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HomeMy WebLinkAboutGrant Related - Sheriff & Jail (002)GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORMy 1 (Must be submitted to the Clerk of the Board b 2.00pm on Thursday) REQUESTING DEPARTMENT: Sheriffs Office REQUEST SUBMITTED BY: Phillip Coats DATE: OT/OZ/2Q24. CONTACT PERSON ATTENDING ROUNDTABLE -Phillip Coats PHONE: ext 2021 CONFIDENTIAL INFORMATION: DYES ®NO ❑Agreement / Contract ❑Bids / RFPs / Quotes Award []Computer Related ❑ Facilities Related []Invoices / Purchase Orders ❑ Minutes ❑ Policies ❑ Recommendation ❑Tax Levies ❑AP Vouchers ❑ Bid Opening Scheduled ❑County Code ❑ Financial *Grants — Fed/State/Count El Ordinances y ❑Proclamations EJ Professional Sery/Consultant ❑Thank You's ElAppointment / Reappointment ❑Boards /Committees ❑AR PA Related ❑ Emergency Purchase❑Budget ❑Funds ❑ Employee Rel. ❑ EJLeases Hearing ❑ Out of State Travel ❑ MOA / MOU ❑Request for Purchase El Petty Cash11❑ Resolution Support Letter ❑Tax Title Property p rty []Surplus Req. ❑ WS LC B NAM ►Permission for Chief Depillilm"Ass"Aah"11ii Ut Phillip Docu-Siq.n , Coats to Or,14.�,. _ .%,L„JI ILy I LU[dyency Agreement for Reent Demo - --- .,�.�.1 , ovai�� 1 %dre ry nstration Initiative Pro'e maximum contract amount of $2.25n nnn nn F,,.. _,. __ 1 Ct• TOtal • --- ..A..vu11 oc1 1L reviewed by accounting? ❑ YES ❑ NO - -- I „ ► uviewed by legal? Iw1 vr= c w um I C Ut- ACTION: ` O 4/23/24 DEFERRED OR CONTINUED TO: WITHDRAWN: THIS AGREEMENT is made by and between Washington Count Jail(Contractor),shington State Health Care Authority(HCA)and Y pursuant to the authority ran y g ted by Chapter 39.34 RCW. I T41 A .. Grant The parties signing below warrant that they have read and understand this Contract, have authority to execute this Contract. This Contract will only be binding upon signature b 9 y both parties. The parties may execute this contract in multiple counterparts, each of which is deemed an original and all of which constitute only one agreement. E-mail (electronic mail) transmission of a signed copy of this contract shall be the same as delivery of an original. I T!1 A 1. DEFINITIONS Washington State Page 1 of 24 Health Care Authority HCA IAA K7841 "Accountable Community of Health" or "AC H11 means a regional coalition consistingof le a variety of different sectors working together to buil leaders from g d capacity to work collaboratively, developregional health improvement plans, jointly implement or egional p advance local health projects, and advise state' on how best to address health needs within its region. agencies "Authorized Representative" means a person • p to whom signature authority has been deleat ' writing acting within the limits of the person's authority. g ed in "Capacity Building Application" means a formal application for specific ca acct buildi specifications of how these funds will be spent b facilities p Y ng funds and detailed Ian of how p Y on IT and non -IT needs. It also include p the work will be implemented. s a "Centers for Medicare and Medicaid Services" `� �� s or CMS means the federal office under the Secretary of the United States Department of Health and Human Services, responsible for the ' and Medicaid programs. Medicare "Confidential Information" means information that may be exempt from disclosure to the public other unauthorized persons under chapter 42.56 p blit or p RCW or chapter 70.02 RCW or other state or statutes or regulations. Confidential Information in federal cludes, but is not lirn ited to, any information identifiable to an individual that relates to a natural' person's health, i finances, education busin or receipt of governmental services, names, addresses,� ess, use telephone numbers, social securit numbers driver license numbers, financial profiles credit c • Y and numbers, financial identifiers and an other identifying numbers, law enforcement records Y ,HCA source code or object code, or HCA or security information. State "Contract" or "Agreement" means the entire written ritten agreement between HCA and the contrac including any exhibits, documents, or materials i .tor, incorporated by reference. Contract and A reement may be used interchangeably. g "Contractor" means Grant Count Jail its Y employees and agents. Contractor includes anf' erf y irm, provider, organization, individual or other entity performing ing services under this Agreement. It also includes any Subcontractor retained by Contractor asermi p tted under the terms of this Agreement. "Data" means information disclosed, exchanged or used by Contractor in meefiin re uirem this Agreement. Data may also include Confidential Information as dg q ents under defined in this Contract. Financial Executor Portal" or "FE Portal" means the payment portal where incentive funds flow federal Center for Medicare and Medicaid Servicesfrom through the Delivery System Reform Incentive Payment program. e "Health Care Authority" or "HCA" means the' Washington State Health Care Authority,an division, section, office, unit or other entity of HCA, or an of y division, HCA. Y the officers or other officials lawful) representing Y p ng "Health -Related Social Needs" or "HRSN" means the social and economic needs that individual experience that affect their ability to maintain their h s health and well-being. These include needs suc employment, affordable and stable housing,health has utilities. y food, personal safety, transportation, and affordable Washington State Page 2 of 24 Health Care Authority HCA IAA K7841 "Implementation Plan" means how the Contractor' describes how the facility will supportre-releas services, as outlined in the Statement of Work Attachment 1; #3 p e . "Interim and Final Progress Report" means a re • port that includes information on both the initial progress and the outcomes of the Reentry Demonstration Initiative Opportunity "Information and Communication Technology"" or ICT11 means information technolog and other equipment, systems, technologies, or processes for w Y hich the principal function is the creation manipulation, storage, display, receipt, or transmission' of electronic data and information, as well as an associated content. Examples include computers and peripheral equipmenty p p s; information kiosks and transaction machines; telecommunications equipment; office customer premises equipment; multifunction machines; software; applications; websites; videos; and electronic documents. "Letter of Intent" means a document that provides specific ' to participate in the Initiative. p specific information and is a commitment p "Readiness Assessment" means a framework forassessi' ng a Contractor's ability to go -live or full participate in the Initiative and will include an attestation facility Y that the facility has met all of the requirements. "Reentry" means a broadly defined demonstrationpopulation that includes otherwise eligible, soon-to- be former incarcerated individuals as defined by the ReentrySection 11 15 Demonstration I ntitiative Opportunity. It can include both pre-release andos - ' p t release services. "Services" means all work performed orrovided p by Contractor pursuant to this Contract. "Statement of Work" or "SOW" means a detailed description of the work activities the Contractor required to perform under the terms and conditions is of this Contract, including the deliverables and timeline, and is included as Attachment 1. "Subcontractor" means a person or entitythat is not of in the employment of the Contractor, who is performing all or part of the business activities under this his Agreement under a separate contract with Contractor. The term "Subcontractor" means subcon tractors) of any tier. "Subrecipient" shall have the meaninggiven in 4 g 5 C.F.R. 75.2, or any successor or replacement t such definition, for any federal award from HHS; or 2 ° . .. C.F.R. 200.93, or any successor or replacement en such definition, for any other federal award. p t to "Third Party Administrator" or "TPA" is an entity that may provide implementation and adm inistra i support to carceral facilities in support of reentry. t ve 2. STATEMENT OF WORK Contractor will furnish the necessary personnel equipment, s necessary � q �pment, material and/or service(s) and otherwise do all thin g essary for or incidental to the performance of work set forth in Attachment 1. 