HomeMy WebLinkAboutAgreements/Contracts - RenewGRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: Renew
REQUEST SUBMITTED BY: Linze Greenwalt
CONTACT PERSON ATTENDING ROUNDTABLE: Dell Anderson
CONFIDENTIAL INFORMATION: [-]YES ONO
DATE: 6.29.26
PHONE: x5470
SENA
OAgreement / Contract
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SUG.-G Wfiv T
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Subvendor agreement for provision of services by and between Family Health
Centers Omak dba Advance and Grant County dba Renew for cost reimbursement
for two Recovery Coaches (Renew employees). Request for Dell Anderson to
DocuSign. Term: January 1 - December 31, 2026. Total Reimbursement: $2011761.00
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: -1 7 Z4
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
WITHDRAWN:
4/23/24
SUBVENDOR AGREEMENT FOR PROVISION OF SERVICES
BY AND BETWEEN
FAMILY HEALTH CENTERS OMAK (d/b/a ADVANCE)
AND
RENEW GRANT BEHAVIORAL HEALTH & WELLNESS
THIS SUBVENDOR AGREEMENT ("SUBVENDOR AGREEMENT") is made and entered into this I" day of
January 2025, between FAMILY HEALTH CENTERS OMAK, d/b/a ADVANCE ("ADVANCE"), a 501(c)(3) nonprofit
corporation whose mailing address is PO Box 766, Okanogan, Washington 98840 with a physical address of 646 Okoma
Drive, Suite A, Omak, Washington 98841 and GRANT COUNTY DBA RENEW (hereafter, "SUBVENDOR"), whose
address is P.O. Box 37, Ephrata, WA 98823 (collectively "the Parties").
WHEREAS ADVANCE entered. into a Vendor Agreement with North Central Accountable Community of Health d/b/a
Thriving Together North Central Washington (hereafter, the "Agency"), a Washington Corporation, for the provision of
certain services, a copy of which is attached to this SUBVENDOR AGREEMENT as Appendix A (hereinafter "PRIME
AGREEMENT").
WHEREAS The PRIME AGREEMENT by and between ADVANCE and AGENCY is intended to provide certain
services in furtherance of AGENCY'S Grant from the Washington State Health Care Authority (hereinafter '"GRANT").
A copy of GRANT may be examined at 801 Eastmont Avenue, Wenatchee, Washington 98802.
WHEREAS ADVANCE wishes to purchase from SUBVENDOR services as specified herein as well as the Schedule of
Services attached to this SUBVENDOR AGREEMENT as Appendix B.
WHEREAS SUBVENDOR. desires to provide to ADVANCE services as specified herein as well as Appendix B pursuant
to the terms and conditions contained in the CONTRACT DOCUMENTS.
NOW THEREFORE, in consideration of the Mutual covenants and agreements contained herein, the sufficiency
and receipt of which is hereby acknowledged by both Parties, the Parties agree as follows:
1. CONTRACT DOCUMENTS.
The Contract Documents constituting this SUBVENDOR .AGREEMENT shall include the Documents and
Appendices referenced below, the terms of which are expressly incorporated into this SUBVENDOR AGREEMENT as
though fully set forth here, unless expressly omitted or superseded:
a. SUBVENDOR AGREEMENT
b. APPENDIX A (Prime Agreement)
c. APPENDIX B (Schedule of Services)
The Contract Documents shall also include any and all policies, rules, regulations, publications, terms or
conditions referenced in the above enumerated documents, which shall be incorporated into this SUBVENDOR
AGREEMENT as though fully set forth herein.
Except as expressly provided in this SUBVENDOR AGREEMENT, this SUBVENDOR AGREEMENT
expressly incorporates by reference the terms, obligations and conditions of the PRIME AGREEMENT (Appendix A) as
though fully set forth herein. SUBVENDOR shall assume towards ADVANCE all duties and obligations owed by
ADVANCE to AGENCY as provided in the PRIME AGREEMENT.
1.2 Order of Precedence. Any ambiguity, conflict or inconsistency between the documents comprising this
contract shall be resolved according to the following order of precedence: SUBVENDOR AGREEMENT;
PRIME AGREEMENT; Schedule of Services.
2. SCOPE OF SERVICES. SUBVENDOR agrees to provide the services described in the Contract Documents.,
including any and all services incidental thereto (the "Services"). SUBVENDOR agrees to provide the Services promptly
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and diligently, in a competent and professional manner, in accordance with all applicable laws, in accordance with the
rules., regulations, and policies identified in the Contract Documents (including, but not limited to, the 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 both ADVANCE and AGENCY, to
ADVANCE's satisfaction. To the extent applicable to Services, SUBVENDOR agrees to participate in ADVANCE's
quality improvement and patient or client safety programs (or those of AGENCY) and, as part of those programs,
establish and follow AGENCY's procedures for consistency and quality patient care services. SUBVENDOR represents
and warrantsthat it is properly licensed and in compliance with the laws and regulations to provide the Services.
2.1 TERM. The term of this agreement shall be January 1, 2026 through December 31, 2026 unless
otherwise, terminated pursuant to this agreement.
3. PAYMENT — COST REIMBURSEMENT NOT TO EXCEED $201.,761.00.
3.1 Compensation. ADVANCE shall reimburse SUBVENDOR for actual costs incurred by
SUBVENDOR in providing the Services, PROVIDED such costs are included in the Schedule of Values below.
ADVANCE shall have no obligation to pay for costs or claims for payment in excess of the amounts listed in the
Schedule of Values for the term of this SUBVENDOR AGREEMENT, unless this SUBVENDOR AGREEMENT is
amended. pursuant to the terms herein,
3.2 Schedule of Values:
SERVICE VALUE
Recover Coach Services in Grant County, — 2.0 FTEs $183)41.9
Administrative Fee (supplies and any additional administrative $18342
costs for 2.0 FTE Recovery Coaching)
—.—TOTAL a $201.9761.00
3.3 3.3 Invoicing. SUBVENDOR shall submit Invoices for Cost Reimbursement to ADVANCE monthly
on or before the 15th day of each month during the term of this SUBVENDOR AGREEMENT. The Invoice shall include
all reimbursable costs for which SUBVENDOR seeks reimbursement for the prior month. The invoice shall be submitted
together with an itemized ledger for all costs incurred in the prior month, together with documents supporting all costs
outlined. Each Invoice shall also describe in. reasonable detail the Services for which SUBVENDOR is submitting request
for cost reimbursement. The Invoice shall include a description of the Services to be provided, for whom they were
provided, the hours and date(s) of Services, the Vendor's tax identification number, any requisite tax reporting forms, and
the portion of the total project costs that these hours or receipts represent.
3.4 Payment. Within five (5) business days of receipt by ADVANCE of an Invoice from SUBVENDOR in
accordance with the procedures above, ADVANCE shall notify SUBVENDOR in writing either: (a) the Invoice is
accepted without exception; (b) the Invoice is rejected with direction to resubmit; or (c) the Invoice' is Accepted with
exceptions. ADVANCE shall include all accepted reimbursable costs in ADVANCE's Invoices to AGENCY for
payment. ADVANCE shall remit payment to SUBVENDOR within ten (10) business days from the date AGENCY
remits payment to ADVANCE for the allowed reimbursable costs included in an Invoice from SUBVENDOR,
PROVIDED that payment by ADVANCE to SUBVENDOR shall be limited to only those costs for which ADVANCE
has received payment from. AGENCY.
3.5 Disputes. In the event SUBVENDOR disputes the rejection or non-payment of any costs included in
an Invoice, such Disputes shall be in writing and made pursuant to Paragraph 7.8 below.
4. PERSONNEL. SUBVENDOR shall hire a sufficient number of skilled and trustworthy personnel to take all
necessary care to prevent loss or damage to ADVANCE and/or AGENCY medical records, files or any other documents,
regardless of the media, (collectively "Program Documents") stored or created or used in the performance of the Services.
If any Program Documents are lost, damaged or destroyed through fault of SUBVENDOR's personnel, or any other
persons, organizations, or entities over whom SUBVENDOR has direct or indirect control, SUBVENDOR shall pay for
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all expenses necessary to re-create the Program Documents. SUBVENDOR's personnel shall conform to the
requirements of law and to the rules and regulations of ADVANCE and AGENCY, including those regarding -personnel
identification and conduct.
5. INSURANCE, INDEMNITY AND DUTY TO DEFEND.
5.1 Indemnification and Duty to Defend. SUBVENDOR shall indemnify .and hold ADVANCE harmless
from and against, and shall defend ADVANCE against, any and all claims, charges, liabilities, judgments, .obligations,
penalties, damages, costs and expenses (including attorneys' fees and costs) arising,- claimed, charged or incurred against
or by ADVANCE from any matter, event or occurrence arising from SUBVENDOR's performance of 'duties under this
SUBVENDOR AGREEMENT, the conduct of its business or from any activity, work, or other thing's done, permitted.or
suffered by the SUBVENDOR in performance under this SUBVENDOR AGREEMENT; and SUBVENDOR shall
further indemnify and hold harmless ADVANCE from and against any and. all claims arising from any breach or default
in the performance of any obligation on SUBVENDOR's part or to be performed under the terms of this SUBVENDOR
AGREEMENT, or arising from any act or negligence of the SUBVENDOR, or any officer, ,agent, employee, , guest.,
invitee, or licensee of SUBVENDOR, and from all costs, attorneys' fees, and liabilities incurred in or about the defense of
any such claim or any action proceeding brought thereon and in case any action or proceeding be brought, -against
ADVANCE by reason, of'such claim. SUBVENDOR, upon notice from ADVANCE;; shall defen'd.the. same -at
Concessionaire's expense!by counsel reasonably satisfactory to ADVANCE.
ADVANCE shall indemnify SUBVENDOR and hold SUBVENDOR harmless from and'against, and -shall'.
defend SUBVENDOR against, any and all claims, charges, liabilities, judgements, obligations, penalties, damages, costs
and expenses (including attorneys' fees and costs) arising, claimed, charged, or incurred against or by SUBVENDOR
from. any negligent act or omission by ADVANCE, its employees, officers, directors, contractors, or agents. ADVANCE,
upon notice from SUBVENDOR, shall defend the same at ADVANCE's expense by counsel reasonably acceptabl . e. to
SUBVENDOR.
In the event of concurrent negligence of SUBVENDOR and ADVANCE, their agents, employees, invitees, -
licensees or contractors on the one hand, and that of ADVANCE, its partners, directors, officers, agents, employees, or
contractors on the other hand, which concurrent negligence results in the injury or damage to persons or property, each
h
Party's obligation to indemnify, defend and ,hold the other harmless as set forth in this section shall be limited to the
extent of that Party's negligence, and that of its agents, employees, licensees or contractors, including that Party's
proportional share of costs and attorneys' fees and expenses incurred in connection with any claim, action , r' proceeding
o
brought with respect to such injury or damage.
SUBVENDOR hereby agrees to waive its immunity under industrial insurance with respect to ADVANCE.
SUBVENDOR and ADVANCE further agree that this indemnification provision was specifically negotiated and 'agreed
to by the parties hereto. None of the events or conditions set forth in this section shall be. deemed a constructive or actual
eviction or entitle Concessionaire to any abatement or reduction of rent.
5.3 Insurance.. During the entire Agreement term, SUBVENDOR s,hall,"ai its sole cost and expense, pay
for and keep in full force and effect, and deliver to ADVANCE proof of insurance in . such form and minimum amounts
and under the terms set forth in Exhibit B to the PRIME AGREEMENT (See APPENDIX A). SUB I VENDOR shall also
name both ADVANCE and AGENCY as additional named insureds on all policies required by this SUBVENDOR
AGREEMENT.
SUBVENDOR shall provide ADVANCE with a copy of its Certificate(s) of Insurance identifying both
ADVANCE and AGENCY as additional named insureds prior to performance under this SUBVENDOR AGREEMENT.
5.3 Waiver of Subrogation. ADVANCE and SUBVENDOR hereby mutually release each other from
liability and waive all right of recovery against each other for any loss or from perils typically insured against under all-
risk insurance contracts (whether or not such insurance contracts are in force), including any extended coverage
endorsements thereof, whether due to negligence or any other cause; provided that this section shall be inapplicable if it
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would have the effect, but only to the extent it would have the effect, of invalidating any insurance coverage of
ADVANCE or SUBVENDOR.
6. DEFAULT, TERMINATION & REMEDIES.
6.1 Default. The occurrence of any one or more of the following events shall constitute a default and
breach of this SUBVENDOR AGREEMENT by SUBVENDOR.
(a) Breach of SUBVENDOR's Warranties. The failure by SUBVENDOR to comply with any
and all warranties made by SUBVENDOR in the Contract Documents, including, but not limited to., SUBVENDOR's
warranty in Section. 12(d) of the PRIME AGREEMENT shall be a default.
(b) Failure to Perform. The failure by SUBVENDOR to observe or perform any of the
covenants, conditions or provisions of this SUBVENDOR AGREEMENT to be observed or performed by
SUBVENDOR, PROVIDED such failure shall continue for a period of ten (10) calendar days after written notice thereof
by ADVANCE to SUBVENDOR; provided, however, that if the nature of SUBVENDOR's default is such that more than
ten (10) days are reasonably required for its cure, then SUBVENDOR shall not be deemed to be in default if
SUBVENDOR commences such cure within said ten (10). day period and thereafter diligently prosecutes such cure to
completion, in not less than fifteen (15) days.
(c) Failure to Provide Services. The failure by SUBVENDOR -to commence Services by May 1,
2026; or to provide Services for seven (7) consecutive Calendar Days after commencement shall be a default for which
ADVANCE shall be entitled to terminate this SUBVENDOR AGREEMENT pursuant to Paragraph 6.2 without prior
Notice and Opportunity to Cure,
(d) Bankruptcy. The making by SUBVENDOR of any general assignment or general
arrangement for the benefit of creditors; or the filing by or against SUBVENDOR of a petition to have SUBVENDOR
adjudged a bankrupt, or a petition of reorganization or arrangement under any law relating to bankruptcy (unless, in the
case of a petition filed against SUBVENDOR, the same is dismissed within sixty (60) days of filing); or the appointment
of a trustee or a receiver to take possession of substantially all of Concessionaire's assets located at the Premises or of
SUBVENDOR's interest in this lease, where such seizure is not discharged within thirty (30) days after appointment of
such trustee or receiver, or the filing of the petition for the appointment of the same, whichever shall first occur.
