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O10ES___10 fh <br />Kittitas County <br />Review Form <br />KiTrrr,_, 4- 1r re <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />September 9th, 2025 October 7th, 2025 <br />Fund/Department <br />30 / Sheriff <br />Contract/Grant Information <br />Contract /Grant Agency: Molina Healthcare — Interim Period Reimbursement Agreement <br />Period Begin Date: 7/1/2025 <br />Period End Date: 6/30/2026 <br />Total Grant/Contract Amount: Billed per occurrence <br />Grant/Contract Number: 5HJ25-014 <br />Contract/Grant Summary: This contract is part of the 1115 Medicaid Reentry Initiative.The purpose of <br />this contract is to provide rTCM (Reentry Targeted Case Management) to those incarcerated who qualify <br />for services through Washington State Medicaid. Our staff will be assessing, checking eligibility, <br />enrolling/reinstating qualified individuals within the first 24 hours they are booked, and will have <br />Medicaid services through the first 90 days of their incarceration. Molina Healthcare will be coordinating <br />with our staff to provide case management to those who qualify to increase reentry services for both <br />health and social settings. <br />Financial Information <br />Total Amount: See above <br />State Funds $0 <br />Federal Funds $0 <br />Percentage County Funds 0% <br />Matching Funds $0 <br />CFDA# NA <br />In -Kind $0 <br />Explain <br />Is Equipment being purchased? NO <br />Who owns equipment? <br />New Personnel being hired? NO <br />Contact HR hiring — reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budget Information <br />Budget Amendment Needed? <br />Yes E] attach budget form <br />No ® Why not— No money is being <br />exchanged. <br />New Division Created? NO <br />Revenue Code <br />Expense Code <br />NA <br />Pass Through Information <br />Agency to Pass Through NA <br />Amount to Pass Through $0 <br />Grant/Contract Review Page 1 <br />