3. PERIOD OF PERFORMANCE Washington State Page 3 of 24 Health Care Authority HCA IAA K7841 Subject to its other provisions, theeriod of last si natur p performance of this Contract will commenc g e, and continue through July 31, 2028, unless t eon date of written agreement between the parties.erm inated sooner or extended upon on 4. PAYMENT Compensation for the work provided in accordance with this Agreement has been est the terms of RCW 39.34.130. Compensation for services established under following terms set forth i will be based in accordance with the n the Statement of Work, Attachment 1. 5. PAYMENT PROCESS 5.1. HCA will pay the Contractor for the targeted m ilestones set forth in Attachm ent 1: S Work. tafiement of 5.2. The milestone deliverables must be submitted ' tted per the instructions set forth in the Att Statement of Work and must describe and document to HCA's achment 1: satisfaction the re qui red All milestone deliverable submissions quired fissions will be reviewed and must be approved by theContract Manager or designee prior to payment. 5.3. Once Contractor's submission of milestone' deliverables have been accepted and approved through by HCA, payments will distributed b htt s://wafi y rough the Financial Executor (FE)Portal at p nancialexecutor.com/. 5.4. FE Portal customer service telephone ' WA FE Fina p number is (844) 300-5040 or accessible b email ncialServices@pcgus.com. Y mail at 5.5. Payment will be considered timet if y m ade within thirty (30)calendar da s of rece' completed invoices. Y ipt of properly 5.6. Upon expiration or termination an claims Agreement Y ms for payment for costs due and a able u g ent that are incurred prior to the expiration p Y nder this sixtyGalen p date must be submitted by Contractor wi ' calendar days after the expiration d thin that are submitted p ate. There will be no obligation to a an d sixty-one (61) or more calendar days of pay Y claims Claims"). Belated Claims � Y ter the expiration date ("Belated will be paid at RCA's sole discretion and a is contingent upon the availability of funds. any such potential payment 6. ACCESSIBILITY 6.1. REQUIREMENTS AND STANDARDS. Each information and communication technology product or service furnished under this Contra (ICT) with disabilities in Contract shall be accessible to and usable b individuals accordance with the Americans with DisabilitiesY viduals applicable Federal and S Act (ADA) and other State laws and policies, includingOCIO of this clause, Contractor shall b policy 188, et seq. For purposes e considered in compliance with the ADA and o ' Federal and State laws if it satisfies the re Cher applicable requirements (including exceptions) specified in the regulations implementing Section 508 of the Rehabilitation ehabilitation Act, including the Web Conte Accessibility Guidelines (WCAG) 2.1 Level AA Success Criteria and Conformance nt Washington State Page 4 of 24 Health Care Authority HCA IAA K7841 Requirements (2008), which are incorporated criteria. by reference, and the functional performance ce 6.2. DOCUMENTATION. Contractor shall maintain and retain, subject to review b HCA fu documentation of the measures taken to ensure compliance with theY II applicable requirements and functional performance criteria, including records of any testing or simulations conducted. 6.3. REMEDIATION. If the Contractor claims that its products or services satisf the li requirements and standards specified in this SectionY pp cable and it is later determined by HCA that an furnished product or service is not in compliance Y will promptly inform p nce with such requirements and standards HCA p Y m Contractor in writing of noncompliance. Con •'• cost to HCA, repair or replace p tractor shall, at no additional p p ce the non-compliant products or services within by HCA. If the repair or replacement is the period specified t p not completed within the specified time HCA he contract, delivery, task order, or work order, � may cancel liabilities or have an n , or purchase line item without termination y necessary changes made or repairs performed b em by another contractor, and Contractor shall reimburse HCA fY employees of HCA or or any expenses incurred thereby. 6.4. INDEMNIFICATION. Contractor agrees to indemnify arisingout of g indemnify and hold harmless HCA from an c ' failure to comply with the aforesaid requirements.Y laom 7. AGREEMENT CHANGES MODIFICATIONS AND AMENDMENTS This Agreement may be amended by mutual agreement of the parties. Such amendments are not binding unless they are in writing and signed by an Authorized Representative of each party. 8. SUBCONTRACTING Neither the Contractor nor any Subcontractors • contemplated hall enter into subcontracts for an of the w p under this Agreement without obtainingHCA's Y work no responsibilityfor an act' prior written approval. HCA shall have y ion of any such Subcontractors. 9. SUBRECIPIENT If the Contractor is a subrecipient (as defined in 45 C.F.R. 75.2 and 2 C.F.R. 200.93) of federal awards, then the Contractor shall: 9.1. Comply with 2 C.F.R. 200.501 and 45 C.F.R. R. 75.501; and 9.2. Overpayments: If it is determined b HC Co Y A, or during the course of a require audit t ntractor has been paid unallowable costs un q ,hat der this or any program agreement Contractor ctor will refund the full amount to HCA. In the event that overpayments or erroneous payments eats h o the Contractor under this Contract, HCA willp Y have been made t provide written notice to Contractor and Contractor will ref and the full amount to HCA within thirtyre � calendar days of the notice. If the Contractor disagrees es with HCA's actions under this section then it resolution provisions of Section 13, Disputes. maY invoke the dispute 10. ASSIGNMENT Washington State Page 5 of 24 Health Care Authority HCA IAA K7841 The work to be provided under this Agreement and or Bele able b , any claim arising thereunder, is not assi nable g y either party in whole or in part, without the express g party, which consent will unreasonably withheld not be p s prior written consent of the other . 11. CONTRACT MANAGEMENT The Contract Manager for each of the parties named f� on the face of this Contract, will be responsible or and will be the contact person for all communications and billings regarding garding the performance of this Agreement. Either party mus p y t notify the other party within thirty(30) of change es i � ) da s Y nge of Contract Management. Changes n Contract Management shall require an amendment. 