HomeMy WebLinkAboutSHJ25-014 MOLINA HEALTHCARE RENEWAL - Grant and Contract ReviewKlttitas County
Review Form
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Grants & Contract Agreement
Today's Date Agenda Date
April 29th, 2026 May 19th, 2026
Fund/Department
30 / Sheriff
Contract/Grant Information
Contract /Grant Agency: Molina Healthcare — Interim Period Reimbursement Agreement
Period Begin Date: Upon final Signature
Period End Date: 1 year with successive 1 year
terms unless terminated by either party.
Total Grant/Contract Amount: Billed per occurrence
Grant/Contract Number: SHJ25-014
Contract/Grant Summary: This contract is part of the 1115 Medicaid Reentry Initiative. The purpose of
this contract is to provide rTCM (Reentry Targeted Case Management) to those incarcerated who qualify
for services through Washington State Medicaid. Our staff will be assessing, checking eligibility,
enrolling/reinstating qualified individuals within the first 24 hours they are booked, and will have
Medicaid services through the first 90 days of their incarceration. Molina Healthcare will be coordinating
with our staff to provide case management to those who qualify to increase reentry services for both
health and social settings. The original contract approved 10/7/25 was a temporary Contract. This is the
full long-term contract
Financial Information
Total Amount: See above
State Funds $0
Federal Funds $0
Percentage County Funds 0%
Matching Funds $0
CFDA# NA
In -Kind $0
ExpWn
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:
Budget Information
Budget Amendment Needed?
Yes ❑ attach budget form
No ® Why not — No money is being
exchanged.
New Division Created? NO
Revenue Code
Expense Code
NA
Pass Through Information
Agency to Pass Through I NA
Grant/Contract Review Page 1
Amount to Pass Through $0
Sub -Contract Approved Date:
Prosecutor Review
Has the Prosecutor reviewed this agreement? Yes C-IX No ❑CAMAS# 12374
County Departments Impacted
Auditor
Facilities Maintenance
Information Services
Human Resource
Prosecutor
Treasurer
Submitted
Signature:
Date:, y.
Department: S riff
Assignment of Tracking Information
Auditor's Office
Human Resource
Prosecutor's Office
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Who Signed the grant application
Reviewer I Date
Grant/Contract Review Page 2