6.2 Remedies in Default. Except as may otherwise be provided herein, in the event of any such default or
breach by SUBVENDOR, ADVANCE may at any time thereafter, with or without notice or demand and without limiting
ADVANCE in the exercise of any other right or remedy which ADVANCE may have by reason of such default or
breach:
(a) Terminate Agreement. Terminate this SUBVENDOR AGREEMENT by written Notice of
Termination. Upon receipt of any Notice of Termination for Default, SUBVENDOR shall immediately comply with any
wind down directives contained in the Notice of Termination for Default and surrender possession to ADVANCE any and
all property, equipment, Program Documents, files or other property of ADVANCE in SUBVENDOR's possession or
control. In the event of a Termination for Default, ADVANCE may, in its sole discretion, engage a replacement
SUBVENDOR to perform all or some of the Services required under this SUBVENDOR AGREEMENT, and may
commence a Dispute for damages and costs arising from the Default and Termination pursuant to Paragraph 7.8
(Disputes); or
(b) Continue the Agreement. In the event of Default, ADVANCE may, in its sole discretion,
elect to continue this SUBVENDOR AGREEMENT upon such amended or additional terms as may be reasonably
necessary to prevent further Defaults.
(c) Other Remedies. In the event of a Default, ADVANCE may pursue any other remedy now or
hereafter available to it under the laws or judicial decisions of the State of Washington. ADVANCE shall at all times have
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the right without prior demand or notice except as required by applicable law to: (I) seek any declaratory, injunctive or
other equitable relief, and specifically enforce this Agreement or restrain or enjoin a violation of any provision hereof,
and SUBVENDOR hereby waives any right to require that ADVANCE post a bond in connection therewith. If an
arbitrator declines jurisdiction to decide this case, ADVANCE retains its right to bring an action in Okanogan County
Superior Court.
6.5 Termination. without Default. The Parties hereby incorporate Section 12(a) of -the PRIME
AGREEMENT as though fully set forth herein, provided that ADVANCE shall have the rights and duties. of AGENCY as
to SUBVENDOR as AGENCY has to ADVANCE, and SUBVENDOR shall have the rights and duties to ADVANCE as
ADVANCE has to AGENCY.
6.6 Remedies Cumulative — Waiver. ADVANCE's remedies hereunder are cumulative and the
ADVANCE's exercise of any right or remedy due to a default or breach by Concessionaire shall not be deemed a waiver
of, or to alter, affect or prejudice any right or remedy which ADVANCE may have under this Agreement or by law.
Neither the acceptance of rent nor any other acts or omission of ADVANCE at any time or times after the happening of
any event authorizing the cancellation or forfeiture of this Agreement, shall operate as a waiver of any past or future
violation, breach or failure to keep or perform any covenant, agreement, term or condition hereof or to deprive
ADVANCE of its right to cancel. or forfeit this Agreement, upon the written notice provided for herein, at any time that
cause for cancellation or forfeiture may exist, or be construed so as at any time to stop ADVANCE from promptly
exercising any other option, right or remedy that it may have under any term or provision of this Agreement, at law or in
equity.
7. MISCELLANEOUS.
7.1 Successors or Assigns. All the terms, conditions, covenants and agreements of this Agreement shall
extend to and be binding upon ADVANCE, SUBVENDOR and their respective heirs, administrators, executors,
successors and assigns, and upon any person or persons coming into ownership or possession of any interest in the
Premises by operation of law or otherwise, and shall be construed as covenants running with the land.
7.2 Partial Invalidity. If the term, covenant, or condition of this Agreement or the application thereof to
any person or circumstance is, to any extent, invalid or unenforceable, the remainder of this Agreement, or the application
or such term, covenant or condition to persons or circumstances other than those as to which it is held invalid or
unenforceable, shall not be affected thereby and each term, covenant or condition of this Agreement shall be valid and be
enforced to the fullest extent permitted by law. Titles of sections and paragraphs herein are for convenience only and
shall not affect the meaning or interpretation of any provision of this. Agreement.
7.3 Notices. Any notices required in accordance with any of the provisions herein shall be in writing and,
if to ADVANCE, shall be delivered or mailed by registered or certified mail to the address of ADVANCE as set forth at
the beginning of this SUBVENDOR AGREEMENT or at such other place as ADVANCE may in writing from time to
time direct to SUBVENDOR; and if to SUBVENDOR, shall be delivered or mailed by registered or certified mail to
SUBVENDOR at the address of SUBVENDOR as set forth at the beginning of this SUBVENDOR AGREEMENT, or at
such other place as SUBVENDOR may in writing from time to time direct to ADVANCE.
7.4 Waiver. The waiver by ADVANCE or SUBVENDOR of any term, covenant or condition herein.
contained shall not be deemed to be a waiver of such term, covenant or condition or any subsequent breach of the same or
any other term, covenant or condition herein contained.
7.5 Time. Time is of the essence of this Agreement and each and all of its provisions in which
performance is a factor.
7.6 Prior Agreements. This Agreement contains all of the agreements of the parties hereto with respect to
any matter covered or mentioned in this Agreement, and no prior agreements or understanding pertaining to any such
matters shall be effective for any purpose. No provisions of this Agreement may be amended or added to except by an
agreement in writing signed by the parties hereto or their respective successors in interest. This Agreement shall not be
effective or binding on any party until fully executed by both parties hereto.
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7.7 Force Majeure. Neither Party will be liable for any delays in the performance of this Agreement due
to circumstances beyond its control, including but not limited to acts of nature, acts of God, acts of government, national
emergencies, or terrorism.
7.8 Disputes. If a dispute arises relating to. this Agreement or the termination thereof ("Dispute"), the
aggrieved party shall notify the other in writing within 7 calendar days of the event or occurrence giving rise to the
Dispute. A written Notice of dispute must clearly identify the grievance, dispute, claim, event or occurrence giving rise to
the Dispute and the aggrieved Party's proposed resolution or damages sought.
Upon receipt of the written notice of Dispute, the parties shall attempt in good faith to settle the Dispute through
negotiation between the principals of each Party. The meeting of the Principals shall occur within 14 calendar days from
receipt of the Notice of Dispute.
If the at the meeting of Principals, -the parties are unable to resolve the Dispute, the aggrieved Party may demand
the Dispute be referred to mediation, provided that demand for mediation must be made in writing .to the other Party
within ten (10) working days from the date of the meeting of the Principals. Upon submission of a demand for mediation,
the Parties shall submit the Dispute to mediation conducted by a mediator to be mutually selected by the parties, but
mediation must occur within 60 Calendar days from the date of the Demand unless otherwise agreed by the Parties. The
parties shall share the costs of the mediator equally. Each party shall cooperate fully and fairly with -the mediator and shall
make good faith efforts to reach a mutually satisfactory compromise of the Dispute.
If. the Dispute is not resolved at mediation, it shall be resolved through final and binding arbitration pursuant to
rules and procedures of Washington State Arbitration act, RCW 7.04A. Compliance with all Notice requirements and
Dispute Resolution Procedures shall be a condition precedent to the commencement of any arbitration or legal
proceeding.
The Parties agree that any claims for damages shall accrue not later than the date of termination of this
SUBVENDOR AGREEMENT. Any arbitration, litigation or other judicial proceeding involving the Parties or this
SUBVENDOR AGREEMENT shall be commenced within one (1) year from the date any such cause of action accrues.
7.9 Legal Expenses. If either party is required to bring or maintain any action (including assertion of any
counterclaim or cross -claim, or claim in a proceeding in bankruptcy, receivership or any other proceeding instituted by a
party hereto or by others), or otherwise refers this Agreement to an attorney for the enforcement of any of the covenants,
terms or conditions of this Agreement, the prevailing party in such action shall, in addition to all other payments required
herein, receive from the other party all the costs, attorneys' fees and litigation expenses incurred by the prevailing party in
the enforcement of the covenants, terms and conditions of this Agreement, whether or not an action is instituted, and
including any such costs, fees and expenses incurred by the prevailing party on appeal.
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IN WITNESS WHEREOF, the parties hereto have executed this instrument the day and year first
above set forth.
ADVANCE: FAMILY HEALTH CENTERS OMAK d/b/a ADVANCE,
0 A Washington Nonprofit Corporation
'Par Al
IT'S Chief Executive Officer
Dated: 6/29/2026
SUBVENDOR: Grant County dba Renew
0
IT'S Executive Director
Dated:
(Jesus Hernandez),
(assigned personnel),
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Contract Number: 2026-ADV-001
Master Service
THRlVlNGTt?GETlER
Agreement (MSA)
Amendment (check if yes): ❑
OIRTH CENTPAL WAS:.4;NGTON
with Advance
Amendment Number: N/A
THIS CONTRACT is made between North Central Accountable Community of Health DBA
Thriving Together NCW and Family Health Centers Omak DBA Advance.
Contractor Name
Contractor Doing Business As (DBA)
Family Health Centers Omak
Advance
Contractor Address
City
State
Zip Code
PO Box 766
Okanogan
WA
98840
Contractor Contact Name and
Contractor
Title
Telephone
Contractor Email
Jesus Hernandez, CEO
(509) 846-6699
jernandez@fhc.us
Is the Contractor a Subrecipient of Federal Funds under this contract: Yes ❑ No ❑X
Thriving Together NCW Contact
Thriving Together NCW Address
John Schapman, Executive Director
801 Eastmont Ave, Ste C
(509) 293-8596 1 john@thrivingncw.org
East Wenatchee, WA 98802
Contract Start Date
Contract End Date Contract Amount
12/31/2026
1/1/2026
Purpose of the Contract
Umbrella contract with Advance to participate in and provide client services related to MTP 2.0
Initiatives, including the Health -Related Social Needs (HRSN) Initiative which includes HRSN
Infrastructure and HRSN Services, and the Reentry Demonstration Initiative.
The parties signing below warrant that they have read and understand this Contract and have authority to
execute this Contract. This Contract will only be binding upon signature by 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.
Contractor Signature:
Printed Name and Title:
Date Signed:
eAr now
Jesus Hernandez (Dec 17, 2025 16:38:33 PST)
Jesus Hernandez
Dec 17, 2025
TTNCW Signature:
Printed Name and Title
Date Signed:
Jbh4sk anwgii
John Schapman ( ec 17, 2025 16:54:17 PST)
John Schapman
Dec 17, 2025
Table of Contents
1. Recitals............................................................................................................................4
2. Definitions.......................................................................................................................4
3. Special Terms and Conditions (STCs)................................................................................7
3.1. Services...................................................................................................................7
3.2. Term........................................................................................................................8
3.3. Compensation..........................................................................................................8
3.4. Payment Terms and Conditions.................................................................................8
3.5. Taxes........................................................................................................................9
3.6. Parties' Contacts......................................................................................................9
3.7. Legal Notices..........................................................................................................10
3.8. Incorporation of Documents and Order of Precedence.............................................10
3.9. Insurance...............................................................................................................11
4. General Terms and Conditions........................................................................................12
4.1. Access to Contractor Data......................................................................................12
4.2. Accessibility...........................................................................................................12
4.3. Amendments..........................................................................................................13
4.4. Assignment............................................................................................................13
4.5. Attorney's Fees.......................................................................................................13
4.6. Change in Status....................................................................................................13
4.7. Conflict of Interest..................................................................................................13
4.8. Covered Information Protection..............................................................................14
4.9. Public Records Act.................................................................................................14
4.10. Contingent Fees.....................................................................................................14
4.11. Data Security..........................................................................................................15
4.12. Debarment.............................................................................................................15
4.13. Disputes....... ....... o .... o ......................................................................................... —.15
4.14. Entire Agreement....................................................................................................16
4.15. Funding Withdrawn, Reduced, or Limited ........................................
4.16. Governing Law........................................................................................................16
4.17. Indemnification......................................................................................................17
4.18. Independent Capacity of the Contractor..................................................................17
4.19. Legal and Regulatory Compliance...........................................................................17
2
4.20.
Limitation of Authority.............................................................................................18
4.21.
No Third -Party Beneficiaries....................................................................................18
4.22.
Nondiscrimination..................................................................................................18
4.23.
Overpayments to the Contractor.............................................................................19
4.24.
Pay Equity...............................................................................................................19
4.25.
Publicity.................................................................................................................19
4.26.
Records and Documents Review.............................................................................20
4.27.
Remedies Non-Exclusive........................................................................................20
4.28.
Right of Inspection..................................................................................................20
4.29.
Rights in Data/Ownership.......................................................................................20
4.30.
Severability.............................................................................................................22
4.31.
Subcontracting.......................................................................................................22
4.32.
Termination....................e.......................................................................................22
4.33.
Termination Procedures..........................................................................................24
4.34.
Treatment of Assets................................................................................................24
4.35.
Waiver.................................................................................................................... 25
4.36.
Warranties............................................................................................................. 25
5. Schedule
A: Statement of Work.......................................................................................26
5.1.
Background...............................................................................................e............26
5.2.
Purpose/Goal......................................................................................e..................27
5.3.
Program Description and Objectives.......................................................o...............27
5.4.
Region......e..ee....e......e..e.........................................e..........................e.e...................28
5.5.
Scope of Services...................................................................................................28
5.6.
Contract Deliverables.............................................................................................29
5.7.
Performance Measures: Strategic Measure Set........................................................31
Exhibit A—
HRSN Infrastructure Protocol.....................................................................................33
Exhibit B — HRSN Services Protocol ...............................................
3
1. Recitals
Thriving Together NCW has been awarded a contract with the Washington State Health Care
Authority (HCA) as part of its Medicaid Transformation Project 2.0 (MTP 2.0), a waiver project under
Section 1115(a) of the federal Social Security Act.
All nine Accountable Communities of Health (ACHs) have been tasked with operating Community
Hubs to address Health Related Social Needs, especially the delivery of case management,
outreach, and education. As such, Thriving Together NCW is responsible for coordinating and
overseeing a Community Care Hub (CCH) infrastructure and community -based care coordination
network for the North Central region.
Thriving Together NCW recognizes that Advance is already serving as a CCH for regional programs.
In alignment with our principle that we leverage and increase capacity that already exists, Thriving
Together NCW is delegating significant CCH responsibilities under the HCA Medicaid
Transformation Project (MTP) 2.0 Initiatives to Advance.
THEREFORE, Thriving Together NCW awards Advance, hereinafter referred to as Contractor, this
Contract, of which the terms and conditions will govern Contractor providing services to Thriving
Together NCW related to the HCA Waiver 2.0 initiatives. Services will involve Advance building its
CCH infrastructure and managing a network of care coordination agencies to deliver case
management, outreach and education in alignment with HCA Waiver 2.0 expectations and the care
coordination standards all ACH HUBs have agreed to (leveraging the infrastructure and networks
developed through the Department of Health Community Care Hub initiative).