12. DISALLOWED COSTS The Contractor is responsible for any audit exceptions ororganization or p s or disallowed costs incurred by its own g that of its Subcontractors. 13. DISPUTES In the event that a dispute arises under this Agreement, g nt, it will be determined by a dispute board in the following manner. Each party to this Agreement will appoint one me appointed willjointlyp tuber to the dispute board. The members so app appoint an additional member to the dispute bo dispute board will review the facts, A regiment term p ard. The g sand applicable statutes and rules and make a determination nation of the dispute. The dispute board will thereafter' .The Bete decide the dispute with the majority prevailing. determination of the dispute board will be final and binding• an alternative to this process, either of the on the parties hereto. As parties may request intervention by the Governor as Governor's process will control provided by RCW 43.17.334, in which event the Govern ' . 14. GOVERNANCE This Agreement is entered into pursuant to and under• the authority granted by the laws of the state of Washington and any applicable federal laws. Theprovisions• conform to those I of this Agreement will be construed to laws. In the event of an inconsistency in the terms of this . Agreement, or between its terms and an applicable statute or rule, the inconsistency will be resolved Y order: Y Ived by giving precedence in the following A. Applicable Federal and State of Washington statutes tutes and regulations; B. Attachment 2: Federal Compliance Certifications and Assurances; C. Attachment 1: Statement of Work; D. Exhibit A: Centers of Medicare &Medicaid Services, Special Terms and Conditions; and E. Any other provisions of the agreement including materials incorporated by reference. 15. INDEPENDENT CAPACITY Washington State Page 6 of 24 Health Care Authority HCA IAA K7841 The employees or agents of each part who are en not be considered Y gaged in the performance of this Agreement w' sidered for any purpose to be employees or g ill agents of the other party. 16. RECORDS MAINTENANCE 16.1. The parties to this Agreement will each maintain tarn books, records, documents and other evidence which sufficiently and proper) reflect all ° art in the performance Y direct and indirect costs expended b either party p ormance of the services described herein. The Y inspection, review or audit b e se records will be subject to y personnel of both parties, other personnel dui authorized and f Y ed by either party, the Office of the State Auditor, records documents, , federal officials so authorized by law. All books ents, and other material relevant to this Agreement ' after expiration and the Officeg will be retained for six years of the State Auditor, federal auditors, and an authorized by the parties will have full access Y persons duly and the right to examine any of these materials during this period. 16.2. Records and other documents, in an medium, m, furnished by one party to this Agreement to other th party, will remain the property of the furnishing party, unless otherwise agreed. Thereceiving party will not disclose or make available this material to any third parties without firstg.ving notice to the furnishing party and giving it a reasonable opportunity to respond. Eachparty will use reasonable security procedures and protections to assure that records and documents provided by the other part not Y are erroneously disclosed to third parties. 17. TREATMENT OF ASSETS 17.1. Ownership HCA shall retain title to all property furnished b all ro ert f Y HCA to Contractor under this contract. Title to p p y urnished by the Contractor, for the cost of which the Contractor is entitled to reimbursement as a direct item of cost under this contract, excludingintellectual provided by the Contractor,. shall ass ctual property Contractor. property Title to other property, the cost of which is p p �Y by the reimbursable to the Contractor under this Contract, shall pass to and vest in HCA (i) u on pissuance for use of such propertyin the performance of this Contract, (ii) commencement of this Contract or(iii)r ' use of such property in the performance of reimbursement of the cost thereof b HC occurs first. Y A, in whole or in part, whichever 17.2. Use of Property Any property furnished to Contractor shall unless b t � s otherwise provided herein, or approved in writing y he HCA Contract Manager, be used onlyfor the performance of and subject to the terms of this Contract. Contractor's s use of the equipment shall be subject t administrative and other requirements. J o H CA' s security, 17.3. Damage to Property Contractor shall continuously protect and be responsible ponsible for any loss, destruction, or damage to property which results from or is caused b Contractor' • g liable to HCA for cost Y s acts or omissions. Contractor shall be s of repair or replacement for propertyorequipment destroyed or damaged b Contract that has been lost, Y or or Contractor's employees, agents or subcontractors. Cost Washington State Page 7 of 24 Health Care Authority HCA IAA K7841 of replacement shall be the current market value of the property and equipment on the date o the loss as determined by HCA, f 17.4. Notice of Damage Upon the loss of, destruction of, or damage to HCA Contract M g any of the property, Contractor shall notif the Manager thereof within one (1) Business Da and Y to protect that propertyfrom further Y hall take all reasonable steps her damage. 17.5. Surrender of Property Contractor will ensure that the property will be was furnished t p Y returned to HCA in like condition to that in which o Contractor, reasonable wear and tear exce it HCA all propertyupon the pied. Contractor shall surrender to p earlier of expiration or termination of this Contract. 18. RIGHTS IN DATA Unless otherwise provided, data which originates ' defined b the U.S. es from this Agreement will be "works for hire" Y S. Copyright Act of 1976 and will be owned as limited to, reports, documents, by HCA. Data will include, but not be p m ents, pamphlets, advertisements, books magazines, � surveys, studies computer programs, films, tapes and/or sound reproductions. Ownership includes the right patent, register and the ability to transfer these to copyright, rights. 