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Fully Executed Interlocal
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2025
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12. December
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2025-12-16 10:00 AM - Commissioners' Agenda
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Fully Executed Interlocal
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Last modified
1/12/2026 1:21:01 PM
Creation date
1/12/2026 1:20:33 PM
Metadata
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Meeting
Date
12/16/2025
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Item
Request to Approve a Resolution to Authorize an Interagency Agreement between the Kittitas County Public Health Department and the Washington State Health Care Authority
Order
14
Placement
Consent Agenda
Row ID
139120
Type
Resolution
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Docusign Envelope lD: C1 90C649-709E-4E00-A409-4A't 6CED8C800 <br />4.13.11. <br />4.13.12. <br />4.13.13. <br />4.13.14. <br />4.14.1 <br />4.14.2 <br />4.14.3 <br />4.14.4. <br />4.14.5. <br />4.14.6 <br />4.14.7 <br />Washington State <br />Health Care Authority <br />Prohibited from using funds payable under this Agreement for lobbying <br />activities of any nature. The Contractor certifies that no state or federal <br />funds payable under this Agreement shall be paid to any person or <br />organization to influence, or attempt to influence, either directly or <br />indirecfly, an officer or employee of a state or federal agency, or an <br />olficer or member of any state or federal legislative body or committee <br />regarding the award, amendment, modification, extension, or renewal of <br />a state or federal contract grant; <br />Required to expend the total computable cost to Subcontractors for <br />performance of allowable MAC activities; <br />Prohibited from submitting a request for FFP reimbursement to HcA <br />until they have actually incurred the total computable cost; and <br />Prohibited from requiring the Subcontractor to provide the non-federal <br />share of the payment, or return any portion of the total computable cost <br />to the Contractor. <br />Prohibited from submitting a request for FFP reimbursement to HCA <br />unless allfunds are appropriately offset according to all federal, state, <br />HCA and CMS Regulations, the CAP, Manualand this Agreement; <br />Required to certify the accuracy of the funds that are offset and the <br />accuracy of the requested FFP reimbursement by signing the A19; <br />Required to ensure there is no duplication in FFP reimbursement <br />between programs or cost objectives; <br />Financially responsible for repayment of any duplicated funds; <br />Required to provide documentation that Coordinators have been trained <br />and fully understands the scope of work and terms of each funding <br />source; and <br />Required to perform an assessment to determine whether each cost <br />objective contained within the MAC budget unit(s) has potentialto <br />overlap with MAC; <br />The Contractor is prohibited from using any source of funds contained <br />within the MAC budget unit untilthey have been assessed and <br />determined appropriate; <br />HCA Contraci #K8630 <br />Attachment 5 <br />4.14. Revenue Offset <br />Federal or other unallowable funds that paid for MAC activities must be offset in <br />the MAC invoice. <br />The Contractor is: <br />29
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