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Klttitas County <br />Review Form <br />fif'S`C I1'.lti {�{iF'1'7'4' <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />April 29th, 2026 May 19th, 2026 <br />Fund/Department <br />30 / Sheriff <br />Contract/Grant Information <br />Contract /Grant Agency: Molina Healthcare — Interim Period Reimbursement Agreement <br />Period Begin Date: Upon final Signature <br />Period End Date: 1 year with successive 1 year <br />terms unless terminated by either party. <br />Total Grant/Contract Amount: Billed per occurrence <br />Grant/Contract Number: SHJ25-014 <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. The original contract approved 10/7/25 was a temporary Contract. This is the <br />full long-term contract <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 />ExpWn <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 ❑ 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 I NA <br />Grant/Contract Review Page 1 <br />