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HomeMy WebLinkAboutAgreements/Contracts - Renew (002)GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: Renew REQUEST susnniTrED Bv: Linze Greenwalt CONTACT PERSON ATTENDING ROUNDTABLE: D@II Anderson CONFIDENTIAL INFORMATION: ❑YES ® NO DArE:10.17.25 PHONE: X5470 ®Agreement / Contract ❑AP Vouchers []Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ❑Grants — Fed/State/County [:]Leases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ❑ Out of State Travel []Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑ Recommendation ❑ Professional Serv/Consultant ❑ Support Letter ❑ Surplus Rego ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB �y%//� %/ , m0 �//%ill G�O� , W_ l% �/� l///s�////��� l 4- �y�%ii:� ,�,i�,� -Aj��, '��3;,��//, 3.z�� ii�,.�- /ice//�. 5.0 Grant Distribution Agreement between Carelon Behavioral Health and Grant County dba Renew for Moses Lake Community Coalition (MLCC). These funds were awarded to MLCC from the Opioid Settlement funds. Term July 1, 2025 - June 30, 2026. $26,869. Request for Dell Anderson to DocuSign bb & tm­ PACT: FI§CA'LBU Please contact opgg"pting �9 complete ;I Finqncial Request FqrM prior, �q submission. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A If necessary, was this document reviewed by legal? 0 YES ❑ NO ❑ N/A DATE OF ACTION: 10 ' D t ' D s APPROVE: DENIED ABSTAIN D1: K' D2: D3: DEFERRED OR CONTINUED TO- WITHDRAWN - 4/23/24 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 GRANT DISTRIBUTION AGREEMENT BY AND BETWEEN CARELON BEHAVIORAL HEALTH INC. AND GRANT COUNTY dba RENEW This Agreement is made as of July 1, 2025 (the "Effective Date"), by and between Carelon Behavioral Health, Inc., a Virginia corporation with offices at 200 State Street, Suite 302 Boston, MA 02109 ("Carelon"), and Grant County doing business as Renew (hereinafter County"), a Government Entity located at 840 E Plum St, Moses Lake, WA 98837 (each a "Party" and together the "Parties"). WHEREAS, Grant County, along with Douglas County, Chelan County„ Okanogan County, The City of Wenatchee, The City of East Wenatchee and the City of Moses Lake (the "Washington Entities"), entered into a memorandum of understanding (the "One Washington MOU"), which allocates amongst participating local governments in the State of Washington the proceeds of certain nationwide opioid litigation settlements with certain pharmaceutical distributors and manufacturers and pharmacy chains; WHEREAS, the Washington Entities have awarded Grant County doing business as Renew a grant of funds pursuant to the One Washington MOU to be used by the Moses Lake Community Coalition to implement a three -tiered primary prevention initiative aligned with the U.S. Department of Health and Human Services' recommended strategies and Washington State's opioid response priorities as described in Exhibit A to this Agreement; WHEREAS, the Washington Entities have contracted with Carelon as of July 11 2024, to administer the distribution of such settlement proceeds (the "opioid Distributors Settlement Fund Administration Contract") as may be awarded to participating local governments through a competitive solicitation process; NOW, THEREFORE, in consideration of the mutual covenants and agreements hereinafter expressed, the sufficiency and receipt of which is hereby acknowledged, the Parties hereto, intending to be legally bound, agree as follows: 1. Cost Reimbursement. Carelon will reimburse County for costs incurred by the Moses Lake Community Coalition to implement the three -tiered primary prevention initiative described in Exhibit A (the "Services"). County agrees that the Services promptly and diligently, in a competent and professional manner, in accordance with all applicable laws, in accordance with the rules, regulations, and policies of Carelon (including, but not limited to, written policies and procedures that relate to the federal False Claims Act and similar state laws and an employee's right to be protected as a whistleblower, as well as policies and procedures for detecting and preventing fraud, waste and abuse in state and federal health care programs), in accordance with accreditation standards applicable to Carelon, and to Carelon's satisfaction. To the extent applicable to Services, County agrees to participate in Carelon's quality improvement and patient safety programs and, as part of those programs, establish and follow Carelon's procedures for consistency and quality of patient care services. County represents and warrants that it is properly licensed and in compliance with the laws and regulations to provide the Services. If any provision or term of Exhibit A and this Agreement are inconsistent, the provision or term of this Agreement shall govern. The payment schedule and total compensation to be paid by Carelon to County is set forth in Exhibit A. Carelon will not compensate County for services which are not either contained in Exhibit A or agreed to in writing by the representative authorized to sign this Agreement on behalf of Carelon. Unless expressly advised otherwise in writing, Carelon shall send compensation due to the County to the address set forth in the Notice provisions of this Agreement. 2. Term. This Agreement shall commence as of the Effective Date and will be for the period of one year, at which time it shall automatically terminate without any further action required on the part of any Party; provided, however, if the primary prevention initiative described in Exhibit A to this Agreement is in progress at the time of the first anniversary of this Agreement, then this Agreement shall automatically renew for renewal terms of one year each for so long as necessary to complete the primary prevention initiative as set forth in Exhibit A, Base — PI D 301052 Page 1 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 3. Confidentiality. County understands that during the course of the parties' performance pursuant to this Agreement, County may receive from Carelon or contribute to the production of "Confidential Information" (as defined below) and accordingly agrees as follows: a. For the purposes of this Agreement, "Confidential Information" means information or material proprietary to Carelon or its affiliated or related entities or designated as confidential by Carelon, which County develops or of which it may obtain knowledge or access to as a result of County's relationship with Carelon. This includes information originated, discovered, or developed in whole or in part by County under this Agreement and includes, but is not limited to the following types of information and other information of a similar nature (whether or not reduced to writing): ideas, concepts, designs, audit materials, reports, results, data, documentation, diagrams, research, development, processes, procedures, "know-how", physician fee schedules, reimbursement fee schedules, marketing techniques and materials, marketing and development plans, customer, subscriber, member, officer, director, or provider names, medical records, and other information related to such individuals or entities, price lists, reimbursement policies, and financial information. Confidential Information also includes any information described above that Carelon treats as proprietary or designate as confidential, whether or not owned or developed by Carelon. Notwithstanding anything in this section to the contrary, Confidential Information shall not include County's consumer records for services provided pursuant to this Agreement and Carelon makes no claim to ownership of such files. b. It is not intended at the inception of this Agreement that Protected Health Information, as defined below ("PHI") shall be exchanged in the performance of Services under this Agreement. In the event that it becomes necessary for PH I to be exchanged for the performance of Services hereunder, then the parties agree to enter into a Business Associate Agreement. i. "Protected Health Information" shall have the same meaning as the term "protected health information" under the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 and the Health Information Technology for Economic and Clinical Health Act, and regulations and guidance promulgated thereunder, but limited to the information created, received, maintained or transmitted by County on behalf of Carelon. c. Prior to receiving access to Carelon's system, Carelon reserves the right to require County's employees to execute a data usage agreement substantially similar to that signed by Carelon employees prior to receiving system access. Notwithstanding any provision to the contrary, Carelon reserves the right to bar access in its sole discretion to Carelon's systems (including but not limited to access to PHI) and to the Premises to any of County's employees or agents for any nondiscriminatory reason, d. County agrees to turn over all copies of all materials in any way incorporating or reflecting Confidential Information in County's control to Carelon upon the earlier of Carelon's request or termination of County's Services under this Agreement. e. County agrees during and after the term of this Agreement to hold in confidence and not to directly or indirectly