IN CONSIDERATION of the mutual promises as set forth in this Contract, Thriving Together NCW
and Contractor agree as follows:
2. Definitions
"Accountable Community of Health" is an independent, regional organization designed to be
neutral convener, coordinating body, investor, and connection point between the health care
delivery system and local communities. There are nine ACHs working with their regional
communities on specific health care and social needs -related projects and activities. ACHs play an
integral role in Washington's Medicaid Transformation Project (MTP) efforts.
"Authorized Representative" means a person to whom signature authority has been delegated in
writing acting within the limits of his/her authority.
"Code of Federal Regulations" or "C.F.R." is the codification of the general and permanent rules
and regulations (sometimes called administrative law) published in the Federal Register by the
executive departments and agencies of the federal government of the United States. All references
in this Contract to C.F.R. chapters or sections include any successor, amended, or replacement
regulation. The C.F.R. may be accessed at https://www.ecfr.gov/.
"Client" means an individual who is eligible for or receiving services through Thriving Together
NCW's Community Hub program(s). For the purposes of this Contract, Client means the same
thing as "Beneficiaries".
"Community -based Care Coordination" or "CBCC" refers to the process of connecting
individuals with complex health and social needs to the most appropriate physical health care,
behavioral health care, and social supports in the most appropriate setting to improve their
wellbeing. It is typically delivered by a community -based workforce who live in and share culture,
Language, and life experiences with the members of the communities they serve.
"Community -Based Worker", as defined by the Community -Based Workforce Alliance, is a
trained community -based professional such as community health workers; promotores -de salud;
community -based social workers; community based, nongovernmental nonprofit staff and human
services providers; and other trusted community -based professionals (e.g. doulas, peer
specialists, recovery coaches). While skills and roles vary, members of community -based
workforce share common experiences and traits:
• Live in and share culture, language, and life experiences with the members of the
communities they serve
• Have earned and enjoy a deep level of trust with peers and neighbors
• Demonstrate strong relational expertise and interpersonal communication skills
• Have deep relationships and knowledge of local community -based resources
Demonstrate a long-standing commitment to advancing equity and health in historically
marginalized and minority communities
® Aim to promote health and racial equity for residents of a particular place or community,
not just patients belonging to a particular healthcare panel or payer.
"Community Care Hub" or "Community Hub" refers to the nine centers for community -based
care coordination, managed and operated by ACHs, that engage with communities to determine
people's needs and then connect people to services to meet those needs. The Partnership to Align
Social Care defines a Community Care Hub as "an entity that organizes and supports a network of
community -based organizations providing services to address health -related social needs. A CCH
centralizes administrative functions and operational infrastructure, including, but not limited to,
contracting with healthcare organizations, payment operations, management of referrals, service
delivery fidelity and compliance, technology, information security, data collection, and reporting."
"Confidential Information" includes, but is not limited to, Personal Information and Protected
Health Information. For the purposes of this Contract, Confidential Information means the same as
"Data" and is exempt from disclosure to the public or other unauthorized persons under chapter
42.56 RCW or other federal or state laws.
"Contract" means this agreement document and all schedules, exhibits, attachments,
incorporated documents, amendments, and Work Orders.
"Contract Administrator" means the individual designated to receive legal notices and to
administer, amend, or terminate this Contract.
"Contract Manager" means the individual who will provide oversight of the activities conducted
under this Contract.
"Contractor" means Advance, its employees and agents. Contractor includes any firm, provider,
organization, individual or other entity performing services under this Contract. It also includes any
Subcontractor retained by Contractor as permitted under the terms of this Contract.
"Data" means information produced, furnished, acquired, or used by Contractor in meeting
requirements under this Contract, and also means information that is disclosed or exchanged to
serve clients as described in this Contract. For the purposes of this Contract, Data means the
same as "Confidential Information."
"Data Breach" means the acquisition, access, use, or Disclosure of Data in a manner not
permitted under law or by this Contract, including but not limited to the HIPAA Privacy Rule which
compromises the security or privacy of the Protected Health Information, with the exclusions and
exceptions listed in 45 C.F.R. 164.402.
"Disclosure" means the release, transfer, provision of, access to, or divulging in any other manner
of information outside the entity holding the information.
"Effective Date" means the first date this Contract is in full force and effect. It may be a specific
date agreed to by the parties; or, if not so specified, the date of the last signature of a party to this
Contract.
"Encounter Data" refers to the information submitted by providers that documents the services
and items delivered to beneficiaries.
"Health -Related Social Needs" or "HRSN" means an individual's unmet, adverse social
conditions (e.g., housing instability, homelessness, nutrition insecurity) that contribute to poor
health and are a result of underlying social determinants of health (conditions in which people are
born, grow, work, and age).
"Health -Related Social Needs Services" or "HRSN Services": means services that address an
individual's unmet, adverse social conditions that contribute to poor health. These needs,
including but not limited to food insecurity, housing instability, unemployment, and/or lack of
reliable transportation, can drive health disparities across demographic groups.
"HIPAA" means the Health Insurance. Portability and Accountability Act of 1996, as codified at 42
USC 1320d-d8, as amended, and its attendant regulations as promulgated by the U.S. Department
of Health and Human Services (HHS), the Centers for Medicare and Medicaid Services, the HHS
Office of the Inspector General, and the HHS Office for Civil Rights. HIPAA includes the Privacy,
Security, Breach Notification, and Enforcement Rules at 45 C.F.R. Part 160 and Part 164.
"Information and Communication Technology" or "ICT" means information technology and
other equipment, systems, technologies, or processes, for which the principal function is the
creation, manipulation, storage, display, receipt, or transmission of electronic data and
information, as well as any associated content. Examples include computers and peripheral
equipment; information kiosks and transaction machines; telecommunications equipment;
customer premises equipment; multifunction office machines; software; applications; websites;
videos; and electronic documents.
6
"Overpayment" means any payment or benefit to the Contractor in excess of that to which the
Contractor is entitled by law, rule, or this Contract, including amounts in dispute.
"Personal Information" means information identifiable to any person, including, but not limited
to, information that relates to a person's name, health, finances, education, business, use or
receipt of governmental services or other activities, addresses (including or excluding zip code),
telephone numbers, social security numbers, driver's license numbers, credit card numbers, any
other identifying numbers, and any financial identifiers.
"Proprietary Information" refers to any information which has commercial value and is either: (1)
technical information, including patent, copyright, trade secret, and other proprietary information,
techniques, sketches, drawings, models, inventions, know-how, processes, apparatus,
equipment, algorithms, software programs, software source documents, and formulae related to
the current, future, and proposed products and services; or (2) non -technical information relating
to products, including without limitation pricing, margins, merchandising plans and strategies,
finances, financial and accounting data and information, suppliers, customers, customer lists,
purchasing data, sales and marketing plans, future business plans, and any other information
which is proprietary and confidential. Contractor's Proprietary Information is information owned by
Contractor to which Contractor claims a protectable interest under law.
"Protected Health Information" or "PHI" means information that relates to the provision of
health care to an individual; the past, present, or future physical or mental health or condition of an
individual; or past, present or future payment for provision of health care to an individual. 45 C.F.R.
160 and 164. PHI includes demographic information that identifies the individual or about which
there is reasonable basis to believe, can be used to identify the individual. 45 C.F.R. 160.103. PHI is
information transmitted, maintained, or stored in any form or medium. 45 C.F.R. 164.501. PHI does
not include education records covered by the Family Educational Rights and Privacy Act, as
amended, 20 USC 1232g(a)(4)(b)(iv).
3. Special Terms and Conditions (STCs)
3.1. Services
Thriving Together NCW hereby retains the Contractor to provide the services ("Services") as
defined in this Contract and as necessary to accomplish the Statement of Work attached hereto as
Schedule A and incorporated herein by this reference as if set forth in full. The Contractor shall
furnish all Services, labor and related equipment necessary to conduct and complete the Services,
except as specifically noted otherwise in this Contract.
Contractor will leverage hub infrastructure built under other initiatives to develop a high -
functioning Community Hub (aka Community Care Hub) to coordinate and oversee regional MTP
2.0 Initiatives aimed at improving care for Medicaid and CHIP beneficiaries. The Community Care
Hub will also oversee and support network of community -based workers delivering community -
based care coordination (or HRSN case management services.)
Detailed performance expectations and activities are described in the approved Schedule A:
Statement of Work.
7
3.2. Term
3.2.1. The initial term of the Contract will commence on January 1, 2026, and continue
through December 31, 2026, unless terminated sooner as provided herein.
3.2.2. This Contract maybe extended for two additional one-year periods with each
parties' mutual written agreement. Any extensions shall be evidenced by a written
extension executed by the parties at least 30 days prior to the expiration of the then
current term. No change in terms and conditions will be permitted during these
extensions unless specifically agreed to in writing by both parties.
3.2.3. Work performed without an agreement, or amendment, signed by the authorized
representatives of both parties will be at the sole risk of the Contractor. Thriving
Together NCW will not pay any costs incurred before an agreement or any subsequent
extension and/or amendment(s) is fully executed.
3.3. Compensation
3.3.1. Thriving Together NCW shall pay the Contractor for this initial term an amount not to
exceed $' i subject to the terms and conditions in Section 3.4below. Said
compensation may only be modified with a properly executed written amendment
signed by an authorized representative of both parties.
3.3.2. Payments for Services rendered under this Contract shall be made within available
resources from both HRSN infrastructure and HRSN service dollars committed to
Thriving Together NCW through the Health Care Authority's MTP 2.0 Waiver.
3.3.3. Contractor hereby agrees to comply with the terms and conditions of any
agreements Thriving Together NCW enters into with respect to these funds to the
extent applicable to Contractor and that have been provided to Contractor in writing
prior to the Date this Contract was signed, as well as all applicable state, federal, and
Local laws, rules and regulations associated with these funds. Thriving Together NCW
entered into an agreement with HCA on 7/11 /2024 which governs the use of these
funds. This reference incorporates said HCA agreement with HCA into this Contract.
Contractor hereby agrees and certifies they have received a copy of the HCA
agreement and will comply with its terms and conditions to the extent applicable to
Contractor.
3.4. Payment Terms and Conditions
3.4.1. Payments (Cost -Reimbursement): Monthly payments shall be made on a full cost -
reimbursement basis, covering actual and allowable expenses incurred by the
Contractor in the prior month.
3.4.2. Contractor shall register in Thriving Together NCW's payment system, prior to any
payments being issued.
3.4.3. Each monthly payment will be issued to Contractor within 30 days of Contractor
meeting contract deliverables described in Schedule A, Section 5.6, unless payments
must be delayed to accommodate any mutually agreeable budget modification
requests to HCA.
3.4.4. Progress reports and deliverables will be approved by the Thriving Together NCW
Contract Manager prior to payment. Thriving Together NCW shall approve all progress
8
reports and deliverables within fifteen days of receipt, unless Thriving Together
requires additional explanation or materials from Contractor. In such an event, the
parties will work together to resolve any issues with progress reports and deliverables.
Approval will not be unreasonably withheld or delayed.
3.4.5. Costs incurred by Contractor shall only be as necessary and allowable to carry out
the purposes and activities of the Services and may not exceed the maximum
compensation as provided in the first page of this Contract.
3.4.6. Contractor shall collect appropriate backup documentation and receipts for
incurred expenses and make those available to Thriving Together NCW when
requested.
3.4.7. The payment of compensation to Contractor under the terms of this Contract shall
not be contingent on the receipt of such funds by Thriving Together NCW from
applicable state and federal funding sources. If the amount of funds that Thriving
Together NCW receives from state and federal funding sources is reduced, both
parties may mutually agree to payment reductions, or either party may terminate this
Contract as permitted by this Contract.
3.4.8. Contractor acknowledges and agrees that they may not use funds paid under this
Contract to supplant existing funds or resources allocated for the same purpose, and
funds paid for services rendered in connection with this Contract may only be used to
supplement existing resources, not to replace or reduce any pre-existing financial
commitments or obligations.
3.5. Taxes
The Contractors h a LL be solely responsible for the payment of any taxes applicable to Contractor
imposed by any lawful jurisdiction as a result of the performance and payment of this Contract,
which may include but are not limited to, Washington Business and Occupation Tax, other taxes
based on Contractor's income or gross receipts, or personal property taxes levied or assessed on
Contractor's personal property.
3.6. Parties' Contacts
3.6.1. Contractor's Contract Manager will have prime responsibility and final authority for
the services provided under this Contract and be the principal point of contact for
Thriving Together NCW's Contract Manager for all business matters, performance
matters, and administrative activities.
3.6.2. Thriving Together NCW's Contract Manager is responsible for monitoring the
Contractor's performance and will be the contact person for all communications
regarding contract performance and deliverables. They have the authority to review
Contractor's deliverables and reasonably determine whether said deliverables are in
compliance with Schedule A, Section 5.6.
3.6.3. The contact information provided below maybe changed by written notice of the
change (email acceptable) to the other party.
Contractor
Thriving Together NCW
Contract
Administrator
Jesus Hernandez, CEO
jernandez@fhc.us
John Schapman, Executive Director
�ahrj@hrivi_rgncw.org
9
(designated to
(509) 846-6699
(509) 293-8596
receive legal notices
and to administer,
amend, or terminate
this Contract)
Contract Manager
Lisa Apple, Director of Operations
CarolineTillier, Senior Director of
(manages all
tWpte_@adva.ncenw.org
Programs
communications
(509) 846-4146
caroline thrivi_ngncw.org
regarding contract
(509) 293-8648
performance and
deliverables)
Finance Contact
Andrea Donohue, Administrative
Kristin Solberg
Director
kristin.solber cLaconnect.com
(509) 823-2968
adonahuenadvancenw.org
(509) 846-6699
3.7. Legal Notices
Any notice or demand or other communication required or permitted to be given under this
Contract or applicable Law is effective only if it is in writing and signed by the applicable party,
properly addressed, and delivered in person, via email, or by a recognized courier service, or
deposited with the United States Postal Service as first-class mail, postage prepaid certified mail,
return receipt requested, to the parties at the addresses provided in this Section.
3.7.1. In the case of notice to the Contractor:
Jesus Hernandez, CEO
PO Box 766
Okanogan, WA 98840
jernandez-@fhc.us
3.7.2. In the case of notice to Thriving Together NCW:
John Schapman, Executive Director
801 Eastmont Ave, Ste C
East Wenatchee, WA 98802
ohn(a)thrivingncw.org
3.8. Incorporation of Documents and Order of Precedence
In the event of an inconsistency, the inconsistency will be resolved in the following order of
precedence:
3.8.1. Applicable Federal and State of Washington statutes and regulations;
3.8.2. Contract Amendments
3.8.3. The Contract (in this order)
A. Recitals
B. Special Terms and Conditions
10
C. General Terms and Conditions
D. Schedules
3.9. Insurance
Contractor must provide insurance coverage as set out in this Section for the term of the Contract.
