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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />i tii. Imo.✓C5._1 �i f}ff <br />4 n R <br />Today's Date <br />Agenda Date <br />January 21 st, 2025 <br />February 4th, 2025 <br />Fund/Department <br />30 / Sheriff <br />Contract/Grant Information <br />Contract /Grant Agency: WA HCA 1 OF 1115 WAIVER — AMENDMENT #1 <br />Period Begin Date: July 1, 2024L. <br />IPeriod End Date: July 31, 2028 <br />Total Grant/Contract Amount: $2,250,000.00 <br />Grant/Contract Number: SHJ24-012 <br />Contract/Grant Summary: This is the agreement between the WA HCA and KCSO to be part of <br />COHORT 1 of the MTP (Medicaid Transformation Project) 2.0 Reentry Demonstration Initiative for the <br />state of Washington. It provides essential, prerelease services for individuals leaving incarceration. <br />Under this initiative, incarcerated individuals who are apple health eligible will receive services up to 90 <br />days prior to release. This is to ensure health and successful reentry to their community. It will include <br />case management, medications, and other community health worker assistance all covered under <br />Medicare. <br />_Amendment Summary: This Amendment is to add funding requirements to the Statement of Work, <br />Section 5. HCA Responsibilities. Waiver handing for Capacity Building and IT Infrastructure can only be used <br />for expenditures in Appendix A. Use of funding for any other purposes is not allowable. After HCA notifies the <br />Contractor of an amount of non -allowable funds, Contractor must refund that amount within thirty (30) calendar <br />days of the HCA notice. <br />In the event Contractor leaves the program and has unspent funds, HCA will notify the Contractor of the <br />unspent amount and the Contractor must refund that amount within thirty (30) calendar days of the notice <br />Financial Information <br />Total Amount: $2,250,000.00 <br />State Funds $0 <br />Federal Funds: <br />Percentage County Funds <br />Matching Funds $0 <br />CFDA# <br />In -Kind $ <br />Explain <br />Is Equipment being purchased? No <br />Who owns equipment? na <br />New Personnel being hired? No <br />I Contact HR hiring — reportingrepurting requirements - na <br />Future impacts or liability to Kittitas County: <br />Grant/Contract Review Page 1 <br />