reveal, publish, disclose, or transfer any of the Confidential Information to any person or entity without the prior written consent of Carelon. County agrees not to utilize Confidential Information for any purposes, except in the course of County's performance of its obligations under this Agreement. County agrees to advise its employees, agents and subcontractors with access to the Confidential Information of its confidentiality. County further agrees to require its agents and subcontractors with access to Confidential Information to execute a confidentiality agreement in a form acceptable to Carelon. f. Notwithstanding anything to the contrary, County shall not have any obligation with respect to any Confidential Information or any portion thereof that County can establish: i. is or becomes publicly available through no wrongful act of County; Base — PID 301052 Page 2 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 ii. was lawfully obtained by County from a third party without any obligation to maintain the Confidential Information as proprietary or confidential; iii, was previously known to County without any obligation to keep it confidential; iv. was independently developed by County (entirely independent of any performance by County of any obligations to Carelon under this Agreement); or v. is legally required to be disclosed, provided that County -to the extent allowed by law -uses its commercially reasonable efforts to notify Carelon of any request or subpoena for the production of any Confidential Information so that Carelon may seek an appropriate protective order or other remedy and County will cooperate with Carelon to obtain such protective order. In the event that such protective order or other remedy is not obtained, County (or such other persons to whom such request is directed) will furnish only that portion of the Confidential Information that, in the written opinion of its legal counsel, is legally required to be disclosed and, upon Carelon's request, use its best efforts to obtain assurances that confidential treatment no less favorable to Carelon than that set forth in this Agreement will be accorded to such information. g. County shall maintain up-to-date "best practices" security measures to protect against unauthorized access to Carelon's Confidential Information. County represents and warrants that all equipment used and maintained to perform any obligations hereunder shall be equipped and routinely updated with all current industry standards security protections, including but not limited to anti -virus protections, spyware and security packages. All security protections shall be in compliance with the specifications of HIPAA. h. The provisions of this Section 4 shall survive termination of this Agreement. 4. Indemnification. The Parties agree to indemnify and hold each other harmless from all damages and liability, including reasonable attorney's fees, incurred as a result of their (a) violation of any obligations under this Agreement; (b) negligence or willful acts; or (c) violation of any third-party's privacy rights, property rights, trade secrets, proprietary information, trademark, copyright, or patent rights and claims for libel and slander or unfair trade practices in connection with the performance of any obligations under this Agreement. The provisions of this Section shall survive termination of this Agreement. 5, Safeguarding of Property. County agrees to take reasonable precautions to safeguard any of Carelon's property entrusted to County's custody or control. 6. Responsibilities Upon Termination. No later than ten (10) business days from termination of this Agreement for any reason by either Party, County covenants and agrees to transfer, deliver, or make available to Carelon any and all property and materials in its possession or control belonging to or paid for by Carelon. The provisions of this Section shall survive termination of this Agreement. 7. No Commitments to Third Parties. County agrees it shall not commit Carelon to any purchase or other obligations nor will it disseminate any material or make any payments in Carelon's name except pursuant to Carelon's prior written approval. 8. Non -Solicitation of Personnel. Neither Party shall directly or indirectly solicit the employment of any of the other Party's personnel who have been directly involved in this Agreement for a period of three (3) months from the earlier of the termination of such individual's employment at the other Party or termination of this Agreement, unless agreed to in writing by the other Party. This section shall not apply to individuals responding to an employment advertisement. The provisions of this Section shall survive termination of this Agreement. Base — PI D 301052 Page 3 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 9. County Personnel. County shall hire skilled and trustworthy personnel to take all necessary care to prevent loss or damage to Carelon's medical records, files or any other documents, regardless of the media, (collectively as "Documents") stored created or used hereunder. If any Documents are lost, damaged or destroyed through fault of County's personnel, County shall pay for all expenses necessary to re-create the Documents. County's personnel shall conform to the requirements of law and to the rules and regulations of Carelon, including those regarding personnel identification and conduct. Carelon has the right to request removal of any of County's personnel from performing Services hereunder for any reason. 10. Submission of Invoices. County shall submit invoices for reimbursement of costs associated with the primary prevention initiative, which describe in reasonable detail the costs for which reimbursement is requested. This invoice shall include a description of the Services provided, for whom they were provided, the hours and date(s) of Services, the County's tax identification number, any requisite tax reporting forms, and the portion of the total project cost that these hours represent. The Parties agree that the total payment for all Services and the payment schedule pursuant to which County is to be paid are described in Exhibit A. 11. Termination. This Agreement shall be for the Term set forth in Section 3 hereof. Notwithstanding the foregoing, this Agreement may be terminated earlier as follows: a. Without Cause Termination. Carelon may terminate this Agreement (including but not limited to any SOWs in effect at the time of termination) at any time without cause effective upon thirty (30) days prior written notice. County understands that during this notice period, Services will continue to be required only on an "as -needed" basis. In the event of early termination of Services, County shall be entitled to compensation through the date of termination; however, to the extent that compensation has been paid by Carelon in advance of Services being rendered, then Carelon shall be entitled to a return of fees, on a pro-rata basis, attributable to the period of time following termination. County may also terminate the contract without cause upon thirty (30) day notice. b. For Cause Termination. If either Party defaults in the performance of any of its duties and obligations under this Agreement, and the default has not been substantially cured within ten (10) days after written notice has been given to the defaulting Party, then the Party not in default may, upon written notice to the defaulting Party, terminate this Agreement as of a date specified in that notice and may avail itself of any remedies available at law or in equity. Notwithstanding the foregoing, County agrees that Carelon shall have the right to immediately terminate this Agreement as set forth in any Business Associate Agreement if County has violated a material term thereof. c. Prohibition on Criminally Charged or Excluded Owners, Individuals or Entities. County warrants and agrees that, to the best of its knowledge, its employees and/or staff who perform Services (together, "Verified Individuals") have been, are not nor are proposed to be (i) charged with a criminal offense involving government business, (ii) included on the List of Excluded Individuals and Entities (LEIE) posted by the Office of the Inspector General of the Department of Health and Human Services (OIG) or by the applicable state's Office of the Medicaid Inspector General (OMIG) on their respective websites, or (iii) indicated as being debarred on the Excluded Parties List System (EPLS) or the System for Award Management (SAM) websites, each administered by the General Services Administration (listings individually as "Excluded List" and collectively as "Excluded Lists"). County shall provide immediate notice to Carelon in the event that it or any of its Verified Individuals becomes or is proposed to be: (i) charged with a criminal offense involving government business; or (ii) listed on an Excluded List or otherwise debarred from performing services paid for by government monies. County understands and agrees that any of the Verified Individuals being charged or included on any of the Excluded Lists may be grounds for immediate termination of the Agreement. County further understands and agrees that Carelon shall not make payment hereunder for any services performed by County while it is charged with a crime involving government business or listed on an Excluded List and that, upon being or proposed to be so charged or placed on an Excluded List County shall immediately cease performing Services hereunder. Base — PI D 301052 Page 4 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 12. Records. Notwithstanding any provision to the contrary in this Agreement, County covenants and agrees that it shall not withhold under any circumstance any records of Services provided hereunder, including, but not limited to, one for unpaid compensation on the part of Carelon). This provision of this Section shall survive the Agreement's termination, breach or any other legal right to cease performance by County. 