19. CONFIDENTIALITY Each party agrees not to divulge, publish or otherwise make known to unauthorized persons Confidential Information accessed under this Agreement. ent. Contractor agrees that all materials containing Confidential Information received pursuant ' information derived p ant to this Agreement, including, but not limited ed from or containing to in in g,patient records, claimant file and medical case reportformation, relations with H CA s clients and i management is employees, and any other information whi may be classified as confidential, shall not be disc) ch disclosed to other persons without H CA's written consent except as may be required by law. 20. SEVERABILITY If any provision of this Agreement or an provision of any document incorporated by reference will held invalids Y p si such invalidity will not affect the other provisions ll be rovi ' p sof this Agreement, which can be given effect without the invalid p sion if such remainder conforms to the requirements g and the fundamental purpose of this agreement, q ements of applicable law declared and to this end the provisions of this A ree to be severable. g ment are 21. FUNDING AVAILABILITY HCA's ability to make payments is contingent federal or g on funding availability. In the event fundingfrom other sources is withdrawn, reduced or limited m state, prior to completion or � din any way after the effective date and p expiration date of this Agreement, HCA at its s ' terminate the Agreement, in whole or � ole discretion, may elect to part, or to renegotiate the Agreement subject to ' limitations and conditions. HCA may also elect J new funding Y to suspend performance of the until Agreement g ti I HCA Washington State Page 8 of 24 Health Care Authority HCA IAA K7841 determines the funding insufficiency is resolved Y . HCA may exercise any of these options wit notification restrictions. p h no 22. TERMINATION Either party may terminate this Agreement upon 3 this A ree p 0 - days a prior written notification to the other g m ent is so terminated, the parties will be liable onlyp �y. If incurred in accordance with the terms of this Afor performance rendered or costs greement rior to the effective p date of termination. 23. TERMINATION FOR CAUSE If for any cause, either party does not fulfill in a timely and proper manner its obligations under this Agreement, or if either party violates an of these • • is the other a Y terms and conditions, the aggrieved art will ' party written notice of such failure or violation. The party give responsible party will be given the opportunity to correct the violation or failure within 30 days. may If failure or violation is not corrected this y terminated immediately by written notice of the' aggrieved party to the other. 24. WAIVER A failure by either party to exercise its rights and ' subsequent e g under this Agreement will not preclude that art from q exercise of such rights and will not constitute a waiver party m Agreement unless stated to be suchof any other rights under this in a writing signed by an Authorized Representative and attached to the original Agreement. p ntative of the party 25. ALL WRITINGS CONTAINED HEREIN This Agreement contains all the terms and conditions itions agreed upon by the parties. No other understandings, oral or otherwise, regarding the subject exist or to b' g g matter of this Agreement will be deem bind any of the parties hereto. ed to 26. SURVIVORSHIP The terms, conditions and warranties contained i ' n this Agreement that by their sense and context tare intended to survive the completion of the ' performance, expiration or termination of this Agreement shall so survive. In addition, the terms of the sections titled Rights in D • g g Data, Confidentiality, Disputes and Records Maintenance shall survive the termination of this Agreement. Attachments Attachment 1: Statement of Work Attachment 2: Federal Compliance, Certifications and Assurances Exhibit A: Centers of Medicare &Medicaid Services, special terms and conditions Washington State Page 9 of 24 Health Care Authority HCA IAA K7841 Washington State Page 10 of 24 Health Care Authority HCA IAA K7841 ATTACHMENT 1: STATEMENT OF WORK The Contractor will provide the services and staff incidental to, the erfor ,and otherwise do all things necessar for or p mance of work, as described in this Schedule. Y ' I. Background In June 2023, the Health Care Authoritywai received federal approval for a Medicaid ver demonstration that includes the Initiative. This id Transformation Project(IVITP)r s new Initiative under the Medicaid J renewal known as the MTP 2.0. was a Centers for Medicare and Medicaid Services (CMS) to provide essential services for individuals leaving a state prison, count /cit jail, o •ort th Y Y r Youth correctional facility. The Initiative will support e delivery of targeted pre-release services to Medicaid and youth in state prisons, jails, and dicaid eligible adults Medicaid youth carceral facilities that will be reimbursed b t program known as Apple Health in Washington Y he g State. 2. Purpose The purpose of this project is to people prepare f an p p p or a successful transition and reentryinto their community d help them live their healthiest life, improve health reducing rates of recidivism(re-offense),p Ith outcomes. , emergency department visits substance death. To stabilize and treat common conditions � bstance use and itions both prior and post release, so the opportunity for a successful reentry is increased. 3. Project Objectives Targeted Pre -Release Services. The first threes ' services listed below will be mandatory for facilities to implement. The last four services are implementation of a tar optional. Contractor must support the targeted set of pre-release services, as described in' and Conditions (STC) of MTP 2.0 and the -Reentry eentry Implementation Plan the Special Terms an approd b CMS: a. Case management veY b. Medications for alcohol and opioid use disorder c. 30 -day supply of medicationssupplies at release d. Medications during the pre-releaseeriod e. Lab and radiologyp f. Services by community health workers withi Physical and b I ved experience g. Ph Y behavioral clinical consultations As appropriate, athird-party administratorTPA Communities ( ) as well as regional Accountable of Health (ACH) may assist the Contractor in the planning and implementation of these services, including the delivery of appropriate Health Relat Social Needs (HRSN), and the milestones in Se • • ed with facilities on solutions coon 4. Additionally, HCA will collaborate ons for electronic health record(EHR)s stems •for Medicaid serv' Y and systems that bill ices. Activities for implementing reentry services must include: a. Communicating with HCA regarding Initiative implementation onb. Meeting cohort milestones as described below. c. Ensuring that a client receives targeted pre-release feasible providing g p ase services and when . , , p g HRSN services for clients reenteringa community. d. An ability to support communication w' pity . billing. with community providers and Medicaid Washington State 11 Health Care Authority HCA Contract #K7841 4. Milestones The Contractor will developand implement TheC Project Objectives. act the following deliverables that The Contractor will provide se execute the activities necessaryfor o � p services and deliverables to perform r incidental to the performance of w p all SOW and described in the Waiver to work as set forth under this achieve progress on the followingmile es ones. Milestone 1— Letter of Intent Following the receipt of a Letter of must meet the Intent documentation and a royal e specifications outlined in the to pp by HCA, Contractor determined b HCA for template provided to the Contractor as Y each of the following four milestone g Participate in the next milestone. sin order to receive fundin and Milestone 2 - Complete a Capacity Building ApplicationThe Capacity Building Application includes an Implementation The Implementation plan must Plan and a detailed budget. describe how the facility will support The detailed budget will representfacility's pp pre-release services. and will specify p a formal application for capacity how capacity building funds will p cifiY building funds needs. Facilities in Cohortsbe spent by facilities on IT and non -IT 1 and 2 that identify the need for IT Capacity Building Application may i additional time to Complete a Capacity uen Y m plem ent after the go live date of that p subsequent cohort and complete milestones