADDRESS Health Care Authority Jon Brogger, Health Care Program Manager 626 8th Avenue SE Olympia, WA 98504 HCA CONTRACT MANAGER TELEPHONE HCA CONTRACT MANAGER E-MAIL ADDRESS (360) 725-1647 lon.brogger _hca.wa.gov CONTRACT START DATE January 1, 2026 PURPOSE OF CONTRACT: CONTRACT END DATE December 31, 2029 TOTAL MAXIMUM CONTRACT AMOUNT No Maximum The purpose of this Contract 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 parties signing below warrant that they have read and understand this Contract, and have authority to execute this Contract. This Contract will only be binding upon signature by both parties. The parties may execute this contract in multiple counterparts, each of which is deemed an original and all of which constitute only one agreement. E-mail (electronic mail) transmission of a signed copy of this contract shall be the same as delivery of an original. CONTRACTOR SIGNATURE PRINTED NAME AND TITLE DATE HCA SIGNATURE PRINTED NAME AND TITLE DATE ❑`cu5 i,:ie:t by: Andria Howerton �"�``"' _1 Deputy Contracts Administrator 11/24/2025 Washington State Page 1 of 35 HCA IAA K8630 Health Care Authority Revised 07/2023