13. Discrimination. County agrees that, in conformity with applicable law and regulations (including, but not limited to, 41 CFR §§ 60-1.4(a), 60-300.5(a) and 60-741.5(a)), it shall not discriminate against qualified individuals based on their status as protected veterans or individuals with disabilities. County further agrees that it will not discriminate against individuals based on their race, color, religion, sex, or national origin. 14. Pre -Placement Requirements. If any of County's employees or agents will perform Services under this Agreement on -site at Carelon or have access to PHI, such individuals must have undergone a pre -placement employment screening as set forth in Carelon's policies and procedures (including but not limited to criminal background checks), as amended from time to time. 15. Insurance. County agrees to insurance in such minimum amounts and under the terms set forth in Exhibit B, which is attached to and made part of this Agreement as if fully set forth herein. Acceptance by Carelon of insurance under terms other than as listed in Exhibit B shall not serve as a waiver or modification of Carelon's rights to require performance at a later time. 16. Medicare Advantage/CFAD: County acknowledges that Carelon has entered into payor contracts relating, amongst other things, to Medicare Advantage products and to the Capitated Financial Alignment Demonstration Model (a national demonstration program for people dually eligible for Medicare and Medicaid). In the event that the terms of the payor contracts require that this Agreement incorporate specific contractual terms that are not otherwise included herein, then County shall fully cooperate with Carelon in amending this Agreement to add the requisite terms. 17. General Terms. a. Notices. All notices, requests and other communications to any Party will be in writing and will be addressed to the receiving Party's address set forth below or to such other address a party may designate by notice hereunder, and will be either (i) delivered by hand, (ii) sent by recognized overnight courier, or (iii) sent by certified mail, return receipt requested, postage pre -paid, as follow: If to County: County of Grant dba Renew 840 E Plum St Moses Lake, WA 98837 If to Carelon: Carelon Behavioral Health, Inc. P.O. Box 989 Latham, NY 12110 - 6402 Attn: National Provider Network Operations with a copy to Carelon Behavioral Health, Inc. 200 State Street, Suite 302 Boston, MA 02109 Attention: General Counsel All notices, requests and other communications hereunder will be deemed to have been given (i) if by hand, at the time of the delivery thereof to the receiving party at the address of such party set forth above, (ii) if Base — PI D 301052 Page 5 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 sent by overnight courier service, on the next business day following the day such notice is delivered to the courier service, or (iii) if sent by certified mail, if sent by certified mail, on the date of actual receipt, as evidenced by receipt itself. b. Amendment. This Agreement constitutes the entire understanding of the Parties and supersedes all prior representations and understandings, whether oral or written with respect to the subject matter of this Agreement. Any amendments or modifications will not be effective unless mutually agreed upon in a writing signed by an authorized representative of each Party. Notwithstanding anything to the contrary in the foregoing, the Parties agree that this Agreement shall be modified as is necessary for Carelon to comply with any changes required in regard to Protected Health Information or Electronic Protected Health Information, as set forth in any Business Associate Agreement.. c. Waiver. No failure to exercise and no delay in exercising any right, power, or privilege hereunder shall operate as a waiver thereof, nor shall it affect the right of such party to require performance at a later time. d. Independent Contractors. This Agreement is not intended and is not to be construed to create any relationship between the Parties other than that of independent parties contracting with each other solely for the purpose of effecting the provisions of this Agreement. County at no time shall hold itself out as Carelon's agent for any purpose, and shall have no authority to bind Carelon to any obligation. Each Party agrees to assume complete responsibility for itself and its own employees, agents and representatives with regard to federal and state taxes, employer's liability, health care coverage, workers' compensation, social security, and unemployment insurance, occupational safety and health administration requirements and all other federal, state and local laws. The County expressly agrees and acknowledges that Carelon is not responsible to pay or withhold, on behalf of County or any of County's employees, agents or representatives, any state or federal income taxes, self-employment taxes or any other taxes that may be payable as a result of the compensation paid for the services rendered by County. Neither the County nor any employee, agent or representative of the County shall have a claim against Carelon for vacation pay, paid sick leave, retirement benefits, health care coverage, social security, workers compensation, disability, professional malpractice or unemployment insurance benefits or any other employee benefit of any kind. County agrees to indemnify and hold harmless Carelon from any and all loss or liability incurred by Carelon and arising from the County's failure to make any such payments or withholdings and/or to provide such benefits, if any. The provisions of this Section shall survive termination of this Agreement. e. Headings. The headings contained in this Agreement are for convenience of reading and are not intended to have any substantive significance in the interpretation of this Agreement. f. Taxes. Except for sales and use tax applicable to products purchased under this Agreement, County is responsible for payment of all taxes arising out of this Agreement. g. Applicable Law. This Agreement will be governed by and construed according to the laws of Washington, exclusive of its conflicts of laws statute, and any dispute shall be resolved in the proper state or federal court in Washington. The provisions of this Section shall survive termination of this Agreement. h. Assignment. This Agreement, and any of its rights and obligations hereunder, may not be assigned by any Party without the prior written consent of the other Party(ies), and such consent may be withheld in any Party's sole discretion. i. Inurement. This Agreement shall bind and inure to the benefit of the Parties, their parent and affiliated corporations and their respective transferees, successors and permitted assigns. Use of Name. County may not use Carelon's name or logo except with Carelon's prior written approval of the specific intended use. Base — PID 301052 Page 6 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 k. Severability. In the event that any portion of this Agreement is determined to be void or unenforceable, that provision will be deemed to be restated to reflect as nearly as possible the original intent of the Parties in accordance with applicable law, and the remaining provision will continue in full force and effect. In the event that the provision cannot be reformed so as to reflect as nearly as possible the original intent of the Parties, then this Agreement may be terminated by either party upon written notice upon the other, and no further obligations shall be owed by the Parties to each other. I. Counterparts. This Agreement may be executed counterparts and by facsimile, each of which shall be deemed an original but all of which shall constitute one and the same instrument. The Parties further agree that an electronically scanned email signature or facsimile signature shall have the same legal significance (for this document and any counter parts only) as an original signature. m. Meaning of terms. Whenever required by the context of this Agreement, the singular shall include the plural and the plural shall include the singular, and the masculine, feminine and neuter genders shall each include the others, and the word "person" shall include corporations, partnerships or other entities. This Agreement shall not be construed as having been drafted by one party as opposed to the other. n. Survival. As of the effective