HomeMy WebLinkAboutSub-Contract' ' . ' ' " ' -' .
Neiahbor!rood
'c."j~ EA LT H
Yakima Neighborhood Health Services
12 South 8th St, PO Box 2605
Yakima WA 98907-2605
Phone (509) 454-4143 Fax (509) 454-3651
www.ynhs.org
2018-2019
Navigator Program Services
SUB-CONTRACT BETWEEN
YAKIMA NEIGHBORHOOD HEALTH SERVICES
AND
Kittitas County Public Health Department
Contract Terms and Conditions
Based on
HBE -349 Navigator Program Services
Lead Organizations and Statewide Navigator Organizations
Navigator Program Services for the
Washington Health Benefit Exchange
July 1, 2018 -June 30, 2019
All terms and conditions of HBE 349 apply I along with the terms set
forth as follows by the Health Benefit Exchange:
The purpose of this sub-contract as follows:
A.Term:
This sub-contract extends the terms of the contract between YNHS and the Health
Benefit Exchange to the Sub-Contractor. The period of performance shall continue through
June 30, 2019.
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 $28,027 inclusive
of the base payment and potential outcome-based incentive. The payment schedule is set forth as follows:
• $1978.66 monthly July 2018 -June 2019 to support Navigator activities for twelve months
(base payment).
• $4,283-one-time incentive payment for meeting QHP enrollment target of 357. The
incentive will be paid by HBE to YNHS (and YNHS to the sub-contractor) for the proportion of
the amended enrollment target met for new and renewed plans selected through the end of the
OE-6 Open Enrollment period as validated by the Washington Healthplanfinder system data.
Accredited by the Joint Commission Patient Centered Medical Home level 3
Total Base Payment =
...........
Neiahbor/rood
~HEAL' H
Yakima Neighborhood Health Services
12 South 8'h St, PO Box 2605
Yakima WA 98907-2605
Phone (509) 454-4143 Fax (509) 454-3651
www.ynbs.org
Total Potential Incentive Payment
Maximum Twelve Month Contract Award
C. Contractor Payment:
$23 ,744
$ 4,283
$28,027
• Sub-Contractors will receive a one-time enrollment outcome payment after the 2019 open
enrollment 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 enrollment 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 enrollment period .
• Should sub-contractor enroll or re-enroll fewer than 357 QHP members (as identified by the
HBE data system), sub-contractor's outcome-based enrollment 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 5 th of the following month in order for YNHS to roll up reports and submit to HBE
by the required monthly reporting deadline.
The parties hereto, having read this Sub-Contract Amendment in its entirety, do agree to the terms of the
amendment
Approved (Contractor)
Yakima Neighborhood Health Services
\...,. .
Signature
A nita Mo no ian, Preside nt / CEO
Print name and title
Accredited by th e Joint Commission
7/1 /18
date
Approved (Sub-Contractor)
Sub-Contractor Agency
{lit~ date
1Ff ~tra1 La ,tih, /nl(J,, 111 A1!tn1/l,1~t rn fir
Print nam~ and title
Patient Centered Medical Hom e l evel 3
Today's Date
07/23/2018
Fund/Department
116-Public Health
Kittitas County
Review Form
Grants & Contract Agreement
Agenda Date
Contract/Grant Information
Contract /Grant Agency: Yakima Neighborhood Health Services and Kittitas County Public Health
Department
Period Begin Date: July 1, 2018 I I Period End Date: June 30, 2019
Total Grant/Contract Amount: Not to exceed $28,027.00
Grant/Contract Number:
Contract/Grant Summary:
The sub-contract extends the terms ofthe contract between YNHS and the Health Benefit Exchange to
the Sub-Contractor. The period of performance shall continue through June 30, 2019. The sub-contract
allows the health department to continue to enroll Kittitas County residents in the Washington
Healthplanfinder and continue reporting monthly outreach activities to contractor.
Recommendation for Board of Health and Board of Health Review on
Signatu ~o r's Office Date
Signature of Board of Health member Date
Financial Information
Total Amount$ 28,027 .00 State Funds $ 0 Federal Funds$ 28,027.00
Percentage County Funds Matching Funds$ CFDA#
Grant/Contract Review Page 1
In-Kind$
Explain
Is Equipment being purchased? No Who owns equipment?
New Personnel being hired? No Contact HR hiring-reporting requirements
Future impacts or liability to Kittitas County:
Budge t Information
Budget Amendment Needed? Yes [fil attach budget form No D Why not
New Division Created? No To be entered in budget center
Revenue Code 116.612.30.333.93.525 II
Pass Through Information
Agency to Pass Through
Amount to Pass Through $
Sub-Contract Approved Date:
Prosecutor Review
I Has the Prosecutor reviewed this agreement? )Yes • 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