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COMMUNITY HEALTH PLAN OF WASHINGTON <br />FACILITY AGREEMENT <br />This Agreement ("Agreement") is made by and between Community Health Plan of Washington <br />("CHPW"), a not for profit Washington Corporation and Kittitas County Sheriff's Office Jail <br />("Facility") and is effective the 1st of July, 2025 ("Effective Date"). <br />RECITALS <br />A. Community Health Plan of Washington ("CHPW") is a 501(c)(4) tax exempt corporation, <br />accredited by the National Committee on Quality Assurance ("NCQA") and certified as a health <br />care services contractor, organized and operating under the laws of the State of Washington to <br />provide or arrange for provision of covered health care services to individuals enrolled in its <br />Benefit Plans ("Members"); <br />B. CHPW arranges for provision of covered health services to Members pursuant to its contracts <br />with state and federal agencies, including Washington State Health Care Authority ("HCA"), and <br />Centers for Medicare and Medicaid Services ("CMS"), that sponsor various health programs <br />(collectively, "state and federal sponsored health programs"); <br />C. Facility holds all required licenses, registration or certification required by state and federal <br />agencies to provide the health care services specified herein; and <br />D. CHPW desires to contract with Facility to provide Covered Services to Members pursuant to <br />CHPW Benefit Plans, and Facility desires to contract with CHPW to provide such services. This <br />agreement is written in compliance with 42 CFR 434.6. <br />NOW, THEREFORE, in consideration of the recitals, mutual promises, covenants, and <br />agreements set forth herein, both parties agree as follows: <br />AGREEMENT <br />I. DEFINITIONS <br />The following definitions shall apply to this Agreement, except to the extent that they may be <br />superseded by definitions that are specific to a particular health benefit plan on the applicable <br />Benefit Plan Exhibit in Exhibit B and/or available at www.CHPW.org. <br />1.1 "Agreement" means this CHPW Facility Agreement entered into between CHPW and <br />Facility with all amendments, schedules and exhibits hereto. <br />2020 Facility Agmt— Template Page 1 of 51 Contract #{Contract #}-1PRC Agreement ID} <br />