date of termination of this Agreement, no party shall have any further rights or obligations hereunder except for rights and obligations accruing prior to such effective date of termination, or arising as a result of any breach of this Agreement. Notwithstanding the foregoing, any provision of this Agreement creating obligations beyond the term of this Agreement shall survive the termination of this Agreement, regardless of the reason for such termination. Moreover, termination in accordance with the terms of this Agreement shall not affect any rights or obligations arising prior to the effective date of termination. Base — PI D 301052 Page 7 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 IN WITNESS WHEREOF, the Parties have caused this Agreement to be executed by their duly authorized representatives as of the date first written above. COUNTY OF GRANT, DBA RENEW IE Name: Linze Greenwalt Title: TIN: 91-6001319 CARELON BEHAVIORAL HEALTH, INC., By: Name: Tiffany Villines Title: Date Date Base — PI D 301052 Page 8 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 Exhibit A: Moses Lake Community Coalition Primary Prevention Initiative In addition to the obligations set forth elsewhere in this Agreement, Carelon and County agree to comply with the following requirements outlined in Carelon's contract with Chelan County, Douglas County, Grant County, Okanogan County, The City of Wenatchee, The City of East Wenatchee, and the City of Moses Lake. In the event of any conflict between the provisions of the Agreement and Exhibit A, the provisions of Exhibit A control. I: Program Overview. (1) The Moses Lake Community Coalition (MLCC) plans to implement a three -tiered primary prevention initiative aligned with the U.S. Department of Health and Human Services' recommended strategies and Washington State's opioid response priorities. This project leverages established local partnerships to increase community awareness, secure environments through medication storage solutions, and expand access to drug -free prosocial activities for underserved youth. II: Program Requirements. (1) Information Dissemination a. The County will lead local awareness efforts during national observances such as Fentanyl Awareness Day (May) and National Prescription Drug Take Back Day (April & October), in collaboration with the Moses Lake Police Department. b. The County will expand Positive Community Norms messaging using data from the Healthy Youth Survey and Moses Lake Community Survey to correct misperceptions about local substance use. c. The County will launch an educational group series promoting healthy coping skills and mental wellness strategies among youth and families. (2) Environmental Strategy: a. The County will distribute at least 300 locking medication boxes and bags annually to community members through events and service partners such as: i. Moses Lake Police Department (Rx Take Back Day) ii. Community Events iii. Moses Lake Public Library (3) Alternatives to Substance Use. a. The County will establish a youth participation fund in partnership with Moses Lake Parks & Recreation, youth activities such as gymnastics, dance, and karate, and after -school programs. Funds will subsidize registration fees including but not limited to activities such as: i. Team Sports ii. Dance, music or martial arts classes iii. Activities through Moses Lake Parks and Recreation Department Base — PI D 301052 Page 9 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 III: Maximum Contract Amounts. (1) Carelon shall have no obligation to pay for costs or claims in excess of the amounts listed below for the identified periods, unless this contract is amended pursuant to the terms of the Agreement. (2) Definitions: a. Payment Method: i. Cost Reimbursement means the County will submit monthly invoices to Carelon for the deliverable, performance measure, or actual costs to be reimbursed up to the contract maximum. At a minimum, invoices should include itemization of staff time (hourly rate multiplied by hours worked, plus taxes and benefits), overhead, supplies, and deliverables. Supporting documentation for invoices such as receipts and timesheets must be made available to Carelon upon request. b. The following table outlines the maximum amounts funded under this contract for the stated period. C. Monitoring County spending against the funds allocated in this Amendment is the responsibility of County. Carelon supports this responsibility by providing County with periodic Finance Memos that include payments made by Carelon to County and any remaining funds available for that fiscal year. d. Invoices shall be submitted monthly within 20 calendar days of the end of the month being billed. Invoices not received within these timeframes may be denied for payment. i. Payment may be withheld if contractual obligations, including but not limited to the timely provision of required reports, are not met. 11. Invoices shall be submitted to the following email address, which is monitored multiple times each day: Behavioral HealthWAASO carelon.com. Table 1 Maximum Contract Amounts July 1, 2025 — June 30, 2026 Payment y Funding Period Jul u 0 5 Jan 2026 Total Program or Service Method Funding Source Dec 2025 Jun 2026 FY 2026 Moses Lake Community Cost Grant Count y 13 435 13 435 26 869 Coalition Reimbursement ' Grand Total $26,869 IV: Opioid Distributors Settlement Specific Provisions. (1) ACCESS, MONITORING, AND INSPECTIONS a. County agrees to cooperate and participate in Carelon's monitoring and evaluation process. The County shall furnish documents, reports, statements, records, data, and other information to county, state, federal, or other funding agencies at such times and on such forms as are specified by Carelon. This may include agreements the County has with other entities. Base — PI D 301052 Page 10 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 b. County grants Carelon the right of access to examine or transcribe any records, books, financial statements, papers, and documents relating to this Agreement. The County's records, books, financial statements, papers, and documents, with respect to all matters, shall be subject at all times to inspection, review or audit by County, federal, or state officials during the performance of the Agreement with Carelon and during the period of document retention. C. Unless prohibited by law, the County shall allow Carelon to physically inspect, on demand, any and all work being performed under this Agreement. Carelon shall be granted such access to current work sites without providing advance notice to the County. Upon request by Carelon, the County shall provide Carelon with a written schedule of its upcoming work dates, locations, and services to be performed under this Agreement. d. Carelon, at its sole discretion, shall be free to take any action it deems necessary to ensure the quality of work or services being performed by the County and to ensure compliance with all state and federal regulations, health and safety codes, and/or grant requirements. (2) AMERICANS WITH DISABILITIES ACT a. County shall comply with federal, state and local non-discrimination laws relating to disabilities, including, but not limited to, the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq) and 28 C.F.R. Part 35, which provide comprehensive protection to individuals with disabilities. (3) ANTI -LOBBYING a. By signing this Agreement, the County certifies that, to the best of its knowledge and belief, no federal appropriated funds have been paid or will be paid by or on behalf of the undersigned to any person for influencing or attempting to influence an officer or employee of an agency, a member of congress, an officer or employee of congress, or an employee of a member of congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. b. If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of congress, an officer or employee of congress, or an employee of a member of congress in connection with a federal contract, grant, loan, or cooperative agreement, the County shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. C. No funds from this Agreement shall be used for supporting or opposing ballot measures or the candidacy of any person for public office. (4) CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY, AND VOLUNTARY EXCLUSION a. By signing this Agreement, the County certifies that it is not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded (Excluded Person) from participating in any federally funded program by any federal department or agency, and that no owner, director, officer, or partner with an ownership or control interest in the County is an Excluded Person. In addition, County certifies that no employee or subcontractor of County who will perform work directly or indirectly under this Agreement is an Excluded Person. b. This certification is required by the regulations set forth in Title 2 C.F.R. Part 180. The terms "covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary Base — PI D 301052 Page 11 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 covered transaction, principal, and voluntarily excluded," as used in this clause, have the meanings set out in Title 2 C.F.R. Part 180. C. The