in ' at cohort or Join a line with the deadlines for these cohorts. Milestone 3 - Complete a Readiness Assessment The Readiness Assessment report must include a f readiness to go -live as part of the Initiative framework for assessing facility read to o -lav iative and will include an attestation that� • Y g e. HCA will provide a template forth the facility is assessments and determinefacilityp e assessment and will .review submitted readiness prior to the go -live matted J date for each facility. Milestone 4 - Submit Interim r Pro Jess Report The Contractor will be required to submit an Interim Pr information on the initial implementation ogress Report to HCA with Interim Progress p ation of the Initiative. HCA will provide g s Report and will review and approve p e a template for the pp submitted progress reports. Milestone 5 — Submit Final Progress J ss Report The Contractor will be required to submit a Final Progress on the overall implementation progress gess Report to HCA with information provide a tem p gess of the Initiative and outcomes for clients. plate for the Final Progress Report ents. HCA will progress reports. p and will review and approve submitted d Milestones deadlines will be based upon Cohort the cohort a Facility partici ates in. ' rt 1 are as follows: p Milestone nvF+ Kesponsibilities Washington State 1 Health Care Authority 2 HCA Contract #K7841 HCA will provide IT infrastructure fundin needed HCA g through the Capacity Buildin Program. . will collaborate with facilities on solutions f g g If systems and systems that bill for Medicaid services.or electronic health record (EHR) HCA is soliciting for TPA to provide administrative 2025. The administrative strative support possibly startingas earl a trative support may include but may not b li s 1 with Medicaid eligibility screeningan y e limited to assisting clients as a d application, supporting providers to be .Medicaid provider, and servingas a claim come enrolled providers prepare an • clearinghouse that helps facilities and p p d submit claims. 6. Capacity Building Program Funding Contractors that complete p e Milestone 2 — Capacity BuildingApplication, pP on, HCA will provide capacity building funding to facilities to i support the planning for and implementation of t g ble uses of the funding are available in A he Demonstration. Eli following activities: Appendix A, and include the a. IT infrastructure funding to support systems p y s changes for data exchange, access to virtual health services, and other IT needs. b. Reentry planning and implementation funding development to support planning expenses such pment of process changes, protocols and implementation and Kirin and training� procedures for 9 of staff. Maximum funding for reentry planningand ' on their avers implementation will vary by facilitysize bas average daily population for the period of time specified , � ed Intent response. The table below in the Contractor s Letter of delineates the maximum fundingamounts facilities. The maximum IT infrastructure f for Tier 2 facility. funding will be $1 million for each artici ati p p ng 7. Milestone Deliverables Compensation p Table HCA will assess Contractor's progress towards achievingInitiative specific mi the Initiative goals based on achievement of s p milestones and measured by these m ilesto Capacity Building funding to Contractor is b nes. Distribution of based on a Contractor's tier as described Belo and is contingent upon their completion of the ' w implementation milestones described below. Milestones will be developed b the State i of the public an y n consultation with stakeholders and me p d approved by CMS. General) progress tubers the following categories: y p g milestones will be organized into g Planning Milestones Before Go -Live wi Letter o ° th Pre -Release Servicesfun 1 ) f Intent 10 /° of total RPP Submission funding N/A upon submission: 2) Capacity Building Tier 2: $125,000 Application Up to 40% of totsI RPPUp to funding g upon approval. $500,000 Tier 2: Up to $500,000 upon Due Date June 1, 2024 Funding Paid: July 2024 Due Date: October 1, 2024 Washington State 13 Health Care Authority HCA Contract #K7841 approval of Funding Paid: December the 1, 2024 3) Readiness Assessment ° U p to 40 /o of total RPP fundis upon a g p approval: Application U to p Due Date. March T�2�025 Submission an d Tier 2: Up to $500,000 $500,000 FundingPaid: July ly 1, Approval upon p n 2025 approval of the Readiness Imiementatio' n Milestones G - i After Li o ve with Pre -Release Assessment Services------ 4) Interim Progress- R Report Submission U to 5° p /o of total RPP funding upon submission: N/A Due D ate: May 1, 2026 Tier 2:Funding U p to $62500, Paid: July 1, 2026 5) Final Progress Report Submission U to 5° Up /o of total RPP funding upon submission: N/A Due D ate. November 1, Tier 2: U$62,5002026 p to Funding' Paid. January 1, 2027 Participating in the Evaluation Contractor will support the Evaluation of the Initiative. HCA contracted with an independent evaluator to evaluate the1 Waiver. The evaluator will use claims data from to assess the effectiveness of this Initiative. Th mpre-release services The evaluator stores and analyzes the data in a secure environment. Facilities that participate are consenting to the use of this claims data for evaluation. Facility y also be asked to participate in qualitative interviews the independent evaluator regarding their experience performed by evaluation. p Ce participating in the Initiative, to inform the Washington State 14 Health Care Authority HCA Contract #K7841 Appendix A: Eligible Uses of Capacity Building Fundi ng Eligible uses of capacity building funds • Development of protocols and procedures. ■ Expenditures to support the preparation/execution' of policies and procedures related to enrollment and suspension/unsus and post -release reentrynavigation pension and pre - Add' ' • � vigation services. • Additional activities to promote collaboration. ■ Expenditures for additional activities that will advance collaborationamon stakeholders. This may include conferences and meetings convened with the agencies, organizations, g g ns, and stakeholders involved in the initiative. • Expenditures for planning to focus on developing g processes and informationsharing protocols to: ■ Identify uninsured individuals who areotentiall p y eligible legible for Medicaid/ Children's Health Insurance Program (CHIP). • Assist with the completion of an application. • Submit an application to the county social services department for coordinating suspension/unsuspension. • Screen for eligibility for pre-release services and reentry planning in a period for up to 90 days immediate) prior to t date of release.Y p he expected • Deliver necessary services to eligible individuals is immediately n a period for up to 90 da Y ately prior to the expected date of release and care coordination to support reentry. • Establish ongoing oversight and monitoringprocess p ss upon implementation. Hiring of staff and training to: ■ Assist with the coordination of enrollment/sus en ■ Provide reentryp sion/unsuspension. navigation services during the 90 -day pre-releaseerio and to support reentry. p d, ■ Provide overall guidance on how to work with juste - and appropriately. J ce involved individuals effectively ■ Support an environment appropriate forrovisio -pre-release p n of 90 day services. ■ Accommodations for