HomeMy WebLinkAboutAgreements/Contracts - GRISAMENDMENT #4TO
BEACON FACILITY AGREEMENT
This fourth amendment ("Amendment") amends the Beacon Facility Agreement ("Agreement") entered into y Bea Health
Options, Inc. ("Beacon") and Grant Integrated Services •("Facility"). Unless otherwise defined herein, all capitalized terms used
in this Amendment shall have the same meaning as set forth in the Agreement.
WHEREAS, the Agreement permits amendments to the Agreement by Beacon and Facility; and
WHEREAS, Beacon and Facility desire to amend the Agreement to make certain changes to it.
NOW, THEREFORE, in consideration of the Promises and mutual covenants contained herein and other good and valuable
consideration, the receipt and sufficiency of which is hereby acknowledged, the Agreement is hereby amended as follows..
I. All previous Exhibits funded by the c
Location(s) & PractitionAuthority, excet E
ontract between Beacon and Health Car pxhibit A Facility
yare
ers, Services & Pament, removed and replaced with the following effective July 1, 2019:
a. Exhibit A -1.A4 NWRF Rate Schedule
b. Exhibit A -2-A4 NWSA Rate Schedule
c. Exhibit B -A4 Payor/Government PrOgram/State Specific Provisions
d. Exhibit B-1 -A4 Reimbursement
e. Exhibit B -2-A4 Maximum Contract Amounts
f. Exhibit B -4.A4 Crisis Program Provisions (Mobile Crisis and Designated Crisis Responder)
g. Exhibit B -8-A4 Washington State HealthCare Authority Specific Provisions
h. Exhibit B -10.A4 Mental Health Block Grant Program Provisions
i. Exhibit B-1 1 -A4 Substance Use Disorder Program Provisions
j. Addendum to B-1 1A.4 Mobile Outreach Team
k. Exhibit B -20.A4 ESSB 5883 Start Up Funds
2. This Amendment shall be effective upon the date set forth by Beacon following signature by both Beacon and Facility.
3. Except as amended herein, all other terms and conditions of the Agreem
modification. ent shall remain in full force and effect with
4. Scope of workpursuant with contract terms between Beacon and Health Care Authority as dictated in contract
amendment dated July 1, 2019.
Facility: Grant Integrated Services
Address: 840 E. Plum
Moses Lake, WA 98837
NPI: 168967783391982792537
BHO-F-COM-MA-MCD/I 1/2015
(AG — VO STD FACILITY)
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