certifications in this clause are a material representation of fact upon which reliance is placed at the time of Agreement execution and at the time of any subsequent modification(s). If it is at any time determined that the County knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment. d. Before hiring any new employee, the County shall conduct a search of the Federal Excluded Parties List System referenced above to ensure that the individual is not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency. The search must be conducted by the County prior to making an employment offer. Evidence of search results must be maintained in the employee's personnel file. e. The County shall maintain written documentation of its compliance with the above -stated requirements and make said documentation available to Carelon for review upon request. (5) CONFIDENTIALITY AND PRIVACY a. If County encounters protected health information while performing services under this Agreement, the County shall have internal policies and procedures related to the privacy and the security of protected health information in compliance with state and federal guidelines. By signing this Agreement, the County certifies that it is compliant with the applicable provisions of the Health Insurance Portability and Accountability Act (HIPAA) of 1996, codified in 42 USC 1320(d) et seq. and 45 CFR parts 160, 162 and 164; the Health Information Technology for Economic and Clinical Health Act (HITECH Act or "the Act") part of the American Recovery and Reinvestment Act of 2009 (ARRA); the Omnibus Rule that modifies the HIPAA and HITECH Act, 42 CFR Part 2; and all applicable state (e.g. RCW 70.02) and federal privacy regulations. b. If County encounters protected health information while performing services under this Agreement, County further certifies that it has on file a signed Statement of Confidentiality for all staff, subcontractors, or volunteers who have access to confidential client information. C. If requested by Carelon, County shall provide Carelon with copies of the signed Statement of Confidentiality documents referenced in this section. d. If requested by Carelon, County shall provide Carelon with an annual Confidentiality Certification in a format acceptable to Carelon before January 15th of each year. e. Unless waived by Carelon in writing, if County encounters protected health information while performing services under this Agreement, then it must sign a "Business Associate Agreement and Qualified Service Organization Agreement" with Carelon. Personal information collected, used, or acquired in connection with the services provided under this Agreement shall be used solely for the purpose of this Agreement unless otherwise required under law. Unless required under law, the County agrees not to release, divulge, publish, transfer, sell, or otherwise disclose to unauthorized persons any confidential or personal information that is not directly connected with the performance of the services contemplated in this Agreement, except with written consent of the person or legal representative of the person who is the subject of the personal information. The written consent must state which personal information may be shared and to whom the personal information will be shared. g. Personal and confidential information includes, but is not limited to, information related to a person's name, health, finances, education, business, use of government services, addresses, telephone numbers, social Base — PID 301052 Page 12 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 security number, driver's license number or other identifying numbers, and information in the possession of the County that may not be disclosed under state or federal law. h. The County shall protect and maintain all personal and confidential information against unauthorized use, access, disclosure, modification, or loss and in accordance with state and federal law regarding confidentiality. This duty requires the County to employ reasonable security measures, which include restricting access to personal and confidential information only to staff members who have a business need to view the information, and by securing records in locked cabinets while not in use. The County shall have a written policy and procedure to implement this duty. (6) CONFLICT OF INTEREST a. County certifies that no principal, director, officer, employee, agent, consultant, officer, elected official or appointed official has violated the Ethics in Public Service Act (RCW chapters 42.23 and 42.52), or any similar statute involving the County in the procurement of or performance under this Contract. b. The County shall comply with 24 C.F.R. §570.611 regarding any potential conflict of interest. i. In the procurement of supplies, equipment, construction, and services by recipients and by subrecipients, the conflict of interest provisions in 24 C.F.R. §85.36 and 24 C.F.R. §84.42, respectively, shall apply. ii. In all cases not governed by 24 C.F.R. §85.36 and §84.42, the provisions of this section shall apply. Such cases include the acquisition and disposition of real property and the provision of assistance by the recipient or by its subrecipients to individuals, businesses, and other private entities under eligible activities that authorize such assistance (e.g., rehabilitation, preservation, and other improvements of private properties or facilities pursuant to 24 C.F.R. §570,202, grants, loans, and other assistance to businesses, individuals, and other private entities pursuant to 24 C.F.R. §570.203, §570.204, §570.455) or §570.703(i)). (7) CONSUMER RIGHTS a. The County shall comply with state and federal non-discrimination laws. This includes: Discrimination — Human Rights Commission (RCW 49.60); 42 CFR 438.214, Title VI of the Civil Rights Act of 1964 as implemented by regulations at 45 CFR part 80; the Age Discrimination Act of 1975 as implemented by regulations at 45 CFR part 91; the Rehabilitation Act of 1973; titles II and III of the Americans with Disabilities Act; and other laws regarding privacy and confidentiality. The County shall ensure that its staff takes these rights into account when furnishing services to consumers. (8) CONTRACT PERIOD a. Upon expiration of the initial term or period of extension, the County agrees that the contract shall terminate unless the County has successfully reapplied and been awarded funding. (9) COPYRIGHT a. "Materials" means all items in any format and includes, but is not limited to data, reports, maps, charts, documents, pamphlets, advertisements, books, magazines, surveys, studies, computer programs, HTML code, films, tapes, and/or sound reproductions. b. Unless otherwise provided in this Agreement, all Materials produced under this Agreement shall be considered "works for hire," as defined by the U.S. Copyright Act, and shall be owned by Carelon. Carelon shall be considered author of such Materials. Ownership includes the right to copyright, patent, register, and the ability to transfer these rights. Base — PID 301052 Page 13 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 C. In the event the Materials are not considered "works for hire," the County hereby irrevocably assigns to Carelon all rights, title, and interest in all Materials, including intellectual property rights, moral rights, and rights of publicity, effective from the moment of creation of such Materials. d. For Materials that are delivered under this Agreement but that incorporate pre-existing materials not produced under this Agreement, the County hereby grants to Carelon a nonexclusive, royalty -free, irrevocable license in such Materials, with rights to sublease to others. Carelon may translate, reproduce, distribute, prepare derivative works, publicly perform, and publicly display such Materials. The County warrants and represents that the County has all rights and permissions, including intellectual property rights, moral rights, and rights of publicity, necessary to grant such a license to Carelon. (10) CORRECTIVE ACTION a. The County is required to meet all of the terms and conditions in this Agreement. Should an Agreement violation or a performance deficiency be identified by Carelon, Carelon may, at its sole discretion, provide the County with a written notice requiring immediate corrective action, or terminate the contract. b. If Carelon provides the County with a written notice of corrective action, the County must submit a corrective action plan within thirty (30) calendar days from the date of the notice. C. Carelon will approve or disapprove the County's corrective action plan in writing. If approved, the County shall implement the plan and ensure correction of the deficiency. If the County does not correct the deficiency, submit a corrective action plan within fourteen (14) calendar days, or Carelon deems the plan unsatisfactory, Carelon may terminate this Agreement in whole or in part. d. Notice required to be given pursuant to the terms of this section shall be in writing and shall be sent by certified or registered mail, return receipt requested, postage prepaid, or by hand -delivery, to the receiving party at the address listed on the signature page or at any