Contractor certifies that it is self -insured, is a member of a risk pool, or maintains the types and
amounts of insurance identified below:
3.9.1. Commercial General Liability Insurance Policy: Provide a Commercial General
Liability Insurance Policy, including contractual liability, in adequate quantity to
protect against legal liability arising out of contract activity but no less than $1 million
per occurrence/$2 million general aggregate. Additionally, Contractor is responsible
for ensuring that any subcontractors provide adequate insurance coverage for the
activities arising out of subcontracts.
3.9.2. Business Automobile Liability: In the event that services delivered pursuant to this
Contract involve the use of vehicles, either owned, hired, or non -owned by the
Contractor, automobile liability insurance is required covering the risks of bodily injury
(including death) and property damage, including coverage for contractual liability.
The minimum limit for automobile liability is $1,000,000 per occurrence, using a
Combined Single Limit for bodily injury and property damage.
3.9.3. Professional Liability Errors and Omissions: Provide a policy with coverage of not
less than $1 million perclaim/$2 million general aggregate.
3.9.4. Industrial Insurance Coverage: Prior to performing work under this Contract,
Contractor must provide or purchase industrial insurance coverage for the
Contractor's employees, as may be required of an "employer" as defined in Title 51
RCW and must maintain full compliance with Title 51 RCW during the course of this
Contract.
3.9.5. The insurance required must be issued by an insurance company/ies authorized to
do business within the state of Washington, and must name HCA, Thriving Together
NCW, their agents and employees as additional insureds under any Commercial
General and/or Business Automobile Liability policy/ies. All policies must be primary
to any other valid and collectable insurance. In the event of cancellation, non -
renewal, revocation or other termination of any insurance coverage required by this
Contract, Contractor must provide written notice of such to Thriving Together NCW
within one (1) business day of Contractor's receipt of such notice. Failure to maintain
the required insurance may, at Thriving Together NCW's sole option, result in this
Contract's termination.
3.9.6. Upon request, Contractor must submit to Thriving Together NCW a certificate of
insurance that outlines the coverage and limits defined in this Section. If a certificate
of insurance is requested, Contractor must submit renewal certificates as appropriate
during the term of the Contract.
m
4. General Terms and Conditions
4.1. Access to Contractor Data
In compliance with RCW 39.26.180(2) and federal rules, Thriving Together NCW must provide
access to any data generated under this Contract to HCA, the Joint Legislative Audit and Review
Committee, the State Auditor, and any other state or federal officials so authorized by law, rule,
regulation, or agreement at no additional cost. As such, Contractor shall, to the extent permitted by
applicable law, provide access to any data generated under this Contract to Thriving Together
NCW. This includes access to all information that supports the findings, conclusions, and
recommendations of the Contractor's reports.
To the extent permitted by applicable law, Thriving Together NCW and Contractor will work together
to submit timely and accurate data for Medicaid and CHIP beneficiaries served under this
Contract. The data may include, but is not limited to:
• HRSN service name and definition;
• Beneficiary name, date of birth, and ZIP code;
• Beneficiary housing status;
• Data necessary for the state to stratify analyses by age, sex (including sexual orientation
and gender identity), race, ethnicity, disability status and preferred language;
• Data necessary to monitor health outcomes and quality of care metrics at the individual
and aggregate level; and
• Any data determined necessary by the state or CMS to monitor and oversee the HRSN
Initiative.
4.2. Accessibility
4.2.1. Requirements and Standards: Each Information and Communication Technology
(ICT) product or service furnished under this Contract shall, to the extent required by
applicable law, be accessible to and usable by individuals with disabilities in
accordance with the Americans with Disabilities Act (ADA) and other applicable
Federal and State laws and policies, including OCIO Policy 188, et seq. For purposes
of this clause, Contractor shall be considered in compliance with the ADA and other
applicable Federal and State laws if it satisfies the requirements (including
exceptions) specified in the regulations implementing Section 508 of the
Rehabilitation Act, including the Web Content Accessibility Guidelines (WCAG) 2.1
Level AA Success Criteria and Conformance Requirements (2008), which are
incorporated by reference, and the functional performance criteria.
4.2.2. Documentation: Contractor shall maintain and retain, subject to review by Thriving
Together NCW, full documentation of the measures taken to ensure compliance with
the applicable requirements and functional performance criteria, including records of
any testing or simulations conducted.
4.2.3. Remediation: If Contractor claims that its products or services satisfy the
applicable requirements and standards specified in Section 4.2.1 and it is later
12
determined by Thriving Together NCW that any furnished product or service is not in
compliance with such requirements and standards, Thriving Together NCW will
promptly inform Contractor in writing of noncompliance, providing a detailed
explanation of the alleged noncompliance, including the specific requirements or
standards not met. Contractor shall, at no additional cost to Thriving Together NCW,
investigate and respond to Thriving Together NOW's notification within a mutually
agreeable timeframe. If such investigation confirms that the products or services are
noncompliant, Contractor, at its option, shall repair or replace the non -compliant
products or services within the period mutually agreeable to Contractor and Thriving
Together NCW. If the repair or replacement is not completed within the specified time,
Thriving Together NCW may pursue remedies in accordance with this Contract.
4.3. Amendments
This Contract may be amended by mutual agreement of the parties. Such amendments will not be
binding unless they are in writing and signed by personnel authorized to bind each of the parties.
4.4. Assignment
Neither party may assign or transfer all or any portion of this Contract or any of its rights hereunder,
or delegate any of its duties hereunder, except delegations as set forth in Section4.31,
Subcontracting, without the prior written consent of the other party. Any permitted assignment will
not operate to relieve either party of any of its duties and obligations hereunder, nor will such
assignment affect any remedies available to each party that may arise from any breach of the
provisions of this Contract or warranties made herein, including but not limited to, rights of setoff.
Any attempted assignment, transfer or delegation in contravention of this Section of the Contract
will be null and void. Notwithstanding the foregoing, Thriving Together NCW retains the right to
independently procure additional services or resources to support Contract objectives, provided
that such procurement does not alter or diminish the Contractor's rights and obligations under this
Contract.
4.5. Attorney's Fees
In the event of litigation or other action brought to enforce the terms of this Contract, each party
agrees to bear its own attorneys' fees and costs.
4.6. Change in Status
In the event of any substantive change in its legal status, organizational structure, or fiscal
reporting responsibility that prevents a party from complying with its obligations under this
Contract, such party will notify the other party of the change. Such party must provide notice as
soon as practicable, but no later than thirty (30) calendar days after such a change takes effect.
4.7. Conflict of Interest
Each party represents and warrants that it has not undertaken and will not undertake any work with
third parties that will conflict with the party's obligations under this Contract. In case of doubt,
before commencing such activities, each party shall review areas of possible conflict with the
other party and obtain such party's approval prior to commencing such activities. Each party
13
confirms that it does not have a business interest or a close family relationship with any of other
party's officer or employee who was, is, or will be involved in the Contractor's selection,
negotiation, drafting, signing, administration, or evaluating the Contractor's performance.
4.8. Covered Information Protection
4.8.1. Each party ("Receiving Party") acknowledges that some of the material and
information that may come into its possession or knowledge in connection with this
Contract or its performance may consist of Proprietary Information or Confidential
Information (which includes Data). For the purposes of this Section, Proprietary
Information and Confidential Information are together referred to as Covered
Information.
4.8.2. Nondisclosure and Non -Use Obligations: In the event of Disclosure of Covered
Information to Receiving Party by Disclosing Party, Receiving Party agrees to: (1) hold
Covered Information in strictest confidence and to take all reasonable precautions to
protect such Covered Information (including, without limitation, all precautions the
Receiving Party employs with respect to its own confidential materials); (2) not
disclose any such Covered Information or any other information derived therefrom to
any third party, unless permitted or required by applicable law; (3) not make use of
Covered Information for any purpose other than the performance of this Contract; (4)
release it only to authorized employees or subcontractors requiring such information
for the purposes of carrying out this Contract; and (5) not release, divulge, publish,
transfer, sell, disclose, or otherwise make the information known to any other party
without Disclosing Party's express written consent or as provided by law.
4.8.3. Receiving Party that comes into contact with Protected Health Information maybe
required to enter into a Business Associate Agreement with Disclosing Party in
compliance with the requirements of the Health Insurance Portability and
Accountability Act of 1996, Pub. L. 104-191, as amended.
4.8.4. Disclosing Party reserves the right to monitor, audit, or investigate the use of
Confidential Information collected, used, or acquired by Receiving Party through this
Contract. Violation of this Section by Receiving Party or its subcontractors may result
in termination of this Contract and demand for return of all Confidential Information,
monetary damages, or penalties.
4.8.5. The obligations set forth in this Section will survive completion, cancellation,
expiration, or termination of this Contract.
4.9. Public Records Act
Each party acknowledges that this Contract and other related information may be subject to
chapter 42.56 RCW, the Public Records Act. Thriving Together NCW shall identify and notify
Contractor of records subject to the Public Records and Act and Contractor's performance
requirements thereunder.
4.10. Contingent Fees
Contractor warrants that no person or selling agent has been employed or retained to solicit or
secure this Contract upon an agreement or understanding for a commission, percentage,
14
brokerage or contingent fee in a manner prohibited by applicable law, excepting bona fide
employees or bona fide established agents maintained by the Contractor for the purpose of
securing business. Thriving Together NCW will have the right, in the event of breach of this clause
by the Contractor, to annul this Contract without liability or, in its discretion, to deduct from the
contract price or consideration or recover by other means the full amount of such commission,
percentage, brokerage or contingent fee.
4.11. Data Security
4.11.1. Data Security Requirements: Each party shall not use, publish, transfer, sell or
otherwise disclose any Data gained by reason of this Contract for any purpose that is
not directly connected with Contractor's performance of the services contemplated
hereunder, except in the case of Personal Information, without the prior written
consent of the person or personal representative of the person who is the subject of
the Personal Information; or as permitted by law. Each party shall use commercially
reasonable efforts to protect and maintain all Data gained by reason of this Contract
against unauthorized use, access, disclosure, modification or loss. This duty requires
each party to employ reasonable security measures, in compliance with all state and
federal laws, which may include restricting access to the Data.
A. Client consent and authorization processes should follow the guiding principles
and meet the minimum standards established by ACH Community Care Hubs.
4.11.2. Protection of Data: Each party agrees to store and protect Data based on generally
accepted industry standards, such as encryption, controlled access through
hardened passwords, etc.
4.11.3. Data Transmission: When transmitting Data electronically, including via email or
over the public internet, the Data must be protected in accordance with industry
standards.
4.11.4. Notification of Breach or Potential Compromise: Each party shall have an
established and documented policy to deal with the compromise or potential breach
of Data that complies with all applicable state and federal laws. Each party shall be
responsible for any cost associated with a breach to the extent caused by such party
4.12. Debarment
By signing this Contract, each party certifies that it is not presently debarred, suspended, proposed
for debarment, declared ineligible, or voluntarily excluded in any Washington State or Federal
department or agency from participating in transactions (debarred). Contractor agrees to include
the above requirement in any and all subcontracts into which it enters, and also agrees that it will
not employ debarred individuals. Each party must immediately notify the other party if, during the
term of this Contract, such party becomes debarred. A party may immediately terminate this
Contract by providing written notice, if the other party becomes debarred during the term hereof.
4.13. Disputes
The parties will use their best, good faith efforts to cooperatively resolve disputes and problems
that arise in connection with this Contract. Notwithstanding the existence of a dispute, both parties
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will continue without delay to carry out their respective responsibilities under this Contract while
attempting to resolve any dispute.
4.13.1. Should any dispute, misunderstanding, or conflict arise as to the terms and
conditions contained in this Contract, which cannot be resolved by good faith
discussions between Thriving Together NCW's Executive Director and Contractor's
Executive Director , one party may submit a request for non -binding mediation to the
other party (email acceptable). The parties shall mutually agree on a neutral mediator
within fifteen (15) days of a party's written request for mediation. If the parties are
unable to agree on a mediator within this timeframe, either party may request that the
mediator be appointed by American Arbitration Association. Each party agrees that it
will be responsible for one-half (1/2) the cost of the mediator. Each party agrees that
the non -binding mediation will occur at a time and place convenient to all parties,
including the mediator, and that preference is for the mediation to occur in the
Wenatchee valley. Each party agrees the mediation is non -binding.
4.13.2. A party's request for mediation must:
A. Be in writing;
B. Include a description of the dispute;
C. State the relative positions of the parties and the remedy sought; and
D. Reference the Contract and the names and contact information of the parties.
4.13.3. The parties agree that this mediation process will precede any action in a judicial
court.
4.14. Entire Agreement
Thriving Together NCW and Contractor agree that the Contract is the complete and exclusive
statement of the agreement between the parties relating to the subject matter of the Contract and
supersedes all letters of intent or prior contracts, oral or written, between the parties relating to the
subject matter of the Contract.
4.15. Funding Withdrawn, Reduced, or Limited
If Thriving Together NCW learns that the funds it relied upon to establish this Contract have been
withdrawn, reduced or limited, or if additional or modified conditions are placed on such funding
after the effective date of this Contract but prior to the normal completion of this Contract, then
Thriving Together NCW, at its sole discretion, may:
4.15.1. Terminate this Contract pursuant to Section 4.32.3 Termination for Non -Allocation
of Funds; or
4.15.2. Renegotiate the Contract under the revised funding conditions; provided that any
modifications to the Contract must be agreed to in writing by Contractor.
4.15. Governing Law
This Contract is governed by and construed in accordance with the laws of the state of Washington
without giving effect to any choice or conflict of law provision or rule that would require or permit
the application of the laws of any jurisdiction other than those of Washington. Any legal suit,
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action, or proceeding arising out of or related to this Contract must be brought in the superior
courts located in Douglas County.
4.17. Indemnification
4.17.1. Each party ("Indemnifying Party") shall defend, indemnify and hold the other party,
its officers, officials, employees and volunteers ("Indemnified Parties") harmless from
any and all damages or losses, including reasonable attorney's fees resulting from the
negligent acts, errors or omissions of the Indemnifying Party in performance of this
Contract, except for injuries and damages caused by Indemnifying Party.
