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Fully Executed Agreement (2)
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2026-05-19 10:00 AM - Commissioners' Agenda
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Fully Executed Agreement (2)
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Last modified
6/30/2026 8:49:07 AM
Creation date
6/30/2026 8:48:52 AM
Metadata
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Meeting
Date
5/19/2026
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 an Agreement with between Kittitas County and Molina Healthcare of Washington, Inc.
Order
8
Placement
Consent Agenda
Row ID
144485
Type
Contract
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Docusign Envelope lD: 7 4E827C5-FAB8-8084-827C-414AD59920A0 <br />NPDB. The appeal right, Fair Hearing process, and the requirement to rcport to the V/ashington Medical <br />Commission and NPDB are described in Health Plan's Fair Hearing Plan. <br />5.10 Arbitration. Health Plan and Provider agree, as a condition precedent to the commencement of any civil <br />action in any court of competent jurisdiction, to submit to mbitmtion all disputes arising from or rclated to <br />this Agreement and the rendition of services to Members pursuant to this Agreement which are not <br />otherwise resolved pursuant to the processes set forth at Sections 2.8(g) or 5.8; ptovided, however, that <br />arbitration shatl not be utilized to adjudicate matters that primarily involve review of Provider's <br />professional compet€nce or professional conduct, and shall not be available as a mechanism for appeal of <br />any determinations made as to suoh matters. Arbitration shall proceed according to the rules and <br />regulations of JAMS Optional Arbitration Appeal Procedure, then in effect, and shall be conducted in <br />King County, Washington, The arbitrator shall have no authority to awat'd damages or provide a remedy <br />that would not be available to such prevailing party in a court of law, Nor shall the arbitrator have the <br />authority to award punitive damages. The parties recognize that the arbitrator's decision is not binding <br />and that either party may seek judicial remedies following the arbitration of a dispute. The panel of <br />arbitrators shall be selected as follows: one arbitrator shall be designated by Health Plan; one arbitrator <br />shatl be designated by Provider; and the third arbitratorshall be selected by flre arbitrators designated by <br />Provider and Health Plan. Health PIan and Provider shall divide and share equally the cost of arbitration. <br />Each party shall be responsible for its own attorneys' fees, <br />5.11 Attachments. Each of the Attachments and Exhibits (as selected) and identified below is hereby made a <br />part of this Agreement: <br />EAttachment I - Required Provisions (Health Care Service Plans) <br />EAttachment 2 - Required Provisions (Health Care Authority) <br />EAttachment 3 - Medicare Program Requirements-Health Care Services <br />EAttachment 4- Molina Marketplace - Laws and Govemment Program Requirements <br />EAttachment 5 - Indian Health Care Providers Medicaid/CHIP Provisions <br />lAttachment 6 - Delegated Services Addendum (Version l) <br />lAttachment 6 - Delegated Services Addendum (Version 2) (Facility/HDO) <br />nAttachment 6-A - Information Security & Cybersecurity for Delegated Services <br />XExhibit 1-A Compensation Schedule Medicaid (Version 1) <br />!Exhibit l-A Compensation Schedule Medicaid (Version 2) <br />!Exhibit 1-A Compensation Schedule Medicaid (Version 3) <br />!Exhibit 1-A Compensation Schedule Medicaid (Version 4) <br />lExhibit 1-B Compensation Schedule Medicare (Version 1) <br />trExhibit 1-B Compensation Schedule Medicare (Version 2) <br />lExhibit l-C Compensation Schedule Molina Marketplace (Version l) <br />trExhibit l-C Compensation Schedule Molina Marketplace (Version 2) <br />!Exhibit l-C Compensation Schedule Molina Marketplace (Version 3) <br />nExhibit l-C Compersation Schedule Molina Marketplace (Version 4) <br />trExhibit l-C Compensation Schedule Molina Marketplace (Version 5) <br />trExhibit l-C Compensation Schedule Molina Marketplace (Version 6) <br />5.12 Conflict with Ilealth Plan Product. Nothing in this Agreement modifies any benefits, terms or <br />conditions conlained in the Member's Health Plan Product. In the event of a conflict between this <br />Agreement and the benefits, terms, and conditions of the Health Plan Product, the benefits, terms or <br />conditions contained in the Member's Health Plan Product shall govern. <br />5,13 Dxecution in Counterparts trnd Duplicates. This Agreeurent rnay be executed in counterparts, each of <br />which will be deemed an original, but all of which together will constitute one and the same instrument, <br />The Parties agree facsimile signatures, pdfsignatures, photocopied signatures, electronic signatures, or <br />signatures scanned and sent via email will have the same effect as original signatures. <br />MHWPROV22.3 MHWPSAiRevis ed. Jarn 2A4 Page 16 of25
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