other address of which a party has given notice. Notice shall be deemed given on the date of delivery or refusal as shown on the return receipt if delivered by mail, or the date upon which such notice is personally delivered in writing. (11) COVENANT AGAINST CONTINGENT FEES a. The County warrants that no person or selling agency will be employed or retained to solicit or secure a contract upon an agreement or understanding for a commission, percentage, brokerage, or contingent fee. Carelon shall have the right, in the event of breach of this clause by the County, to annul any contract without liability, or in its discretion, to deduct from this Agreement price or consideration, or otherwise recover the full amount of such commission, percentage, brokerage, or contingent fee, or seek such other remedies as are legally available. (12) DRUG FREE WORKPLACE a. The County shall have a "Drug Free Workplace" Policy that describes the steps taken to deter the use of drugs, including alcohol, in the workplace and that addresses the Drug -Free Workplace Act of 1988. The policy should include any provisions for education, scope of prohibited substances, testing, employee assistance, discipline, and employee responsibilities. The County shall be required to sign a "Drug Free Workplace" certification on a form provided by the Carelon. (13) DUPLICATION OF COSTS a. The County certifies that work for services billed under this Contract does not duplicate any work to be charged to any other source. Base — PID 301052 Page 14 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 (14) ENTIRE CONTRACT a. The parties agree that this Agreement is the complete expression of the terms hereto, and any oral representations or understanding not incorporated herein are excluded. Except as otherwise provided in this Agreement, any modification shall be in writing and signed by both parties. Failure to comply with any of the provisions stated herein shall constitute material breach of this Agreement and cause for termination. The parties recognize that time is of the essence in the performance of this Agreement. (15) FAIR HOUSING AND NON-DISCRIMINATION a. The County shall comply with all local, state, and federal fair housing and non-discrimination laws, regulations, and policies. County shall take necessary and appropriate actions to prevent discrimination in rental units assisted through the contracted funding sources. b. In accordance with the decision in United States v. Windsor, 133 S. Ct. 2675 (June 26, 2013), and section 3 of the Defense of Marriage Act, codified at 1 USC 7, in any grant -related activity in which family, marital, or household considerations are, by statute or regulation, relevant for purposes of determining beneficiary eligibility or participation, grantees must treat same -sex spouses, marriages, and households on the same terms as opposite sex spouses, marriages, and households, respectively. (16) FISCAL REQUIREMENTS a. The County is required to comply with Generally Accepted Accounting Principles (GAAP) or Governmental Generally Accepted Accounting Principles (GGAAP) that meet the financial management systems requirements of this Agreement. The requirement in this section may be met either by submission of an annual independent auditor's report or by the submission of semi-annual financial reports based upon the mid -point and end of the County's fiscal year, if an annual audit is not performed. b. The County shall comply with applicable requirements of 2 C.F.R. Part 200, including any future amendments, and any successor or replacement Office of Management and Budget (OMB) Circular or regulation. C. The County shall provide to Carelon a corrective action plan for any audit findings within thirty (30) days of having received the auditor's report. Failure to fulfill this requirement may result in corrective action, including withholding payment until the financial information or audit is received by Carelon. (17) INDEMNIFICATION a. The County does release, indemnify, and promise to defend and hold harmless Carelon, its elected officials, officers, employees, and agents from and against any and all liability, loss, damages, expense, action, and claims. This includes costs and reasonable attorney's fees incurred by Carelon, its elected officials, officers, employees and agents in defense thereof, asserting or arising on account of or out of the performance of service pursuant to this Agreement. b. The County specifically agrees to indemnify and hold harmless Carelon from any and all bodily injury claims brought by employees of the County and expressly waives its immunity under the Industrial Insurance Act as to those claims that are brought against Carelon. This paragraph does not purport to indemnify Carelon against the liability for damages arising out of bodily injuries or damages caused by or resulting from the negligence of Carelon, its elected officials, officers, employees, and agents. (18) INTERPRETATION OF CONTRACT a. This Agreement contains provisions agreed upon by County and Carelon. In the event of an inconsistency or Base — PI D 301052 Page 15 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 conflict appearing in this Agreement, the follow provisions apply: The order of precedence is as follows: 1. Federal statutes and regulations 2. State statutes and regulations 3. Special Terms and conditions 4. The County's proposal b. When a term of this Agreement conflicts with a term of an associated Agreement, the term of the associated Agreement controls. If such an interpretation violates a federal or state statute or contract agreement, the term shall be interpreted in a manner to comply with federal and state statutes and contract agreements. (19) LICENSING AND PROGRAM STANDARDS a. The County agrees to comply with all applicable federal, state, County, or municipal standards for licensing, certification, and operation of facilities and program, accreditation and licensing of individuals, and for any other applicable standards or criteria as specified in this Agreement. The loss of any required accreditation license or other certificate shall be promptly reported to Carelon. The loss of a required license, certification, and/or accreditation will be grounds for termination of a contract by Carelon if the presence of the license or certificate is a legal prerequisite to performing a Contract service. (20) NON -APPROPRIATION a. In the event that funding to Carelon from state, federal, or other sources is withdrawn, reduced, or limited in any way after the effective date of a contract and prior to its normal completion, Carelon may immediately terminate this Agreement in whole or in part by providing the County notice. (21) NON -SUBSTITUTION FOR LOCAL FUNDING a. The County shall not use funds provided under this Agreement to supplant local, state, or other federal funds. The County shall not use these funds to replace funding that would otherwise be made available to the County had this funding not been provided. (22) PAY EQUITY a. The County agrees to ensure that "similarly employed" individuals in its workforce are compensated as equals, consistent with the following: b. Employees are "similarly employed" if the individuals work for the same employer, the performance of the job requires comparable skill, effort, and responsibility, and the jobs are performed under similar working conditions. Job titles alone are not determinative of whether employees are similarly employed. C. The County may allow differentials in compensation for its workers if the differentials are based in good faith and on any of the following: A seniority system; a merit system; a system that measures earnings by quantity or quality of production; a bona fide job -related factor or factors; or a bona fide regional difference in compensation levels. ii. A bona fide job -related factor or factors may include, but not be limited to, education, training, or experience that is: consistent with business necessity; not based on or derived from a gender -based differential; and accounts for the entire differential. iii. A bona fide regional difference in compensation level must be consistent with business necessity; not Base — PI D 301052 Page 16 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 based on or derived from a gender -based differential; and account for the entire differential. (23) PROHIBITION AGAINST POLITICAL ACTIVITY AND RELIGIOUS ACTIVITY a. The County shall not use contract funds or identify contract funds in a manner supporting any partisan or nonpartisan political activity, nor for any activity to provide voters or prospective voters with transportation to the polls or similar assistance in connection with any such election or any voter registration activity. b. The County shall not use program funds to support inherently religious activities such as religious instruction, worship, or prose lytization. County must take steps to separate, in time or location, inherently religious activities from the services funded under this Agreement. C. The County agrees that no funds provided nor personnel employed under this Agreement shall be in any way or to any extent engaged in the conduct of political activities in violation