4.17.2. Should a court of competent jurisdiction determine that this Contract is subject to
RCW 4.24.115, then in the event of liability for damages arising out of bodily injury to
persons or damages to property caused by or resulting from the concurrent
negligence of the Contractor and Thriving Together NCW, its officers, officials,
employees or volunteers, the Contractor's liability hereunder shall be only to the
extent of the Contractor's negligence. It is further specifically and expressly
understood that the indemnification provided herein constitutes each party's waiver
of immunity under Title 51 RCW, solely for the purposes of this indemnification. This
waiver has been mutually negotiated by the parties.
4.17.3. To the fullest extent permitted by law, neither party shall be liable to the other for
any consequential, indirect, incidental, special, exemplary, or punitive damages,
including but not limited to loss of profits, revenue, or business opportunities, arising
out of or relating to this Contract, even if advised of the possibility of such damages.
The total aggregate liability of either party for any and all claims arising out of or
relating to this Contract shall not exceed the greater of (i) total fees paid by Thriving
Together NCW to Contractor under this Contract during the twelve (12) months
preceding the event giving rise to the claim; or (ii) One Million and No/100 Dollars.
4.17.4. The provisions of this Section shall survive the expiration or termination of this
Contract.
4.18. Independent Capacity of the Contractor
The parties intend that an independent contractor relationship will be created by this Contract.
Contractor and its employees or agents performing under this Contract are not employees or
agents of Thriving Together NCW or HCA, and HCA and Thriving Together NCW are not employees
or agents of Contractor. Contractor will not hold itself out as or claim to be an officer or employee
of Thriving Together NCW, HCA or of the State of Washington by reason hereof, nor will Contractor
make any claim of right, privilege or benefit that would accrue to such employee under law.
Conduct and control of the work will be solely with Contractor.
4.19. Legal and Regulatory Compliance
During the term of this Contract, each party must comply with all applicable local, state, and
federal licensing, accreditation and registration requirements/standards, necessary for the
performance of this Contract and all other applicable federal, state and local laws, rules, and
regulations. Failure to comply with any provisions of this Section may result in Contract
termination.
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4.20. Limitation of Authority
Only the parties' respective Authorized Representative have the express, implied, or apparent
authority to alter, amend, modify, or waive any clause or condition of this Contract. Furthermore,
any alteration, amendment, modification, or waiver or any clause or condition of this Contract is
not effective or binding unless made in writing and signed by each party's Authorized
Representative.
4.21. No Third -Party Beneficiaries
Thriving Together NCW and Contractor are the only parties to this contract. Nothing in this Contract
gives or is intended to give any benefit of this Contract to any third parties.
4.22. Nondiscrimination
4.22.1. Nondiscrimination Requirement. During the term of this Contract, Contractor,
including any subcontractor, shall not unlawfully discriminate on the bases
enumerated at RCW 49.60.530(3); Title VI of the Civil Rights Act, 42 U.S.C. §12101 et
seq.; the Americans with Disabilities Act of 1990 (ADA), 42 U.S.C. §12101 et seq., and
28 C.F.R. Part 35, to the extent applicable. In addition, Contractor, including any
subcontractor, shall give written notice of this nondiscrimination requirement to any
Labor organizations with which Contractor, or subcontractor, has a collective
bargaining or other agreement.
4.22.2. Obligation to Cooperate. Contractor, including any subcontractor, shall
reasonably cooperate and comply with any Washington state agency investigation
regarding any allegation that Contractor, including any subcontractor, has engaged in
discrimination prohibited by this Contract pursuant to RCW 49.60.530(3).
4.22.3. Default. Notwithstanding any provision to the contrary, Thriving Together NCW may
terminate this Contract as described in Section 4.33, Termination Procedures, and
Contractor, subcontractor, or both, may, as required by applicable law, be referred for
debarment as provided in RCW 39.26.200 Contractor or subcontractor may be given a
reasonable time in which to cure this noncompliance, including implementing
conditions consistent with any court -ordered injunctive relief or settlement
agreement.
4.22.4. Remedies for Breach. Notwithstanding any provision to the contrary, in the event
of Contract termination by Thriving Together NCW resulting from an investigation by a
Washington State agency conclusively determining that Contractor or subcontractor
engaged in unlawful discrimination prohibited by this Contract pursuant to RCW
49.60.530(3), to the extent applicable, Contractor, subcontractor, or both, may be
Liable for contract damages as authorized by law including, but not limited to, any cost
difference between the original contract and the replacement or cover contract and
all administrative costs directly related to the replacement contract, which damages
are distinct from any penalties imposed under Chapter 49.60, RCW.
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4.23. Overpayments to the Contractor
In the event that overpayments or erroneous payments have been made to the Contractor under
this Contract, Thriving Together NCW will provide written notice to Contractor and Contractor will
refund the full amount, if undisputed by Contractor, to Thriving Together NCW within thirty (30)
calendar days of the notice. If a dispute arises regarding overpayment, then either party may invoke
the dispute resolution provisions of Section 4.13, Disputes.
4.24. Pay Equity
4.24.1. Contractor represents and warrants that, as required by Washington state law
(Engrossed Substitute Senate Bill 5187, Section 919 (2023)), to the extent applicable,
during the term of this Contract, it agrees to equality among its workers by ensuring
similarly employed individuals are compensated as equals. For purposes of this
provision, employees are similarly employed if (i) the individuals work for Contractor,
(ii) the performance of the job requires comparable skill, effort, and responsibility, and
(iii) the jobs are performed under similar working conditions. Job titles alone are not
determinative of whether employees are similarly employed.
4.24.2. Contractor may allow differentials in compensation for its workers based in good
faith on any of the following: (i) a seniority system; (ii) a merit system; (iii) a system that
measures earnings by quantity or quality of production; (iv) bona fide job -related
factor(s); or (v) a bona fide regional difference in compensation levels.
4.24.3. Bona fide job -related factor(s)" may include, but not be limited to, education,
training, or experience, that is: (i) consistent with business necessity; (ii) not based on
or derived from a gender -based differential; and (iii) accounts for the entire
differential.
4.24.4. A "bona fide regional difference in compensation level" must be (i) consistent with
business necessity; (ii) not based on or derived from a gender -based differential; and
(iii) account for the entire differential.
4.24.5. Notwithstanding any provision to the contrary, upon breach of warranty and
Contractor's failure to provide satisfactory evidence of compliance with this Section
4.24. within thirty (30) Days of request for such evidence, Thriving Together NCW may
suspend or terminate this Contract. For the avoidance of doubt, this Section 4.24
shall only apply to Contractor to the extent required by law.
4.25. Publicity
4.25.1. The award of this Contract to Contractor is not in anyway an endorsement of
Contractor or Contractor's Services by Thriving Together NCW or HCA and must not
be so construed by Contractor in any advertising or other publicity materials.
4.25.2. Each party ("Advertising Party") agrees to submit to the other party, all advertising,
sales promotion, and other publicity materials relating to this Contract or any Service
furnished by Advertising Party in which the other party's or HCA's name is mentioned,
Language is used, or Internet links are provided from which the connection of the other
party's or HCA's name with Advertising Party's Services may, in the other party's and
HCA's sole judgment, be inferred or implied. Advertising Party further agrees not to
publish or use such advertising, marketing, sales promotion materials, publicity or the
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Like through print, voice, the Web, and other communication media in existence or
hereinafter developed without the express written consent of the other party and HCA
prior to such use. This restriction shall not apply to reports submitted to HCA that
reference both Parties. Additionally, consent shall not be required for the inclusion of
the joint logo of the Parties in statewide Hub/ACH messages, provided such use aligns
with prior agreed -upon branding and messaging guidelines.
4.26. Records and Documents Review
4.26.1. In a manner consistent with applicable law, the Contractor must maintain books,
records, documents, magnetic media, receipts, invoices or other evidence relating to
this Contract and the performance of the services rendered, along with accounting
procedures and practices, all of which sufficiently and properly reflect all direct and
indirect costs of any nature expended in the performance of this Contract. At no
additional cost, these records, including materials generated under this Contract, are,
subject at all reasonable times to inspection, review, or audit by Thriving Together
NCW, HCA, the Office of the State Auditor, and state and federal officials so
authorized by law, rule, regulation, or this Contract [See 42 USC 1396a(a)(27)(B); 42
USC 1396a(a)(37)(B); 42 USC 1396a(a)(42(A); 42 C.F.R. 431, Subpart Q; and 42 C.F.R.
447.202].
4.26.2. The Contractor must retain such records for a period of six (6) years after the date of
final payment under this Contract.
4.26.3. If any litigation, claim or audit is started before the expiration of the six (6) year
period, the records must be retained until all litigation, claims, or audit findings
involving the records have been resolved.
4.27. Remedies Non -Exclusive
The remedies provided in this Contract are not exclusive but are in addition to all other remedies
available under law.
4.28. Right of Inspection
The Contractor shall, upon reasonable prior notice from Thriving Together NCW, provide a right of
access to its facilities to Thriving Together NCW, or any of its officers, or to any other authorized
agent or off icialofthe state ofWashington or the federal government, at all reasonable times, in
order to monitor and evaluate performance, compliance, and/or quality assurance under this
Contract. Such access shall be limited to areas and records directly related to Contractor's
obligations under this Contract and shall be conducted in a manner that does not unreasonably
interfere with Contractor's operations or compromise confidential, proprietary, or privileged
information unrelated to this Contract.
4.29. Rights in Data/Ownership
4.29.1. Contractor agrees that all data and work products produced by Contractor for
Thriving Together NCW pursuant to this Contract (collectively "Work Product") will be
considered a "work made for hire" as defined under the U.S. Copyright Act of 1976
and Title 17 U.S.C. §101 et seq, and will be owned by Thriving Together NCW, its
M
successors, or assigns. Contractor is hereby commissioned to create the Work
Product. Work Product includes, but is not limited to, discoveries, formulae, ideas,
improvements, inventions, methods, models, processes, techniques, findings,
conclusions, recommendations, reports, designs, plans, diagrams, drawings,
software, databases, documents, pamphlets, advertisements, books, magazines,
surveys, studies, computer programs, films, tapes, and/or sound reproductions, to
the extent provided by law that Contractor creates for Thriving Together as explicitly
required by this Contract. Ownership includes the right to copyright, patent, register
and the ability to transfer these rights and all information used to formulate such Work
Product. Notwithstanding the foregoing, Contractor retains the right to use the general
knowledge, skills, and experience gained during the performance of this Contract.
4.29.2. If for any reason the Work Product would not be considered a "work made for hire"
under applicable law, Contractor assigns and transfers to Thriving Together NCW, its
successors, or assigns, the entire right, title and interest in and to all rights in the Work
Product and any registrations and copyright applications relating thereto and any
renewals and extensions thereof.
4.29.3. Contractor will execute all documents reasonably acceptable to Contractor and
perform such other proper commercially reasonable acts as Thriving Together NCW
may deem necessary to transfer ownership of Work Product to Thriving Together NCW
pursuant to this Section.
4.29.4. Contractor will not use or in any manner disseminate any Work Product to any third
party, or represent in any way Contractor ownership of any Work Product, without the
prior written permission of Thriving Together NCW. Contractor will take commercially
reasonable steps necessary to ensure that its agents, employees, or Subcontractor
will not copy or disclose, transmit or perform any Work Product or any portion thereof,
in any form, to any third party, except as necessary to provide Services under this
Contract.
4.29.5. Material that is delivered as Work Product under this Contract, but that does not
originate therefrom ("Preexisting Material"), must be transferred to Thriving Together
NCW, its successors, or assigns with a limited, nonexclusive, royalty -free, irrevocable
License for internal use only to publish, translate, reproduce, deliver, perform, display,
and dispose of such Preexisting Material, and to authorize others to do so. Contractor
agrees to obtain, at its own expense, express written consent of the copyright holder
for the inclusion of Preexisting Material. Thriving Together NCW will have the right to
modify or remove any restrictive markings placed upon the Preexisting Material by
Contractor.
4.29.6. Contractor must identify all Preexisting Material when it is delivered under this
Contract and must advise Thriving Together NCW of any and all known infringements
of publicity, privacy or of intellectual property affecting any Preexisting Material at the
time of delivery of such Preexisting Material. Contractor must provide Thriving
Together NCW with prompt written notice of each notice or claim of copyright
infringement or infringement of other intellectual property right worldwide received by
Contractor with respect to any Preexisting Material delivered under this Contract.
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4.29.7. For the avoidance of doubt, Contractor retains sole and exclusive ownership of all
intellectual property, proprietary information, know-how, methodologies, software,
tools, templates, processes, and other materials developed, owned, or controlled by
the Contractor prior to the execution of this Contract or developed independently of
this Contract. Notwithstanding the foregoing, to the extent that Washington State
Department of Health funds were used in the development of the Visionlink platform,
Contractor acknowledges that such funding may impose obligations related to
continued use, maintenance, or sustainability in alignment with the waiver funding
scope. The Parties agree to work in good faith to ensure compliance with such funding
requirements while preserving Contractor's intellectual property rights to the extent
permitted by law and funding agreements with the Washington State Department of
Health.
4.30. Seve ra b i lity
If any provision of this Contract or the application thereof to anyperson(s) or circumstances is held
invalid, such invalidity will not affect the other provisions or applications of this Contract that can
be given effect without the invalid provision, and to this end the provisions or application of this
Contract are declared severable.
4.31. Subcontracting
4.31.1. Contractor remains fully responsible for providing all of the Services to Thriving
Together NCA notwithstanding that some or part of the Services may be performed by
a subcontractor.
4.31.2. Contractor is responsible for ensuring that all terms, conditions, assurances and
certifications set forth in this Contract are referenced in any subcontracts; provided
that Contractor shall not require any tribe or Indian Health Care Provider to assign or
transfer any right, title and interest in and to any Intellectual Property over which a
tribe or Indian Health Care Provider has ownership. In executing subcontracts, no
party waives any rights, privileges, or immunities, including treaty rights, sovereign
immunities and jurisdiction. Subcontracts do not diminish any rights or protections
afforded AVAN persons or tribal governments or entities under state or federal law.
4.31.3. If at any time, Thriving Together NCW determines in its reasonable judgment that
any subcontractor is incompetent or is not performing, Thriving Together NCW will
notify Contractor, and Contractor must take immediate steps to cure the non-
compliance.
4.31.4. Thriving Together NCW has no contractual obligations to any subcontractor or
vendor under contract to the Contractor. Contractor is fully responsible for all
contractual obligations, financial or otherwise, to its subcontractors, if any.