private space, such as correctional facility -grade moveable screen walls, desks, and chairs to conduct as interviews within carceral settings. assessments and Eligible uses of IT infrastructure funding • Electronic interfaces for prisons, jails, andouth facilities Y to support enrollment/ suspension. • Enhancements to existing IT systems to create and improve data -exchange to support reentry navigation services in the 90 -da -rele period. Y p re ase and post -release • Adoption of system upgrades to ensure compatibility p lity with Epic's data sharing platform. Any additional expenses related to upgrades—including the billing Washington State 15 Health Care Authority HCA Contract 4K7841 module or new platforms—not covered b Health Y Care Management and Coordination System (HCMACS) which will likel not be 2025. Y a vailable until mid- • Installation of audio-visual equipment or other technology to support provision of pre-release services delivered via telehealth in a ere immediately prior period for up to 90 days p to the expected date of release and care coordination support reentry. enation to Washington State 16 Health Care Authority HCA Contract #K7841 ATTACHMENT 2: FEDERAL COMPLIANCET CERTIFICATIONS AND ASSURANCES 1. FEDERAL COMPLIANCE -The use of federal funds requires additional compliance mechanisms to be in place. The followingrepresents p ance and control may applyto an federal p esents the of compliance elements t y al funds provided under this contract. F that these elements or details specific to the f or clarification regarding any of Contract Ma federal funds in this contract, contact: HCA A D B H R a. Source of Funds: This Contract is beingf Medicaid Transformation ended through Washingtons State's five-year mation Project 2.0 approved under section 1 Y ar Security Act by the Center for Medicare 115(a) of the federal Social Security dicare and Medicaid Service(CMS)on J0304/0 and 21-W-00071/0. June 30, 2023, No. b. Period of Availability of Funds: Funds' will become available to Contractor or Su commencing on the date of final signature of the Co brecipient through June 30, 2028. Contract to which is attached and continuing C. Single Audit Act: This section applies to s ° for -prof hospitals pp ubrecipients only. Subrecipient(includingp p Is and non -prof it institutions s i private, Management an ) hall adhere to the federal Office of g d Budget (OMB) Super Circular 2 CFR Subrecipient who expends 200.501 and 45 CFR 75.501. A p $750,000 or more in federal awards • shall have a single or program -s -specific during a given fiscal year OMB Super p audit for that year in accordance with theprovisions' p Circular 2 CFR 200.501 and 45 CFR 75.501. of d. Modifications: This Contract may not be modified be waived or disc Y m odif ied or amended, nor may an term or provision discharged, including this particular Paragraph, Y . • provision by both parties. g aph, except in writing, signed upon 1) Examples of items requiringHealth C but are n � are Authority prior written approval include, of limited to, the following: de, j i. Deviations from the budget and Project ect plan. ii. Change in scope or objective of the Contract. ntract. iii. Change in a key person specified in the Contract. iv. The absence for more than one(1)mon �Pro'ect the or 25 /o reduction in time b Project Manager/Director. y the V. Need for additional funding. vi. Inclusion of costs that require prior cost principles. q p approvals as outlined in the ro riate p nciples. pp p vii. Any changes in budget line items the tot () of greater than twenty percent 200 al budget in this Contract. ( /o) of 2) No changes are to be implemented_ royal i by the Sub awardee until a written notice pp s received from the Health Care Authority.ce of a Sub-Contractin : The Co e. g Contractor or Subrecipient p hall not enter into asub-contract for an under this Contract without obtainingthe prior Y of the work performed and p or written approval of the Health Care Authority. If sub -contractors are approved by the Health Care Authority,the subcontract, shall contain, at a minimum, se Suspended Vendors ..coons of the Contract pertaining to Debarred Lobbying certification, Audit requirements, g d and Federal, state, and local requirements. q ents, and/or any other project f . Condition for Receipt of Health Care Authorityto Authority Funds: Funds provided b He the Contractor or Subrecipient under thisY Heath Care Contractor or Subrecipient Contract may not be used b the p nt as a match or cost provision y g p n to secure other federal Washington State 17 Health Care Authority HCA Contract #K7841 monies without prior written approval b the Health th Care Authority. g. Unallowable Costs: The Contractor or Subrec' ipient s expenditures shall be subject to reduction for amounts included in an invoice ' Y or prior payment made which determined b allowable costs on the basis of audits review Y HCA not to constitute Contract. s, or monitoring of this h. Supplanting Compliance: SABG: If SABG f • funds support this Contract, the Block Grant will supplant State funding of alcohol and other drug not be used to su prevention and treatment programs. (45 CFR section 96.123(a)(10)). i. Federal Compliance: The Contractor or Subrecipient recipient shall comply with all applicable State and Federal statutes, laws, i rules, and regulations ' ' g n the performance of this Contract, whether included specifically in this Contract or not. j. Civil Rights and Non -Discrimination Obligati Contractor or S ons. During the performance of this Contract the ubrecipient shall com ply with all current and f u ' nondiscrimination. These include b Lure federal statutes relating to but are not limited to: Title VI of the Civil Rights A (PL 88-352), Title IX of the Education Amend g ct of 1964 Amendments of 1972 (20 U.S.C. §§ 1681-1683 and 1685-1686), section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794) the Age Discrimination Act of Drug A 1975 (42 U.S.C. §§ 6101- 6107 , the g 9 - ) g buse Office and Treatment Act of 1972(PL 2 255), the Comprehensive Alcohol A ' Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), §§523 and 527 of t Service Act of 1912 (42 U.S.C.§§290dd-3 a _ he Public Health and 290ee 3), Title VIII of the Civil 1968 (42 U.S.C. §§3601 et se I Rights Act of 1 q ), and the Americans with DisabilityAct(422101 et seq.) http://www.hhs, ov/ocr/civi U.S.C., Section g Irights. HCA Federal Compliance Contact Information Washington State Health Care Authority Post Office Box 42710 Olympia, Washington 98504-2710 II. CIRCULARS 'COMPLIANCEMATRIX- . MATRIX The following compliance ma identifies Circulars that contain the requirements which p matrix identifies the OMB hich govern expenditure of federal funds. Th requirements apply to the Washington State HealthThese recipient of federal Care Authority (HCA), as the primary p I funds and then follow the funds to the sub- Y The federal Circulars which provide the awardee, Grant County Jail. p applicable administrative requirements cost ' and audit requirements are identified b sub-aw principles Y ardee organization type. OMB CIRCULAR ENTITY TYPE State. Local and Indian Tribal Governments and Governmental Hospitals Non -Profit Organizations and Non - Profit Hospitals Colleges or Universities and Affiliated Hospitals For -Prof it Organizations ADMINISTRATIVE COST AUDIT REQUIREMENTS REQUIREMENTS PRINCIPLES OMB Super Circular 2 CFR 200.501 