of the Hatch Act, Chapter 15 of Title V, United States Code. (24) RECORDS RETENTION a. Required records shall be retained for a period of at least six (6) years from the expiration or termination date of this Agreement except as follows: Records that are the subject of audit finding or a legal proceeding shall be retained for the minimum period or until such audit findings or legal proceeding has been resolved, whichever is later. ii. Records for real property and equipment shall be retained for the minimum period from the date of disposition, replacement, or transfer at the direction of Carelon. iii. Any record with a longer retention schedule for purposes of public records disclosure shall be retained as required by the Revised Code of Washington (RCW). b. If requested by Carelon and to the extent allowed by law, at the end of the records retention period County shall return confidential information to Carelon or certify in writing the destruction of the confidential information. (25) RECOVERY OF PAYMENT a. If Carelon makes payment for goods or services that were claimed in error or were not allowable costs under the terms of this Agreement, the County shall repay Carelon promptly and fully cooperate with Carelon in its recovery efforts. (26) RELATIONSHIP OF THE PARTIES a. The County, its agents, employees, officers, or representatives, are not employees, agents, or representatives of Carelon for any purpose, and the employees of the County are not entitled to any of the benefits Carelon provides for its respective employees. The County shall be solely and entirely responsible for its acts and for the acts of its agents, employees, subcontractors, or others during the performance of any contract. Carelon shall not be responsible for the payment of federal taxes, Social Security taxes, or Labor and Industries contributions for the County. This Agreement is executed for the benefit of the parties and the public generally. It is not intended nor may it be construed to create any third party beneficiaries. (27) EQUITY, INCLUSION, AND ANTI -RACISM a. Countys must evaluate is activities under this Agreement, and be as equitable and inclusive as possible, Base — PI D 301052 Page 17 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 ensuring contracted services are being fully utilized and accessed by all the population groups that need them, to include historically underserved communities such as black, indigenous, and people of color. To do this, the County shall, at minimum: Identify all the groups in the community that need the services to be offered, paying particular attention to historically underserved populations. ii. Center the voices of those who will be impacted or served by the actions, activities, or policies implemented through this Agreement, particularly the voices of historically underserved groups; and allowing those voices to shape and influence the conduct of contracted activities. iii. Track demographics, service delivery, and outcomes in the Agreement to see inequities and disproportionality in access and delivery of contracted services when it occurs, and actively take steps to correct inequities found. (28) SEVERABILITY a. It is understood and agreed by the parties that if any part, term, or provision of this Agreement is held by the courts to be illegal, the validity of the remaining provisions shall not be affected, and the rights and obligations of the parties shall be construed and enforced as if the Agreement did not contain the particular provision held to be invalid. If deletion of the invalid provision substantially alters the intent, purpose, or effect of the Contract, or constitutes a failure of consideration, the Agreement may be rescinded or terminated by Carelon. Nothing herein contained shall be construed as giving precedence to provisions of this Agreement, or any subcontract, over any provision of the law. (29) STANDARDS FOR FISCAL ACCOUNTABILITY a. County shall establish a proper accounting system in accordance with generally accepted accounting standards or County directives. b. If required by the State of Washington or by this Agreement, the County shall maintain books, records, documents, and accounting procedures and practices that accurately reflect all direct and indirect costs and income related to the performance of each contract. Such fiscal books, records, documents, reports, and other data shall be retained in a manner consistent with the "Budgeting, Accounting, Reporting System for Counties and Cities, and Other Local Governments," hereinafter referred to as "BARS," or equivalent accounting method, to allow costs to be tracked to specific revenue sources. C. Carelon shall have the right to monitor and audit County's fiscal components to ensure that actual expenditures remain consistent with the terms of this Agreement. (30) SUBCONTRACTING a. County shall not subcontract any of the services identified in this Agreement. (31) SURVIVABILITY a. The terms, conditions, and warranties contained in this Agreement that by their sense and context are intended to survive the completion of the performance, cancellation, or termination of this Agreement shall so survive. Examples of terms that survive are records retention, fiscal audit, and indemnification requirements, as well as affordability requirements included in many HUD -funded contracts. (32) TOBACCO SMOKE Base — PI D 301052 Page 18 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 a. By signing this Agreement, the County certifies that it complies with 20 U.S.C. 7183, also known as the "Pro - Children Act of 1994," by not allowing smoking in any portion of any indoor structure routinely owned or leased or contracted by the County and used routinely or regularly for provision of health, day care, education, or library services to children under the age of 18, if the services are funded by federal programs either directly or through state or local governments, by federal grant, contract, loan, or loan guarantee. The law does not apply to children's services provided in private residences, facilities funded solely by Medicare or Medicaid funds, and portions of facilities used for inpatient drug or alcohol treatment. b. The United States Public Health Services (PHS) strongly encourages all grant recipients to provide a smoke - free workplace and promote the non-use of tobacco products. This is consistent with the PHS mission to protect and advance the physical and mental health of the American people. (33) WAIVER OF DEFAULT a. Waiver of any default or breach shall not be deemed to be a waiver of any subsequent default or breach. Any waiver shall not be construed to be a modification of the terms of this Agreement. V: Prevention Program Provisions. If funds are received to prevent Opioid Use Disorder (OUD) the County shall: (1) PREVENT OVER -PRESCRIBING AND ENSURE APPROPRIATE PRESCRIBING AND DISPENSING OF OPIOIDS: Support efforts to prevent over -prescribing and ensure appropriate prescribing and dispensing of opioids through evidence -based, evidence -informed, or promising programs or strategies that may include,,but are not limited to, the following: a. Training for health care providers regarding safe and responsible opioid prescribing, dosing, and tapering patients off opioids. b. Continuing Medical Education (CME) on appropriate prescribing of opioids. C. Support for non-opioid pain treatment alternatives, including training providers to offer or refer to multi - modal, evidence -informed treatment of pain. d. Support enhancements or improvements to Prescription Drug Monitoring Programs (PDMPs), including but not limited to improvements that: i. Increase the number of prescribers using PDMPs; ii. Improve point -of -care decision -making by increasing the quantity, quality, or format of data available to prescribers using PDMPs or by improving the interface that prescribers use to access PDMP data, or both; or iii. Enable states to use PDMP data in support of surveillance or intervention strategies, including MAT referrals and follow-up for individuals identified within PDMP data as likely to experience OUD. e. Development and implementation of a national PDMP — Fund development of a multistate/national PDMP that permits information sharing while providing appropriate safeguards on sharing of private health information, including but not limited to: Integration of PDMP data with electronic health records, overdose episodes, and decision support tools for health care providers relating to OUD. ii. Ensuring PDMPs incorporate available overdose/naloxone deployment data, including the United States Department of Transportation's Emergency Medical Technician overdose database. Increase electronic prescribing to prevent diversion or forgery. Base — PI D 301052 Page 19 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 g. Educate Dispensers on appropriate opioid dispensing. (2) PREVENT MISUSE OF OPIOIDS: Support efforts to discourage or prevent misuse of opioids through evidence - based, evidence- informed, or promising programs or strategies that may include, but are not limited to, the following: a. Corrective advertising or affirmative public education campaigns based on evidence. b. Public education relating to