4.32. Termination
4.32.1. Termination for Default:
A. In the event Thriving Together NCW determines that Contractor has failed to
materially comply with the terms and conditions of this Contract, Thriving Together
NCW will notify Contractor in writing of the need to take corrective action and
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include a detailed description of the alleged non-compliance. If corrective action by
Contractor is not taken within thirty (30) business days, or other time period agreed
to in writing by both parties, the Contract may be terminated by Thriving Together
NCW. In the event of termination for default, Contractor may be liable for damages
as authorized by law including, but not limited to, any cost difference between the
original Contract and the replacement or cover Contract and all administrative
costs directly related to the replacement Contract, e.g., cost of the competitive
bidding, mailing, advertising, and staff time.
B. Termination by Contractor: If the Contractor determines that Thriving Together NCW
has failed to materially comply with the terms and conditions of this Contract,
Contractor may provide Thriving Together NCW with notice of such alleged failure in
writing, and of the need to take corrective action. If Thriving Together NCW fails to
take corrective action within thirty (30) days of the notice, Contractor has the right
to terminate this Contract with thirty (30) calendar days' written notice.. In such an
event, Contractor and Thriving Together NCW will follow the termination procedures
in Section 4.33, Termination Procedures. Thriving Together NCW will be liable for
payment in accordance with the terms of this Contract for services rendered prior
to the effective date of termination.
4.32.2. Termination for Nonallocation of Funds: If funds are not allocated to Thriving
Together NCW to continue this Contract in any future period, Thriving Together NCW
may immediately terminate this Contract by providing written notice to the
Contractor. The termination will be effective on the date specified in the termination
notice. Thriving Together NCW will be liable only for payment in accordance with the
terms of this Contract for services rendered prior to the effective date of termination.
Thriving Together NCW agrees to notify Contractor of such non -allocation at the
earliest possible time. No penalty will accrue to Thriving Together NCW in the event
the termination option in this Section is exercised and provided that Thriving Together
NCW shall reimburse Contractor for mutually agreed upon transition and wind -down
costs incurred as a direct result of such termination; provided that Thriving Together
NCW Contractor agree to equally share the costs of non -cancelable third -party
obligations that Contractor has entered into in reliance on this Contract.
4.32.3. Termination for Withdrawal of Authority: In the event that the authority of Thriving
Together NCW to perform any of its duties is withdrawn, reduced, or limited in any way
after the commencement of this Contract and prior to normal completion, Thriving
Together NCW may immediately terminate this Contract by providing written notice to
the Contractor. The termination will be effective on the date specified in the
termination notice. Thriving Together NCW will be liable only for payment in
accordance with the terms of this Contract for services rendered prior to the effective
date of termination. Thriving Together NCW agrees to notify Contractor of such
withdrawal of authority at the earliest possible time but in no event later than two (2)
days after it knows or should know of such withdrawal of authority. No penalty will
accrue to Thriving Together NCW in the event the termination option in this Section is
exercised and provided that Thriving Together NCW shall reimburse Contractor for
mutually agreed upon transition and wind -down costs incurred as a direct result of
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such termination; provided that Thriving Together NCW Contractor agree to equally
share the costs of non -cancelable third -party obligations that Contractor has entered
into in reliance on this Contract.
4.33. Termination Procedures
4.33.1. Upon termination of this Contract pursuant to Section 4.32, Thriving Together NCW,
in addition to any other rights provided in this Contract, may require Contractor to
deliver to Thriving Together NCW any Work Product specifically produced or acquired
by Contractor under this Contract as has been terminated.
4.33.2. After receipt of notice of termination, and except as otherwise directed by Thriving
Together NCW, Contractor must:
A. Stop work under the Contract on the date of, and to the extent specified in, the
notice;
B. Place no further orders or subcontracts for materials, services, orfacilities except
as may be necessary for completion of such portion of the work under the Contract
that is not terminated;
C. Subject to the terms of Contractor's orders and Subcontracts, assign to Thriving
Together NCW, in the manner, at the times, and to the extent directed by Thriving
Together NCW, all the rights, title, and interest of the Contractor under the orders
and subcontracts so terminated; in which case Thriving Together NCW has the right,
at its discretion, to settle or pay any or all claims arising out of the termination of
such orders and subcontracts;
D. Settle all outstanding liabilities and all claims arising out of such termination of
orders and subcontracts, with the approval or ratification of Thriving Together NCW;
which shall not be unreasonably withheld or delayed and Thriving Together NOW's
reimbursement of all such liabilities, to the extent Thriving Together NCW may
require, which approval or ratification will be final for all the purposes of this clause;
E. Transfer title to and deliver as directed by Thriving Together NCW any work product
required to be furnished to Thriving Together NCW; and
F. Take such action as may be reasonably necessary, or as Thriving Together NCW
may reasonably direct, for the protection and preservation of the records related to
this Contract that are in the possession of the Contractor and in which Thriving
Together NCW has or may acquire an interest.
4.34. Treatment of Assets
4.34.1. Ownership: Thriving Together NCW shall retain title to all property furnished by
Thriving Together NCW to Contractor under this Contract for purposes of performance
of Services. Title to all Work Product furnished by Contractor for purpose of
performance of Services under this Contract, excluding Contractor's intellectual
property shall vest in Thriving Together NCW upon delivery of such Work Product by
Contractor, or payment to Contractor, whichever occurs first.
4.34.2. Use of property: Any property furnished to Contractor by Thriving Together NCW
shall, unless otherwise provided herein, or approved in writing by the Thriving Together
NCW Contract Manager, be used only for the performance of and subject to the terms
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of this Contract. Contractor's use of the equipment shall be subject to Thriving
Together NCW's security, administrative, and other requirements.
4.34.3. Damage to property: Contractor shall use commercially reasonable efforts to
continuously protect and be responsible for any loss, destruction, or damage to
property which is directly caused by Contractor's negligent acts or omissions.
Contractor shall be liable to Thriving Together NCW for costs of repair or replacement
for property or equipment that has been lost, destroyed, or damaged by Contractor or
Contractor's employees, agents, or subcontractors. Cost of replacement shall be the
current market value of the property and equipment on the date of the loss as
reasonably determined by Thriving Together NCW.
4.34.4. Notice of Damage: Upon the loss of, destruction of, or damage to any of the
property, Contractor shall notify the Thriving Together NCW Contract Manager thereof
within one (1) business day of becoming aware of such loss, destruction or damage
and shall take commercially reasonable steps to protect that property from further
damage.
4.34.5. Surrender of Property: Contractor will use commercially reasonable efforts to
ensure that the property provided by Thriving Together NCWwill be returned to Thriving
Together NCW in like condition to that in which it was furnished to Contractor,
reasonable wear and tear expected. Contractor shall surrender to Thriving Together
NCW all such property upon the earlier of expiration or termination of this Contract.
4.35. Waiver
Waiver of any breach of any term or condition of this Contract will not be deemed a waiver of any
prior or subsequent breach or default. No term or condition of this Contract will be held to be
waived, modified, or deleted except by a written instrument signed by the parties.
4.36. Warranties
4.36.1. Contractor represents and warrants that its services will be of professional quality
and will be rendered in accordance with prevailing professional standards and ethics.
Services performed by Contractor under this Contract shall be conducted in a manner
consistent with the level of care and skill standard to the industry in which Contractor
is engaged. Contractor agrees to re -perform any services that are not in compliance
with this representation and warranty at no cost to Thriving Together NCW as soon as
reasonably possible.
4.36.2. Contractor represents and warrants that it will comply with all applicable local,
State, and federal licensing, accreditation and registration requirements and
standards necessary in the performance of the Services.
4.36.3. Contractor represents and warrants that Contractor does NOT require its
employees, as a condition of employment, to sign or agree to mandatory individual
arbitration clauses or class or collective action waivers. Contractor further represents
and warrants that, during the term of this Contract, Contractor shall not, as a
condition of employment, require its employees to sign or agree to mandatory
individual arbitration clauses or class or collective action waivers.
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4.36.4. Any written commitment by Contractor within the scope of this Contract will be
binding upon Contractor. Failure of Contractor to fulfill such a commitment may
constitute breach and will render Contractor liable for damages under the terms of
this Contract. For purposes of this Section, a commitment by Contractor may include:
(i) Prices, discounts, and options committed herein to remain in force over a specified
period of time; and (ii) any warranty or representation made by Contractor to Thriving
Together NCW herein, or descriptions of services herein.
Except as expressly set forth in this Contract, Contractor makes no warranties, express or implied,
including but not limited to any warranties of merchantability, fitness for a particular purpose, title,
non -infringement, or any warranties arising from a course of dealing, usage, or trade practice.
Contractor expressly disclaims any representations or warranties that the products or services
provided under this Contract will meet all of Thriving Together NCW's requirements or that
operation of the products or services will be uninterrupted or error -free, except as explicitly agreed
in this Contract.
5. Schedule A: Statement of Work
The Contractor must provide services and staff, and otherwise do all things necessary for or
incidental to the performance of Services as set forth under this Statement of Work (SOW).
5.1. Background
A variety of care coordination efforts operate across our North Central region, managed by
numerous agencies, paid for in different ways, and targeting various populations. Thriving Together
NCW has convened regional conversations with Community -Based Care Coordination (CBCC)
partners to plan and address capacity building and infrastructure needs since 2020. Most of these
conversations have focused on opportunities for integrating care coordination systems that
currently exist (or that are forming) within specific sectors and shoes into a more cohesive regional
system that meets the needs of whole families.
Thriving Together NCW and regional partners are designing and guiding a Social Care Network
strategy to integrate and align various hub initiatives into a holistic Community Care Hub
infrastructure (including strategies for integrating the Health Home program and Recovery
Navigator Program.) Our goal is for this Social Care Network to function as an integrated, cohesive
and nimble system to effectively respond to the intertwined needs of North Central residents who
are struggling or suffering. Regional partners agree that this holistic and connected network
approach will reduce fragmentation for partnering agencies and result in more effective care
coordination supports for residents.
Community Care Hubs (CCHs) play a critical role in the Social Care Network we are formalizing.
CCH models have garnered attention at the national level. In Washington State, the Health Care
Authority (HCA) Medicaid Waiver renewal addresses Health Related Social Needs, including
services administered through Community Hubs and a Native Hub. In addition, the Department of
Health (DOH) stood up Care Connect Hubs during the pandemic.
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5.2. Purpose/Goal
Thriving Together NCW recognizes that Advance is already serving as a Community Care Hub
(CCH) for regional programs. In alignment with our principle that we leverage and increase capacity
that already exists, Thriving Together NCW is delegating significant Community Care Hub
responsibilities under the Health Care Authority (HCA) Medicaid Transformation Project (MTP) 2.0
Initiatives to Advance.
Funding will leverage and build the capacity of Advance to serve as high -functioning
Community Care Hub for our North Central region. All nine Accountable Communities of Health
(ACHs) are working towards operationalizing high -functioning CCHs by July 31, 2026 and have
adopted the same framework meeting the requirements of MTP 2.0 Initiatives.
To create an integrated rather than fragmented system and infrastructure, Advance's CCH efforts
will involve weaving various sources of funding that support hub infrastructure and the network of
contracted care coordination partners. Advance's efforts will require close cooperation with
Thriving Together NCW and Action Health Partners as part of our joint North Central Community
Care Hub partnership.
The success of this partnership and agreement will require a high level of cooperation and rigorous
inter -agency communication. Advance agrees to partner closely with Thriving Together NCW and
Action Health Partners in order to comply with terms, conditions, assurances, and requirements in
state contracts (e.g. confidentiality of information and data security, performance and financial
reporting, etc.) Some of these requirements may also need to be incorporated into subcontracts
that Advance develops with its partner network.
5.3. Program Description and Objectives
Accountable Communities of Health (ACH) in our state have aligned around the following core
elements of Community Care Hubs:
Elements of a Mature Community Care Hub
0 Community Voice & Engagement
Ensure partners and community membersfoster change by guidingand advising on
what is best for the community.
Sustainabillity & Business Operations
Deliver on -going financial, administrative, and operational support that reduces the
Community burden on community -based organizations.
Care HubCoordination••- Reporting
Provide standards and systems to ensure the social care network effectively delivers
and reports on their services, improves health outcomes, and reduces costs.
Network•
Creates, supports and organizes a diverse Network of community partners to
engage priority populations and deploy services that meet the health and social
Community -Based Workforce
Grows economic and professional opportunities for the workforce that shares life
experiences with priority populations.
27
With support from Thriving Together NCW, Advance will increase its capacity to serve as a high -
functioning Community Care Hub for the North Central region, with a specific focus on the
following MTP 2.0 Initiatives:
1. Health -Related Social Needs (HRSN) Initiative which includes HRSN Infrastructure and
HRSN Service dollars.
a. HRSN Infrastructure is further defined in the HRSN Infrastructure Protocol
approved by CMS in March 2024. (Exhibit B)
b. HRSN Services are further defined in the HRSN Services Protocol approved by
CMS in December 2024. (Exhibit C) Activities will include:
i. Developing networks of community -based organizations for distributing
HRSN Services to Medicaid and CHIP beneficiaries;
ii. Establishing referral processes with entities such as community -based
organizations, local government, providers, and Managed Care
Organizations; and
iii. Supporting the Reentry of individuals coming out of carceral facilities
2. Reentry Demonstration Initiative: objective is to facilitate beneficiaries' access to
certain healthcare services and case management, provided by Medicaid participating
providers or CHIP participating providers, while beneficiaries are incarcerated and
allow them to establish relationships with community -based providers from whom they
can receive services upon reentry to communities.
ACH Community Care Hubs and the Native Hub are the sole contracting providers for the HRSN
Case Management, Outreach and Education HRSN service under this demonstration. Case
management, outreach, and education services are defined by HCA as "providing linkages to other
state and federal benefit programs, benefit program application assistance, and benefit program
application fees. This service includes HRSN service coordination and referral activities."
5.4. Region
The geographic population designated to the Contractor for all activities contained herein
encompasses the following: Okanogan, Grant, Chelan, and Douglas counties and the
Confederated Tribes of the Colville Reservation.
5.5. Scope of Services
• Community voice and engagement
o Actively participate in community engagement meetings led by Thriving Together
NCW, specific to community -based care coordination and social care network
planning and improvement efforts.
o Actively participate in regional advisory and governance structures facilitated by
Thriving Together NCW (e.g. CBCC Regional Advisory Committee, and Resource
Directory Workgroups)
• Sustainability and business operations
o Build staff capacity in order to develop robust organizational structure that can
operate a high -functioning community care hub to support a robust network of
28
community -based care coordinators and community -based workers. Salaries and
benefits expenses will support staff capacity for the following:
■ IT infrastructure
■ Care coordination network management
■ Finance, contracting & risk management
o Improve internal systems and infrastructure, including policies and procedures, to
support strong program operations, financial reporting and ongoing strategic
planning.
