SH22-011 - WA STATE HCA MOUD IN JAILS - AMENDMENT 5 FULLY EXECUTED

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HCA Contract No. K5885-05 Page 1 of 13 CONTRACT AMENDMENT HCA Contract No.: K5885 Amendment No.: 05 THIS AMENDMENT TO THE CONTRACT is between the Washington State Health Care Authority and the party whose name appears below, and is effective as of the date set forth below. CONTRACTOR NAME CONTRACTOR doing business as (DBA) Kittitas County Kittitas County Sheriff-Jail CONTRACTOR ADDRESS CONTRACTOR CONTRACT MANAGER 205 W 5th Avenue, Suite 1 Ellensburg, WA 98926 Name: Edward Buntin Email: edward.buntin@co.kittitas.wa.us AMENDMENT START DATE CONTRACT END DATE July 1, 2026 June 30, 2027 PRIOR MAXIMUM CONTRACT AMOUNT AMOUNT OF INCREASE TOTAL MAXIMUM COMPENSATION $1,226,775 $209,000 $1,435,775 WHEREAS, HCA and Contractor entered into Contract K5885 for the development and implementation of the Medication for Opioid Use Disorder (MOUD) and Medications for Alcohol Use Disorder (MAUD) in Jails programs, and; WHEREAS, HCA and Contractor wish to amend the Contract pursuant to Section 4.3, Amendments, to extend the Contract term, increase funding, and incorporate a revised and restated Statement of Work; THEREFORE, the parties agree the Contract is amended as follows: 1. Contract Section 2, Definitions, two (2) new defined terms are incorporated in alphabetical order. The new defined terms are as follows: “Informed Refusal” is when an individual refuses treatment after an explanation of the treatment is provided including, its benefits and risks, alternatives, addressing the individual’s concerns and exploration of any reasonable way of addressing the concerns to avoid refusal, and explanation of the risks of refusal, all this provided in a manner that is comprehensible by the individual. “Appears Unwell” means to demonstrate signs, symptoms, or indications observable by a layperson that (1) indicate an individual may be sick (physically or psychologically); or (2) in the case of a patient who has already been assessed by a qualified health care professional, indicate the individual’s condition is worsening, becoming unstable, or becoming a danger to themselves or others. 2. Contract Section 3.2, Term, subsection 3.2.1, is amended to extend the Contract term as follows: 3.2.1 The initial term of the Contract will commence on March 1, 2022, and continue through June 30, 2027, unless terminated sooner as provided herein. 3. Contract Section 3.3, Compensation, subsection 3.3.1 is amended to reflect the $209,000 increase in funding, subsection 3.3.1 now reads as follows: 3.3.1 The parties have determined the cost of accomplishing the work herein will not exceed $1,435,775, inclusive of all fees, taxes, and expenses. Compensation for satisfactory performance of the work will not exceed this amount unless the parties agree to a higher amount through an amendment. Docusign Envelope ID: 700826AD-3CE3-815C-8194-013EF364AA04