and 45 CFR 75.501 Washington State 18 Health Care Authority HCA Contract #K7841 III. STANDARD FEDERAL CERTIFICATIONS AND ASSURANCES -Following are the Assurances Certifications, and Special Conditions that apply to Contracts admin'Washington pp Y all federally funded (in whole or in art administered by the Washin ton State Health p ) g Ith Care a. CERTIFICATION REGARDING DEBARMENT A offici ND SUSPENSION :The undersi ned (authorized al signing for the contracting organization)• • g knowled e and belief, t g • certifies to the best of his or her g that the contractor, defined as the prima participant ' with 45 CFR Part 76, and its principals: are n � p pant in accordance debarment,p of presently debarred, suspended, proposed for declared ineligible, or voluntarily excluded from c p Federal Department ora enc have covered transactions by any . agency not within a 3 -year period preceding this contract convicted of or had a civil judgment rendered against them been criminal offense in conn g em for commission of fraud or a connection with obtaining, attempting to obtain, orerform' (Federal, State, or local) transaction or contract un p ung a public Federal or State antitrust statutes or der a public transaction; violation of commission of embezzlement, the falsification or destruction of records �ft, forgery, bribery, are not r ,making false statements, or receiving stolen roe presently indicted or otherwise criminally or civil) ch property; t (Federal, State, or local w' Y Y charged by a governmental entity with comm ission of any of the offenses enumerated aced in Section 2 of this certification; and have not within a 3- public transactions 3-year period preceding this contract had one or more p sactions (Federal, State, or local) terminated for cause or default. Should the Contractor or Subrecipient not be able tcertification, o provide this an explanation i as to why should be placed after the assurances page p g n the contract. The contractor agrees by signing this contract that it will include, without modification, the clause above certification in all lower tier covered transactions (i.e., transactions with sub - grantees and/or contractors) and in all solicitations for to ' lower tier covered transactions in accordance with 45 CFR Part 76. b. CERTIFICATION REGARDING DRUG-FREE ned(authorizedWORKPLACE REQUIREMENTS: The undersig official signing for the contracting organization) certifies that the contractor will, or will continue to, provide a drug-free workplace in accordance with 45 Part 76 by: CFR 1. Publishing a statement notifying ees em to th dis ensin osse p y at the unlawful manufacture, distribution, p g, p ssion or use of a controlled substance isrohibite } the action p din the grantee's workplace and specifying s that will be taken against employees for vio latio of such prohibition; Establishing an ongoing drug-free n employees about g g g ree awareness program to inform i. The dangers of drug abuse in the workplace; ii. The contractor's policy of maintainingdrug-free a g ree workplace; iii. Any available drug counseling, rehabilitation and ,and employee assistance programs; iv. The penalties that may be imposed upon employees for drug abuse violationsoccurrin in the workplace; 2. Making it a requirement that each employee to • contract be given be engaged in the performance of the g a copy of the statement required by (1) paragraph above• , 3. Notifying the employee in the statement required cI q ed by paragraph (I), above, that, as a condition of employment oym ent under the contract, the employee Will— i. Abide by the terms of the statement; and ii. Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five (5) calendar days after such conviction; Washington State 19 Health Care Authority HCA Contract #K7841 4. Notifying the agency in writingwithin fi paragraph(111)(b) en calendar days after receiving notice andg p from an employee or otherwise receiving under conviction. Employers of convicted actual notice of such title to employees must provide notice including position every contract officer or other designee on whose c ng position convicted employee was working, contract activity the point for the unless the Federal agency has designated p e receipt of such notices. Notice shall include • • g a central each affected grant; the identification num ber(s) of 5. Taking one of the following actions, within thirty (30) calendar days of receiv— ing notice paragraph (III) (b), with respect to any employee who is so convictedi. Taking appropriate personnel action against gainst such an employee, up to and including termination, consistent with the r 1973, as amended; or equirements of the Rehabilitation Act of ii. Requiring such employee toartici at rehabilitation r p P e satisfactorily in a drug abuse assistance or p ogram approved for such purposes by a Federal St health, law enforcement, or other a pproate agency, ri ate, or local p 6. Making a good faith effort to continue to' n adrug-free workplace through implementation of maintai paragraphs (1) through (V). g For purposes of paragraph (V) regarding agency notification of criminal drug convictions,Authority has designated the following central point for receipt of such notices: Legal Services Manager WA State Health Care Authority PO Box 42700 Olympia, WA 98504-2700 c. CERTIFICATION REGARDING LOBBYING: Title 31, United States Code, Section n on use of appropriated funds to influence 1352, entitled "Limitation certain Federal contracting and financial transactions," prohibits recipients of Federal r from using Federal (appropriated)funds fExecutive g ants and cooperative Contracts Fe , or lobbying the Executiveor Legislative Federal Government in connection with a SPE g lative Branches of the also requires that SPECIFIC grant or cooperative Contract. Section q at each person who requests or receives a Fe on 1352 must disclose lobbyingundertaken Federal grant or cooperative Contract with non -Federal (non-appropriated)requirements apply to grants and coo funds. These CFR Part 93). cooperative Contracts EXCEEDING $100, 000 in total costs (45 signing g for the contracting organization certifies The undersigned (authorized official si her knowledge and belief, that:) , to the best of his or , 1. No Federal appropriated funds have be undersi ned to an en paid or will be paid, by or on behalf of the g y person for influencing or attempting to , a Member p g influence an officer or employee of any agency, ber of Congress, an officer or employee ress i of Congress, or an employee of a Member of Con Federal contract the g n connection with the awarding of an making of any Federal grant, the makin of a Y g any Federal loan, the entering into of any cooperative Contract, and the extension, continuation, renews modification of any Federal contract grant, I' Contract. , g nt, loan, or cooperative 2. If any funds other than Federal) a ro ' any erson for in Y pp priiated funds have been paid or will be aid t p fluencing or attempting to influence an of p ° agency, a Member of Con officer or employee of any Congress, an officer or employee of Congress, or an em of a Member of Congress in connection withemployee cooperative Cont this Federal contract, grant, loan or Contract, the undersigned shall complete and sub ' "Disclosure of LobbyingActivities," ' mit Standard Form -LLL, in accordance with its instructions.If needed, eded, Washington State 20 Health Care