• Care coordination operations and reporting
o Participate in regional network leadership team meetings associated with data
tracking, data security, data sharing, platform building; implement identified
priorities delegated to Advance.
o Implement policies and procedures in alignment with standards and expectations
identified by the Coalition of ACHs (specific to community care hubs), including
care coordination standards, standardized intake and referral management
processes, programmatic measurement and reporting.
• Network management and capacity building
o Build and support network of referral partners and community -based organizations
delivering community -based care coordination (case management, outreach and
education) in order to meet agreed upon network development SMART objectives
(e.g. # of CBWs on contract, # of referrals received, # of clients served).
o Cultivate partner readiness, oversee contracting, manage onboarding, offer
workforce training, quality improvement and supervision supports.)
o Implement policies and procedures in alignment with standards and expectations
identified by the Coalition of ACHs (specific to community care hubs) in order to
promote statewide alignment.
• Community -based workforce development
o Participate in regional network leadership team meetings associated with
workforce development; implement identified priorities delegated to Advance.
o Develop capacity of organizations and their workforce to join network, especially as
it relates to meeting the needs of underserved populations and meeting network
equity goals.
o Seek feedback from contracted community -based workforce to improve supports
and promote workforce retention and satisfaction.
5.6. Contract Deliverables
Monthly reporting deliverables consist of:
A. Engaging in monthly team check -ins, with relevant staff, to run through progress updates
based on North Central Community Care Hub workplan developed by Thriving Together
NCW with input from Contractor (and based on findings and recommendations from
annual assessment).
B. Submitting invoice package on or before the thirtieth (3oth) day of the month following the
month in which costs were incurred, using a template created by Thriving Together NCW to
align with state reporting expectations, and supported by detailed financial backup
29
documentation (e.g. P&L by class or general ledger report) showing use of funds to aid in
budgetary and financial reporting to HCA.
a. Advance will work with Thriving Together NCW to ensure expenses are tracked in
such a way that they can be rolled up into specific categories and eligible entities,
as required by HCA, and as outlined in the Monthly Financial Reporting Template.
Quarterly reporting deliverables consist of:
A. Generating and providing aggregate data reports to Thriving Together NCW that meet
performance requirements set by state funding sources that have been provided to
Contractor in writing (e.g. community care hub metrics, indicators and measures) in
alignment with measure sets and specifications developed by the Coalition of ACHs, as
shown on following page.
30
5.7. Performance Measures.- Strategic Measure Set
HCA DOH Aligned Measure Set,, March 2025
CVE-1- Number of 'Informing community
members
CVE-2: Number of distinct sectors informing
CCH decision -making
CVE-5.14. Percent of contracted Network
Partners who report shared d ecisi on -making
EVE-5,2: Percent of informing community
Members who report shared decision -making
Admin Records Annually
CCH Report Annually
Network Partner Annually
Survey
Informed
Community Annually
Member Survev
SBO-2: Total amount of revenue
received by the CCH
Admin Records Annually
SBO-3: Percent of funding going to
contracted network partners from
Admin Records Annually
total revenue received by the CCH
SBO-4: Percent of contracted
Network Partners who feel CCH
support has increased funding
1
Net Partner Survey Annually
opportunities
SBO-6: Percent (%) of contracted
network partners who feet their
administrative/operational burden to
Network Partner Survey Annually
partner with government or health
care is better off because of CCH
CCO-1: Number of referrals into the
CCH (inbound referrals)
CIMS
CCO-2: Number of enrolled clients
CMS
CCO-3: Number of enrolled clients
with a SDoH assessment
CNIS
CCO-6: Percent of identified client
needs that were successfully met
C NIS
CLP-4: Percent of individuals referred
to CCH (inbound referrals) converted
CMS
to enrollment
CLS-3.1: Percent of clients connected
to CBCC services through the CCH
CMS
within 7 days of referral
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
"91
CLS-3.1: Percent of clients connected
to CBCC services through the CC H CNIS Quarterly
within 30 days of referral
CLS-1: Number of referrals out to
HRSN services (outbound referrals) CIVIS Quarterly
CLP-1: Percent of clients from priority
populations
CNIS Quarterly
Element
4: Network Management
NMC-1: Number of Network Partners
& Capacity Building
Admin Records Quarterly
by Sector
NMC-3: Percent of funding from CCH
to small, grassroots and/or impacted
Admin Records Quarterly
organizations
NMC-4: Percent of Net%.ljork Partners
reporting increased capacity (e.g.
workforce, infrastructure,, resources)
Network Partner SUrvey Annually
to meet community needs in
culturally appropriate %,,iiays
CBW-1*. Number Of COMM U nity-based
Workforce Staff Employed
CBW-7: Percent of CBW staff retained
for more than ore year
PCBW-5: Percent of CBs from
priority populations
Admire Records Quarterly
Admin Records Annually
W'd
Exhibit A— HRSN Infrastructure Protocol
33
Attachment U
Health -Related Social Needs (HRSN) Infrastructure Protocol
HRSN Infrastructure. The Washington State Health Care Authority is submitting the Health -Related Social
Needs (HRSN) services infrastructure protocol for approval by the Centers for Medicare and Medicaid Services
(CMS). The protocol addresses the requirements of infrastructure investments for the Health -Related Social
Needs (HRSN) services program specified in Section 15.7 of the Special Terms and Conditions (STCs) of the
Washington State Section 1115 Medicaid Demonstration waiver renewed on June 30, 2023. Over the duration of
the Demonstration, the state is authorized to spend up to $270 million of infrastructure investments necessary
to support the development and implementation of HRSN services.
The Washington State HRSN services program will allow qualifying Medicaid beneficiaries to receive evidence -
based, non -medical services. The protocol specifies the proposed uses of HRSN infrastructure expenditures,
types of entities that will receive funding, intended purposes of funding, projected expenditure amounts, and
implementation timeline.
Under the terms of Washington's 1115 waiver, Accountable Communities of Health (ACHs), as Community Hubs,
will provide services described in STC 15.2(c) to eligible Apple Health enrollees; provide vital HRSN service
administration support to the HRSN fee -for -service program; and build HRSN service capacity across the state
(see STC 15.4).
The Native Hub will provide similar navigation services and support. Although ACHs may limit their services to
their respective regions, any qualifying individual in Washington may access community -based care
coordination and services through any one of the 10 hubs.
HRSN Infrastructure
1. Implementation timeline and approach
a. Timeline for disbursement of infrastructure funding
i. The state may begin awarding infrastructure funds to eligible entities following
approval of this document. The state will utilize a phased approach to disbursing
infrastructure funds, initially focusing on capacity building to develop and implement
the nine community hubs and statewide Native Hub, along with education,
engagement, and outreach activities, and other investments for organizations
participating in the delivery of HRSN services.
ii. Eligible entities may apply for HRSN infrastructure funding on an ongoing basis,
depending on availability of funds.
b. Approach to infrastructure funding applications and disbursements
i. The state will:
1. Develop application processes for eligible entities seeking infrastructure
funds from the state, including parameters that would apply to each
Accountable Community of Health (ACH) under Section l.b.ii
2. Develop application processes for ACHs seeking infrastructure funds from the
state to develop and implement community hubs
3. Evaluate applications and allocate funds for activities to be performed in
each of the four approved infrastructure categories
4. Allocate funding to each ACH for regional distribution by the ACH to other
eligible entities. Funding will be allocated based on Medicaid -covered lives in
each region
ii. Each of the ACHs will:
34
1. Develop application processes for other eligible entities seeking
infrastructure funds
2. Evaluate applications from other eligible entities and award infrastructure
funding based on the application process and HRSN service delivery
prioritization established by the state
3. Disburse funding to awarded entities
4. Ensure that any HRSN fund disbursements are consistent with these STCs
5. Report to the state on the use of funds by ACH and regional partners,
including alignment with percentage expenditures by allowable use category
c. Monitoring and oversight
The state will take action to address non-compliance, ensure non -duplication of funds, and
perform other monitoring and technical assistance, as necessary.
2. Eligible Entities
In accordance with STC 15.4(d), this infrastructure funding is separate and distinct from the payment to
the applicable managed care plans for delivery of HRSN services. The state will ensure that HRSN
infrastructure expenditures described in STC 15.4(a) are not factored into managed care capitation
payments and that there is no duplication of funds.
The following entities may be eligible to apply for and receive HRSN infrastructure funding:
a. ACHs
b. Native Hub participants
c. Providers of HRSN services, including, but not limited to:
i. Community -based organizations (CBOs)
ii. Social -services agencies
iii. Housing agencies and providers
iv. Food and nutrition service providers
v. Case management providers
vi. Traditional health workers
vii. Child welfare providers
viii. State, county, city, and local governmental agencies
ix. Tribes and Indian health care providers (IHCPs)
x. Physical and behavioral health care providers
d. Other entities supporting the infrastructure and delivery of HRSN services, such as technology
and technical assistance providers,
e. State -contracted third -party administrator and/or financial executor to support HRSN
contracting, implementation, and service delivery
3. Intended purpose and proposed uses of HRSN infrastructure funding
The state may claim federal financial participation (FFP) in infrastructure investments to support the
development and implementation of HRSN services across the following domains in accordance with
the categories specified in the STCs:
a. Technology
b. Development of business or operational practices
c. Workforce development
d. Outreach, education, and stakeholder convening
The state may provide infrastructure funding to eligible entities for activities in support of HRSN service
delivery:
35
m. Technology
i. Procuring IT infrastructure and data platforms needed to enable, for example:
z. Authorization of HRSN services
2. Referral to HRSN services
3. HRSNservice delivery
4. HR3Nservice billing
5. HR3Nprogram oversight, monitoring, and reporting
ii. Modifying existing systems (e.g.'community information exchange) tosupport HR3N
service delivery and closed loop referrals
iii. Developing an HRSN services eligibility screening too[
iv. Integration ofdata platforms, systems, and tools
v. Supporting successful adoption of IT infrastructure and data platforms related to
HRSN
b. Development mfbusiness mroperational practices
i. Development ofpolicies and procedures related to:
I. HR3Nreferral and service delivery mmrkfiows
2. Billing and invoicing
3. Data sharing and reporting
4. Program oversight and monitoring
S. Evaluation
8. Privacy and confidentiality
|i. Training and technical assistance on HRSN program roles and responsibilities
iii. Administrative and/or overhead costs necessary to perform HRSN duties or expand
HRSN service delivery capacity, including development and implementation of
community hubs
r. Workforce development
i. Cost ofhiringstaff
iL Cost oftraining staff members onHRSNpolicies and procedures. .
iii. Salary and benefits for staff that vv0 have a direct role in overseeing` designing`
implementing, or executing HRSN responsibilities prior to launch of delivery of HRSN
services
iv. Necessary certifications, training, technical assistance, oreducation for staff
participating inthe HRSNprogram (e.g.'onculturally competent ortrauma-informed
cane)
x Privacy and confidentiality training and/or technical assistance related toHRSN
service delivery
vi. Production costs for training materials and/or experts as it pertains to the HRSN
program
d. Outreach, education, and stakeholder convening
i. Development and production of materials necessary for marketing, outreach, training,
or education
ii. Translation ofmaterials
iii. Development ofculturally competent materials
iv. Planning for and facilitation ofcommunity-based outreach events tosupport
awareness ofHR3Nservices
v. Planning for and facilitation of learning collaboratives or stakeholder convenings
vi. Community engagement activities necessary tosupport HRSNprogram
implementation and launch
vii. Administrative or overhead costs associated with outreach, education, or convening
36
4. Projected expenditure amounts
The state estimated the infrastructure expenditure amounts for the Demonstration by allowable use
category. In developing the estimates, the state used the annual infrastructure spending amounts
specified in the STCs and an analysis of anticipated need across the state. For purposes of monitoring
the infrastructure spending cap, the state will notify CMS if spending approaches 90 percent of the
allowable infrastructure amount.
Technology 35%
$94.5 M
Development of operational or business
25% $67.5 M
practices
Workforce development 25% $67.5 M
Outreach, education, and stakeholder convening 15% $40.5 M
Total 100% $270 M
37
Exhibit B - HRSN Services Protocol
38
Washington State
Health Care thority
Health -Related Social Needs (HRSN)
services protocol
The Washington State Health Care Authority is submitting the Health -Related Social Needs (HRSN) services
protocol for approval by the Centers for Medicare and Medicaid Services (CMS). The protocol addresses the
requirements for provision of HRSN services specified in Section 15.7 of the Special Terms and Conditions (STCs)
of the Washington State Section 1115 Medicaid Demonstration waiver renewed on June 30, 2023.
The Washington State HRSN services program will allow qualifying Medicaid enrollees to receive evidence -
based, non -medical services to address an individual's unmet, adverse social conditions that contribute to poor
health. This protocol specifies the set of covered HRSN services under Washington's 1115 Medicaid
Demonstration waiver, beneficiary eligibility, expected implementation settings and providers, implementation
timeline, screening tool(s), determination of medical appropriateness, care plan development, and closed loop
referrals.
This document reflects the state's plans to date, and the state expects to amend or expand the information
provided, as necessary.
Waiver -funded HRSN Services
This protocol covers the following set of HRSN services as specified in Section 15.7 of the STCs:
• Nutrition supports
• Recuperative care and short-term post -hospitalization housing
• Housing transition navigation services
• Rent/temporary housing
• Community transition services
o Non -emergency, non -medical transportation
o Personal care and homemaker services
• Stabilization centers
• Day habilitation programs
• Caregiver respite services
• Medically necessary environmental accessibility and remediation adaptations
• Case management, outreach, and education
Washington envisions a blend of funding authorities for HRSN services, with the goal of delivering services
across the state's entire Medicaid population.
This implementation structure, in particular the establishment of nine community hubs, is made possible, in
part, by the state's nine Accountable Communities of Health (ACHs). ACHs are independent non-profit
organizations aligned with the state's Medicaid purchasing regions and covering all areas of the state. Under the
terms of Washington's 1115 waiver, each ACH will establish a community hub to provide community -based
navigation and care coordination. The hubs also will support the delivery of other approved HRSN services.
Services protocol for the Health -Related Social Needs (HRSN) program
39 r ,
Page 1
Washington State
Health Care A,ahority'
In government -to -government relationships, the state will work with tribes to create a single statewide Native
Hub to provide similar navigation services and support. Although ACHs may limit their services to their
respective regions, any qualifying individual in Washington may access community -based care coordination and
services through any one of the 10 hubs.