drug disposal. C. Drug take -back disposal or destruction programs. d. Support community anti -drug coalitions that engage in drug prevention efforts. e. Support community coalitions in implementing evidence -informed prevention, such as reduced social access and physical access, stigma reduction — including staffing, educational campaigns, support for people in treatment or recovery, or training of coalitions in evidence -informed implementation, including the Strategic Prevention Framework developed by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA). Engage non -profits and faith -based communities as systems to support prevention. g. Support evidence -informed school and community education programs and campaigns for students, families, school employees, school athletic programs, parent- teacher and student associations, and others. h. School -based or youth -focused programs or strategies that have demonstrated effectiveness in preventing drug misuse and seem likely to be effective in preventing the uptake and use of opioids. Support community -based education or intervention services for families, youth, and adolescents at risk for OUD and any co-occurring SUD/MH conditions, co -usage, and/or co -addiction. Support evidence -informed programs or curricula to address mental health needs of young people who may be at risk of misusing opioids or other drugs, including emotional modulation and resilience skills. k. Support greater access to mental health services and supports for young people, including services and supports provided by school nurses or other school staff, to address mental health needs in young people that (when not properly addressed) increase the risk of opioid or other drug misuse. (3) PREVENT OVERDOSE DEATHS AND OTHER HARMS: Support efforts to prevent or reduce overdose deaths or other opioid-related harms through evidence -based, evidence -informed, or promising programs or strategies that may include, but are not limited to, the following: a. Increase availability and distribution of naloxone and other drugs that treat overdoses for first responders, overdose patients, opioid users, families and friends of opioid users, schools, community navigators and outreach workers, drug offenders upon release from jail/prison, or other members of the general public. b. Provision by public health entities of free naloxone to anyone in the community, including but not limited to provision of intra-nasal naloxone in settings where other options are not available or allowed. C. Training and education regarding naloxone and other drugs that treat overdoses for first responders, overdose patients, patients taking opioids, families, schools, and other members of the general public. Base — PI D 301052 Page 20 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 d. Enable school nurses and other school staff to respond to opioid overdoses, and provide them with naloxone, training, and support. e. Expand, improve, or develop data tracking software and applications for overdoses/naloxone revivals. Public education relating to emergency responses to overdoses. g. Public education relating to immunity and Good Samaritan laws. h. Educate first responders regarding the existence and operation of immunity and Good Samaritan laws. Syringe service programs and other evidence -informed programs to reduce harms associated with intravenous drug use, including supplies, staffing, space, peer support services, referrals to treatment, fentanyl checking, connections to care, and the full range of harm reduction and treatment services provided by these programs. Expand access to testing and treatment for infectious diseases such as HIV and Hepatitis C resulting from intravenous opioid use. k. Support mobile units that offer or provide referrals to treatment, recovery supports, health care, or other appropriate services to persons that use opioids or persons with OUD and any co-occurring SUD/MH conditions, co -usage, and/or co -addiction. Provide training in treatment and recovery strategies to health care providers, students, peer recovery coaches, recovery outreach specialists, or other professionals that provide care to persons that use opioids or persons with OUD and any co- occurring SUD/MH conditions, co -usage, and/or co -addiction. M. Support screening for fentanyl in routine clinical toxicology testing. VIo Other Strategies Provisions: If funds are received for other strategies the County shall: (1) FIRST RESPONDERS: In addition to items in V Prevention Provisions, relating to first responders support the following: Educate law enforcement or other first responders regarding appropriate practices and precautions when dealing with fentanyl or other drugs. Provide wellness and support services for first responders and others who experience secondary trauma associated with opioid related emergency events. (2) LEADERSHIP, PLANNING AND COORDINATION: Support efforts to provide leadership, planning, and coordination to abate the opioid epidemic through activities, programs, or strategies that may include, but are not limited to, the following: Community regional planning to identify root causes of addiction and overdoes, goals for reducing harms related to the opioid epidemic, to identify areas and populations with the greatest needs for treatment intervention services, and to support other strategies to abate the opioid epidemic. Provide resources to staff government oversight and management of opioid abatement programs. (3) TRAINING: In addition to the training referred to in various items above, support training to abate the opioid epidemic through activities, programs, or strategies that may include, but are not limited to, the following: Base — PI D 301052 Page 21 of 22 Docusign Envelope ID: 8B665CEF-1596-408E-AAD5-5E41496BF348 L Provide funding for staff training or networking programs and services to improve the capability of government, community, and not -for -profit entities to abate the opioid crisis. ii. Support infrastructure and staffing for collaborative cross -system coordination to prevent opioid misuse, prevent overdoses, and treat those with OUD and any co- occurring SUD/MH conditions, co -usage, and/or co -addiction, or implement other strategies to abate the opioid epidemic described in this opioid abatement strategy list (e.g., health care, primary care, pharmacies, PDMPs, etc.). (4) RESEARCH: Support opioid abatement research that may include, but is not limited to, the following: a. Monitoring, surveillance, and evaluation of programs and strategies. b. Research non-opioid treatment of chronic pain. c. Research on improved service delivery for modalities such as SBIRT that demonstrate promising but mixed results in. populations vulnerable to opioid use disorders. d. Research on innovative supply-side enforcement efforts such as improved detection of mail -based delivery of synthetic opioids. e. Expanded research on swift/certain/fair models to reduce and deter opioid misuse within criminal justice populations that build upon promising approaches used to address other substances (e.g. Hawaii HOPE and Dakota 24/7). f. Research on expanded modalities such as prescription methadone that can expand access to MAT VII: Reporting Requirements. (1) Provision of required reports is a condition for payment. (2) Failure to meet reporting requirements may result in a Corrective Action Plan (CAP) (3) Unless there is an established SFTP site with Carelon, reports should be submitted to the following email address, which is monitored multiple times each day: Behavioral Health—WAASO@carelon.com. The name of the report should be included in the email subject line. (4) County shall provide to Carelon a monthly report within 20 calendar days of the end of the previous month, using Carelon provided template including requested metrics and narrative. Base — PI D 301052 Page 22 of 22 Outlook RE: Carelon/OUDS NCWA Renew Base From Rebekah M. Kaylor <rmkaylor@grantcountywa.gov> Date Thu 10/16/2025 1:33 PM To Linze Greenwalt <Ireenwalt@grantcountywa.gov> Cc Tonya K. Cuellar <tkcuellar@grantcountywa.gov> D 1 attachment (91 KB) 301052 NCWA OSF Renew Base Agreement Effective 7-1-2025 (2025-10-07) .docx; Hi Linze, approve this as to form once all the changes have been accepted. Regards, Rebekah Kaylor Chief Deputy Prosecuting Attorney (Civil/Appellate) Grant County Prosecuting Attorney's Office PO Box 37 Ephrata, WA 98823 Phone: 509.754.2011 x3950 Fax: 509.754.6574 rmkaylor _grantcount,y va,gov The contents of this e-mail message, including any attachments, are intended solely for the use of the person or entity to whom the e-mail was addressed. It contains information that may be protected by attorney -client privilege, work -product, or other privileges, and may be restricted from disclosure by applicable state and federal law. If you are not the intended recipient of this message, be advised that any dissemination, distribution, or use of the contents of this message is strictly prohibited. If you received this message in error, please contact the sender by reply e-mail. Please also permanently delete all copies of the original e-mail and any attached documentation. 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