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Docusign Envelope lD: C1 90C649-709E-4E0GA409-4A1 6CED8C800 <br />4.14.8. <br />4.14.9. <br />4.14.10. <br />Washington State <br />Health Care Authority <br />The contractor must complete the assessment as frequently as <br />necessary to ensure proper allocation of cost, but at least annually and <br />must be available uPon request. <br />lf the assessment determines any portion of the scope of work overlaps <br />with MAC activities, the entire cost objective is deemed to overlap and <br />is prohibited from being used as CPE; and <br />Required to identify costs that must be offset, and veriry the remaining <br />net costs are allowable for inclusion in the MAC program and eligible for <br />FFP reimbursement. <br />HCA Contract #K8630 <br />Attachment 5 <br />5.skilled Professional Medical Personnel (SPMP) Requirements <br />Contractor staff who have completed a two-or-more-year program leading to an academic <br />degree or certificate in a medically related profession, demonstrated by possession of a <br />medical license, certificate or other document issued by a recognized National or State <br />medical licensure or certirying organization, or a degree in a medicalfield issued by a college <br />or university certified by a professional medical organization are eligible for a seventy five <br />percent (75Vo) enhanced reimbursement for specific MAC activities. Years of experience in <br />ihe administration, direction, or implementation of the Medicaid program is not considered the <br />equivalent of professional training in a field of medical care. The Contractor is permitted to <br />perform SpMP activities as directed by HCA's Chief Medical Officer (CMO) to assist in <br />achieving HCA's goals and administering the Medicaid state Plan. <br />The Contractor must: <br />5.1. Monitor and ensure that FFP reimbursement for SPMP activities are in compliance <br />with allfederal, state, HCA and CMS Regulations, the CAP, Manual and this <br />Agreement. Federal requirements include 42 cFR S 432.2,432.45,432.50, and <br />433.15. <br />5.2. Have all forms and documents supporting the designation of an SPMP entered into <br />the System and retained according to the SOS record's retention schedule. <br />5.3. Not, and is prohibited from, requesting seventy five percent (75%) enhanced <br />reimbursement for: <br />5.3.1 . Any staff who are not certified as an sPMP, as stated above; <br />5.g.2. Any staff whose position descriptions do not require certified SPMP <br />duties or resPonsibilities; <br />5.3.3. Any staff who are not directly employed by the contractor; <br />5.3.4. Medicalassistanceexpenditures; <br />30