Authority HCA Contract #K7841 Standard Form -LLL, "Disclosure of Lobbying continuation sheetY g its instructions, and are included at the end of this application form.) orm.) 3. The undersigned shall require that the la ' • language of this certification be included in the award documents for all subcontracts at all tiers(includingand contracts un subcontracts, subcontracts . der grants, loans and cooperative Contracts ' recipients shall certifyand disclose )and that all sub - recipients se accordingly. This certification is a material representation p of fact upon which reliance was laced when ' transaction was made or entered into. Submission • • certification en this of this certification is a prerequisite for mak' or entering into this transaction imposed b Section making the required certific Y 1352, U.S. Code. Any person who fails to file q afion shall be subject to a civil penaltyof not$10,000 le than $100,000 for each such less than and not more failure. d. CERTIFICATION REGARDING PROGRAM FRAUD CIVIL REMEDIES ACT(PFCRA):g (authorized official signing for the contra ..The statements herein are true c contracting organization) certifies that the complete, and accurate to the best of his or her k he or she is aware that any false, fictitious orf knowledge, and that her to criminal civil o � raudulent statements or claims may subject him r administrative penalties. The undersigned y or organization will comply with the Public g agrees that the contracting contract is Health Service terms and conditions of award and if a e. CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE: Public Law 103-227 the Pro -Children Act of 1994 (Act), re uires ,portion of an indoo q that smoking not be permitted i Y r facility owned or leased or contracted for b p n any regularly for the provision of health da Y an entity and used routinely or y care, early childhood development services education library services to children under thea e of 1 ation or either directlyor g 8, if the services are funded by Federal programs through State or local governments, b Feder p grams guarantee. The law also applies Y al grant, contract, loan, or loan pp to children's services that are provided in indoor constructed, operated, or maintained with such Fe that are children's services Federal funds. The law does nota I to provided in private residence, portions of facilitiespp Y alcohol treatment, service providers used for inpatient drug or p whose sole source of applicable Federal fun ' or Medicaid, or facilities where WIC coupons e ons ar redeemed.ds is Medicare Failure to comply with the provisions of • . penalty p the law may result in the im position of a civ' p y of up to $1,000 for each violation and/or the imposition it monetary order on the responsible of an administrative compliance p le entity. By signing the certification, the undersigned certifies with the requirements g that the contracting organization will co q m ents of the Act and will not allow smoking within comply used for the provision of services g n any portion of any indoor facility for children as defined by the Act. The contracting organization agrees that it wi included in ll require that the language of this certificati any subcontracts which contain provisions for c on be recipients shall certify� children's services and that all sub - recipients accordingly. The Public Health Services strongI enco ' workplace and y urages all recipients to provide asmoke-fre p promote the non-use of tobacco products. T e mission to protect and a p his is consistent with the PHS advance the physical and mental health o • f the American people. f. CERTIFICATION REGARDING OTHER RESPONSIBILITY MATTFR-q 1. The inability of a person to provide the certification • kation required below will not necessarily result in denial of participation in this covered transaction. shall submit an explanation The prospective contractor p of why it cannot provide the certification set below. The Washington State Health Care Authority 21 HCA Contract #K7841 certification or explanation will be considere agenc 's determ in din connection with the department or Y ation whether to enter into this transactio • • n. However, failure of the prospective contractor to furnish a certification or an explanation shall dis ualif person from participation in this transaction. q Y such 2. The certification in this clause is a material ce was laced when real representation of fact upon which relic p n the department or agency determined to nn. it is later determined that theprospectiveenter into this transaction. If certification,• • contractor knowingly rendered an err in addition to other remedies available erroneous department ora enc may to the Federal Government, the agency y terminate this transaction for cause of default. 3. The prospective contractor shall provide agencyto who p e immediate written notice to the de artment o m this contract is submitted if at an time p r learns that its certification was Y he prospective contractor erroneous when submitted or has become erroneou reason of changed circumstances. s by 4. The terms covered transaction debarr transaction a , ed, suspended, ineligible, lower tier cover, p rticipant, person, primary covered transactioned voluntarily excluded, as used ' , principal, proposal, and in this clause, have the meanings set out in g the Definitions and Coverage sections of the rules ales implementing Executive order 12549 You may tact the person to whom this contract is submittedubm fitted for assistance on obtaining a copy of those regulations. 5. The Prospective contractor agrees by submitting this contract that, should theproposed covered transaction be entered into, it shall ' lower tier covered transaction w' not knowingly enter into any with a person who is debarred, suspended, ineligible, or voluntarily excluded from a declared authorized b participation on this covered transaction unless y Authority. ss 6. Nothing contained in the foregoing shall system g g II be construed to require establishment Y of records in order to render in good faith of a clause. The knowledge an g the certification required by this g d information of a participant is not required which is normally possessed b a prudent q ed to exceed that dealings. Y p person in the ordinary course of business s 7. Except for transactions authorized under paragraph 6 of these instructions if a Participant in a covered transaction knowingly ' transaction with a person g Y enters into a lower tier covered p n who is suspended, debarred, ineligible, or ' excluded from participation in this transaction • • g � voluntarily to the Federal Government,, in additson to other remedies available HCA may terminate this transaction for cause or default. CONTRACTOR SIGNATURE REQUIRED SIGNATURE OF AUTHORIZED CERTIFYING OFFIC TITLE: PLE EALSO PRINT OR TYPE NA.Ui; V �Ce Cindy Carter, Chair /�6 Jo4p c Washington State 22 Health Care Authority HCA Contract #K7841 ORGANIZATION NAME: (if applicable) DATE Washington State 23 Health Care Authority HCA Contract#K7841 EXHIBIT A: CENTERS OF MEDICARE &MEDIC AID SERVICES9 SPECIAL TERMS AND CONDITIONS The Special Terms and Conditions onion of the and is incorporated p MTP 2.0 Waiver is an integral part of this Co p herein by this reference and is not attached but i nom t HCA Contract Manager. s available upon request from the Washington State 24 Health Care Authority HCA Contract #K7841