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Docusign Envelope lD: C1 90C649-709E-4E00-A409-4AI 6CED8C800 <br />Federal Reviews or Federal Audits. The contractor must provide to <br />HCA, any corrective action related to MAC findings and questioned <br />costs within thirty (30) business days of submission' <br />Abide by all roles, responsibilities, limitations, restrictions, and documentation <br />requirements including but not limited to those described in the CAP, the Manual, <br />and this Agreement. <br />Only include staff in the claimed reimbursement (through the RMTS or direct <br />cnaige method) who are eligible to participate. The Contractor is prohibited from <br />including any staff in the RMTS or the claimed reimbursement unless their job <br />positioni comply with the criteria described in the CAP, the Manual, and this <br />Agreement. <br />Staff who may be eligible to be included in the RMTS or claimed reimbursement <br />1.3. <br />1.4. <br />must: <br />1.4.1. <br />1.4.2. <br />1.4.3 <br />1.4.4 <br />1.4.5 <br />1.5 <br />Washington State <br />Health Care Authority <br />Not be included in another MAC time study or reimbursement claim; <br />Be directly employed or contracted by the LHJ, or an HCA approved <br />Subcontractor; <br />Be reasonably expected to perform MAC related activities; <br />Have allfederal dollars appropriately off-set according to the CAP and <br />Manual; <br />Not be included in the calculation of an indirect cost rate that is used to <br />calculate FFP reimbursement; <br />1.4.6 Not include any Federally Qualified Health clinic (FQHC) staff (or <br />expenses) whose costs are included in the FQHC cost report; and <br />Be job positions that fit within these job categories: nurses, other <br />med ical professionals, other professional classifications, commu n ity <br />outreach and I i n kage classifi cations, man ager/su pervisor/ad mi n istrator <br />classifications, or administrative support classifications as described in <br />the CAP and Manual. <br />1.4.7 <br />Designate staff for an RMTS Coordinator and a Fiscal Coordinator to be <br />responsible for daily oversight and management of the Contractor's MAC program <br />1 .5.1. The RMTS and Fiscal coordinator roles may be assumed by one <br />individual if desired. <br />1.5.2 The Contractor must submit contact information to the HCA Contract <br />Manager for each coordinator, including their assigned role, name, <br />telephone number, fax number, email, and address prior to participation <br />in the MAC program, within seven (7) calendar days of the change. <br />HCA Coniract #K8630 <br />Attachment 5 <br />18