The URL can be used to link to this page

Home My WebLink AboutYakima Neighborhood Health Services Subcontract AmendYakima Neighborhood Health Services 12 South 81h St, PO Box 2605 Yakima WA 98907-2605 Phone (509) 454-4143 Fax (509) 454-3651 www.ynhs.org 2016-2017 AN AMEMDMENT TO THE SUB-CONTRACT BETWEEN YAKIMA NEIGHBORHOOD HEALTH SERVICES AND Kittitas County Public Health Department Contract Terms and Conditions Based on HBE 15-004 Navigator Program Services Lead Organizations and State wide Navigator Organizations Navigator Program Services for the Washington Health Benefit Exchange October 2016 -June 2017 All terms and conditions of HBE 15-004 continue, along with the amended terms set forth as follows by the Health Benefit Exchange: The purpose of this amendment is to change the sub-contract as follows: A.Term: This sub-contract is extended in full force and effect for an additional (9) months. The period of performance shall continue through June 30, 2017. B. Contract Section 3 -Pricing: The maximum not-to-exceed compensation, which includes any allowable expenses, payable to Sub- Contractor for satisfactory performance of the work under this contract shall not exceed $22,000.22 inclusive of the 2017 base payment and potential outcome-based incentive. The payment schedule is set forth as follows: • $1,896.58 monthly October -June 2017 to support Navigator activitit:s [or nint: months (bast: payment). • $4,931-one-time incentive payment for meeting QHP enrollment target of325. The incentive will be paid by HBE to YNHS (and YNHS to the sub-contractor) for the proportion of the Accredited by the Joint Commission Patient Centered Medical Home Level 3 ~ Neii,borh~od 'lIP OH EALTH Yakima Neighborhood Health Services 12 South glh St, PO Box 2605 Yakima WA 98907-2605 Phone (509) 454-4143 Fax (509) 454-3651 www.ynhs.org amended enroIlment target met for new and renewed plans selected through the end of the 2017 Open EnroIlment period as validated by the Washington Healthplanfinder system data. Total Base Payment = Total Potential Incentive Payment Maximum Nine Month Contract Award C. Contractor Payment: $17,069.22 $ 4,931.00 $22,000.22 • Sub-Contractors will receive a one-time enroIlment outcome payment after the 2017 open enroIlment period concludes. The payment will be generated upon validation through the Washington Healthplanfinder system of the QHP new and QHP renewed plans selected by service area navigators during the open enroIlment period. The payment will be based on the proportion, up to but not exceeding 100%, of the QHP plan selection contract goal met at the conclusion of the open enroIlment period. • Should sub-contractor enroIl or re-enroIl fewer than 325 QHP members (as identified by the HBE data system), sub-contractor's outcome-based enroIlment payment will be pro-rated to that same percentage of the one-time incentive payment. D. Reporting: Sub-contractor agrees to continue reporting monthly outreach activities to contractor, using the format provided by HBE and/or contractor, to include: Highlights of community outreach events or key activities during the previous month: Outreach events conducted in report month, city/county, target population; Key accomplishments; Barriers/Issues experienced during outreach effort Reports are due by the 5th of the following month. The parties hereto, having read this Sub-Contract Amendment in its entirety, do agree to the terms of the amendment Approved (Contractor) Approved (Sub-Contractor) Yakima Neighborhood Health Services ~ . '=====--.-= ~ Signature Signature Print name aIld(~~~~(te ~.D Accredited by the Joint Commission Patient Centered Medical Home Level 3 Today's Date 08/23/2016 Fund/Department 116-Public Health Kittitas Cou nty Review Form Grants & Contract Agreement Agenda Date Contract/Grant Information CiI~JJc~ Contract /Grant Agency: Amendment to the Sub Contract between Yakima Neighborhood Health Services and Kittitas County Public Health Department Period Begin Date: October 1,2016 I I Period End Date: June 30, 2017 Total Grant/Contract Amount: Shall not exceed $22,000.22 Grant/Contract Number: Contract/Grant Summary: The amendment will extend the current contract for an additional 9 months from October 2016 through June 2017. The amendment will allow navigators in the public health department to continue to enroll Kittitas County residents in the Washington Healthplanfinder. Recommendation for Board of Health and Board of Health Review on Department Head Signatur~ !W!\J/{7 Administrator Date : "1 /8'/10 Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: A~ED AS ?!~ _{ji~4r, F -d'I/67 Sign al of Prosecutor's (.flee Date ~~'''''.' I~ ~/;;~/;~ Date Signature of Board of Health member Date Financial Information Total Amount $22,000.22 State Funds $ Percentage County Funds Matching Funds $ Grant/Contract Review Federal Funds $22,000.22 CFDA# 93.525 Page 1 In-Kind $ Explain Is Equipment being purchased? Who owns equipment? New Personnel being hired? Contact HR hiring -reporting requirements Future impacts or liability to Kittitas County: Budget Information Budget Amendment Needed? Yes [R] attach budget form No 0 Why not New Division Created? Will enter in the budget center Revenue Code 116-612.30.333.93.525 -$22,000.22 Pass Through Information Agency to Pass Through Amount to Pass Through $ Sub-Contract Approved Date: Prosecutor Review I Has the Prosecutor reviewed this agreement? I Yes 0 No D County Departments Impacted Auditor Facilities Maintenance Information Services Human Resource Prosecutor Treasurer Submitted I Signature: Department: I Date: Assignment of Tracking Information Auditor's Office Human Resource Prosecutor's Office Who Signed the grant application I Reviewer I Date Grant/Contract Review Page 2