When appropriate, the state will coordinate with managed care organizations (MCOs) to seek parallel in lieu of
service (ILOS) authority pursuant to 42 CFR 438.3(e)(2). ILOS will be the primary authority for HRSN services
offered through Washington's managed care plans. Pursuing both avenues for the provision of selected HRSN
services will extend the availability of these services to the state's entire Medicaid population.
Regardless of funding authority, these services will be the choice of the individual. Individuals can opt out
anytime, and providing these services does not absolve the state or MCO of responsibility to provide coverage
for other medically necessary services.
Table 1 outlines the state's current assumptions about funding authority for the covered population(s) for each
waiver -approved HRSN service.
Table 1
Nutrition supports
Fee -for -service
Managed care
Recuperative care and short-term post -hospitalization
Fee -for -service
housing
Managed care
N/A
/
Housing transition navigation services
Fee-for-serviceManaged
N/A
care
Rent/temporary housing
Fee-for-serviceManaged
N/A
care
Community transition services:
Fee -for -service
Non -emergency, non -medical transportation
Managed care
N A
/
Community transition services:
Personal care and homemaker services
Fee -for -service
Managed care
Stabilization centers
Fee -for -service
Managed care
Day habilitation programs
Fee -for -service
Managed care
Care respite services
Fee -for -service
Managed care
Environmental accessibility and remediation
Fee -for -service Managed care
adaptations
Case management, outreach, and education (delivered Fee -for -service N/A
through the community and Native hubs) Managed care /
See Appendix A for further details about each service, including eligibility, expected implementation settings,
and provider types.
Services protocol for the Health -Related Social Needs (HRSN) program
40 .. - .:
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Washington State
Health Care,., uthority
Implementation timeline
Washington State anticipates initial implementation of selected HRSN services, including the launch of the
community and Native hubs, in mid-2024. Further details on the expected timeline will be provided in the state's
forthcoming implementation plan.
Screening tool
Individuals may be identified as eligible for HRSN services through an initial screening process. In collaboration
with ACHs, Indian health care providers (IHCPs), the community and Native hubs, MCOs, community members,
and others as appropriate, the state will select an approved screening tool that can be used by community and
Native hubs, the community -based workforce, care managers, and clinical care providers, among others, to
identify individuals with HRSN.
The state will build on current efforts under way among ACHs, MCOs, clinical partners. and other participants in
the Medicaid Quality Improvement Program (MQIP). Those entities are in the process of selecting, testing, and
implementing evidence -based screening tools, including Care Coordination System (CCS), Protocol for
Responding to & Assessing Patients' Assets, Risks & Experiences (PRAPARE), and USDA Food Security Survey,
among others. As the state moves forward with its planned statewide community information exchange (CIE)
and hub operations are further defined, the goal will be to create a unified screening approach with approved
screeningtool(s).
Results of the screening will be used to inform navigation services for the individual, the individual's care plan,
and referrals to appropriate HRSN services or clinical care.
The approved screening tools) will be made publicly available. Screening to assess an individual's HRSN may
include:
• Housing instability
• Food insecurity
• Financial insecurity
• The need for transportation assistance
• Family and community support
• Behavioral health
• Interpersonal safety and violence
• Other HRSN as identified by the state
As appropriate, the state will develop guidelines for rescreening individuals or revising the screening tool(s).
Eligibility Criteria
Title XIX or Title XXI eligibility is a mandatory prerequisite for participation in HRSN services covered under this
waiver. Individuals must also meet the criteria for medical appropriateness and the specific eligibility criteria for
each approved HRSN service (Appendix A).
The state currently defines medically appropriate care as
. a requested service of setting for which care is intended to address the health needs of the
individual, including physical, substance use, mental health, and HRSN. The service or
setting, including the level or intensity, must be appropriate to the individual's health care
needs, social needs, and condition. The service or setting must be reasonably calculated to
prevent, diagnose, correct, cure, alleviate, or prevent worsening of conditions in the
Services protocol for the Health -Related Social Needs (HRSN) program
... 4
Page J 3
Washington Stateb:.
Health Care uthorit
Y
individual that endanger life, or cause suffering or pain, or result in an illness or infirmity, or
threaten to cause or aggravate a handicap, or cause physical deformity or malfunction."
This definition was developed as part of the state's recent submission for ILOS approval for intensive behavioral
supports supervision (IBSS). Although that ILOS is not part of the waiver -approved set of HRSN services, work to
date provides background and structure for implementation of future HRSN services. As noted before, the state
will seek parallel ILOS authority for waiver -funded HRSN services, when appropriate.
In addition to continuing to refine the definition of medical appropriateness, the state will develop a process for
determining and documenting medical appropriateness. That process may apply to the provision of both ILOS
and waiver -funded HRSN services and will be developed in partnership with ACHs, IHCPs, MCOs, and community
and Native hubs, among others. The state anticipates having a pilot process in place by the beginning of Q3
2024, the earliest date hubs are expected to begin providing case management, outreach, and education under
terms of the waiver.
The state will determine the appropriate mechanism for sharing medical appropriateness and other eligibility
criteria among clinical providers, MCOs, ACHs, IHCPs, community and Native hubs, and community -based
organizations (CBOs). That sharing may be used, in part, to identify appropriate HRSN services and make
appropriate referrals. Shared information may include:
• Results of HRSN screening
• Medicaid eligibility and enrollment status
• Member utilization of Medicaid services to prevent duplication of benefits
• Others as identified by the state
The state will maintain all eligibility criteria, including medical appropriateness and HRSN service eligibility, on
public -facing webpages. The state also will require ACHs, community and Native hubs, and MCOs to maintain
these criteria and post them publicly.
Throughout the duration of the 1115 waiver, the state will continue to evaluate and revise criteria, as necessary.
The state will communicate any changes to CMS, update its publicly facing content, and direct ACHs, community
and Native hubs, and MCOs to make similar updates. In addition, the state will create and maintain publicly
available policy guides for each approved service.
Care plan and closed loop referrals
The state will establish a process for creating, sharing, and updating plans for individuals who screen positive for
HRSN service needs, are Medicaid/CHIP eligible, and whose care meets the standards for medical
appropriateness. The shared care plan will include services to address HRSN and may include plans for physical
or behavioral health care. The plan may be shared among community and Native hubs, community -based
providers, MCOs, and clinical providers to ensure continuity of care.
During the demonstration, HRSN services could be delivered through waiver -funded services for both the fee -
for -service and managed care populations and also through ILOS for the managed care population. In that case,
a shared care plan could require data- and information -sharing among MCOs, community and Native hubs, and
CBOs. The state will set guidelines for the sharing and protection of clinical and nonclinical information.
The state also will work with MCOs and community and Native hubs to define the scope of clinical care
coordination and community -based care coordination. Those definitions will help ensure that coordination
efforts complement, rather than duplicate, each other.
The state will determine care plan requirements. At a minimum, a care plan will:
• Be tailored to an individual's HRSN.
Services protocol for the Health -Related Social Needs (HRSN) program
42
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Washington State .---�
Health Care authority
• Document the person -centered planning process, including dialogue and referrals between an
individual and the care team, and a shared decision -making process.
• Ensure closed loop referrals to community -based services and the community -based workforce.
• Provide continuity of care.
• Be reviewed at least once every 12 months, and revised upon reassessment of need, when individual's
circumstances or needs change, or at the request of the individual.
• Ensure culturally appropriate and trauma -informed care by following established guidelines, such as
those set by the Centers for Disease Control's (CDC) Office of Readiness and Response (ORR), in
collaboration with SAMHSA's National Center for Trauma -Informed Care (LACTIC).
• Include documentation of resolution as a result of conflict, grievances, or appeals.
• Be confidential.
As noted, the state is committed to creating a mechanism to ensure closed loop referrals, including an effort to
establish a statewide CIE. A CIE would, among other things, support efforts to deliver HRSN services. In the
interim, the state will work with ACHs, MCOs, and others to leverage their current information -exchange systems
to promote continuity of care.
Services protocol for the Health -Related Social Needs (HRSN) program
- 43
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Washington State �
Health Care authority
Appendix A
Jump to:
• Nutrition supports
• Recuperative care and short-term, post -hospitalization housing
• Housing transition navigation services
• Rent/temporary housing
• Community transition services
• Stabilization centers
• Day habilitation programs
• Caregiver respite services
• Environmental accessibility and remediation adaptation
• Case management, outreach, and education
Nutrition supports
Description Nutrition supports are services to promote better health and comprise:
• Nutrition counseling and education, including healthy meal preparation
• Medically tailored meals
• Pantry stocking
• Fruit and vegetable prescriptions
• Short-term grocery provisions
(Subject to eligibility criteria, duration, and frequency and other components
referenced in the subsequent rows.)
Eligibility criteria All nutrition supports services, individuals:
• With chronic conditions (e.g., diabetes, cardiovascular disorders, human
immunodeficiency virus (HIV), cancer), or who are post discharge (e.g.,
post -discharge following stabilization for an eating disorder), and
• Who screen positive for food, housing, or financial insecurity, or report
being unable to meet or maintain medically recommended nutrition goals
without assistance.
Pantry stocking:
• Children under 21
• Pregnant individuals
Short-term grocery provision:
• An individual eligible for long-term services and supports (LTSS)
experiencing a significant disruption in the ability to obtain an adequate
level of nutrition that would avoid an unnecessary emergency department
visit, hospital admission, or institutional placement
• May only be used on purchases consistent with Supplemental Nutrition
Assistance Program (SNAP) guidelines
Services protocol for the Health -Related Social Needs (HRSN) program
.4 ::�' f ,. i r�..hr75i, .x..1 k,,,: ✓JhX /n �/l Src' it' �/ i.,4, i4 ;V i', a ...., x`. -.ii :.. t : , r �:';. `- L- :.
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Health Careyy nint"'h"""'o"rity'
• Capped at 200% of U.S. Department of Agriculture (USDA) SNAP Allowance
Duration and Medically tailored meals and pantry stocking: three meals per day delivered in the
frequency (if home or private residence for up to six months
applicable) Fruit and vegetable prescriptions: up to six months
Short-term grocery provision: up to 30 days once per year
Implementation Implementation settings may include:
setting Clinical settings
• Food banks
• Community centers
• Farmers markets
• others as approved by the state
Provider type Providers may include:
• Medically tailored meals: Registered Dietitian (RD) or other certified
medical or nutrition professional, reflecting appropriate dietary therapies
based on evidence -based nutritional practice guidelines to ensure the best
possible nutrition -related health outcomes
• Fruit and vegetable prescriptions: licensed prescribers
• others as approved by the state
Recuperative Care and short-term hospitalization housingpost-
Description Recuperative care and short-term post -hospitalization housing settings provide a
safe and stable place for eligible individuals to receive treatment on a short-term
basis. This is for individuals who are transitioning out of institutions and at risk of
incurring other Medicaid state plan services, such as inpatient hospitalizations or
emergency department visits (as determined by a provider at the plan or network
level).
Eligibility criteria Individuals who are:
• Transitioning out of institutional care or congregate settings such as
nursing facilities, large group homes, congregate residential settings,
Institutions for Mental Diseases (IMDs), correctional facilities, and acute
care hospitals, or
• Homeless, at risk of homelessness, or transitioning out of an emergency
shelter as defined by 24 CFR 91.5, or
• Youth transitioning out of the child welfare system, including foster care.
Duration and Recuperative care: up to 90 days
frequency (if Short-term post -hospitalization housing: u to six months once during the
applicable) g p g
demonstration period
Services protocol for the Health -Related Social Needs (HRSN) program
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Health Care'uthort
Implementation Implementation settings for recuperative care and short-term post -hospitalization
setting housing must have appropriate clinicians who can provide medical and/or
behavioral health care. The facility cannot be primarily used for room and board
without the necessary additional recuperative support services.
Implementation settings may include:
• Hospitals, health centers, and other clinics
• Wellness/respite centers
• Social service centers
• Skilled nursing facilities
• Assisted living facilities
• Residential group homes or small apartment buildings
• Community centers
• Adult family homes
• Other as approved by the state
Provider type Providers may include:
• Licensed physical health providers
• Licensed behavioral health providers
• Providers of transitional housing support
• Others as approved by the state
Housing transition navigation services
Description Housing transition navigation services consists of three parts:
1. Assistance obtaining housing, such as tenant screening and assessment.
2. Housing tenancy and sustaining services to help individuals maintain safe
and stable tenancy once housing is secured, such as early mitigation to
avoid risk of eviction or lease violations, education regarding lease
agreement and responsibilities.
3. Transition costs and housing deposits to assist with identifying,
coordinating, securing, or funding one-time services and modifications
necessary to help a person establish a basic household (i.e., security
deposit, first month's rent, utilities activation fees, movers, relocation
expenses, pest eradication, pantry stocking, and the purchase of
household goods and furniture).
Eligibility criteria Individuals who are:
• Transitioning out of institutional care or congregate settings such as
nursing facilities, large group homes, congregate residential settings,
Institutions for Mental Diseases (IMDs), correctional facilities, and acute
care hospitals, or
Services protocol for the Health -Related Social Needs (HRSN) program
46
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Health Care_ uft�hority
• Homeless, at risk of homelessness, or transitioning out of an emergency
shelter as defined by 24 CFR 91.5, or
• Youth transitioning out of the child welfare system.
Allowable expenditures do not cover first or last month's rent.
Duration and
Allowable expenditures may be covered up to a financial limit established over the
frequency (if
course of one rolling year to support tenancy of individuals experiencing HRSN.
applicable)
Implementation
N/A
setting
Provider type
Any provider who is eligible to hold a contract with Washington State's Department
of Social and Health Services (DSHS), HCA, and/or the Department of Commerce
(Commerce) and any housing related contracts held through these contractors'
awardees.
Providers and may include:
• Vocational services agencies
• Providers of services for individuals experiencing homelessness
• Life skills training and education providers
• County agencies
• Public hospital systems
• Mental health or substance use disorder treatment providers, including
county behavioral health agencies
• Social services agencies
• Affordable housing providers
• Supportive housing services providers
• Permanent Supportive Housing operators
• Peer Support service providers
• Federally qualified health centers and rural health clinics
• Others as approved by the state
Rent/temporary housing
Description Rent/temporary housing provides stable independent living situations for
individuals transitioning out of institutional care or congregate settings who are
homeless or at risk of homelessness.
Eligibility criteria Individuals who are:
• Transitioning out of institutional care or congregate settings, such as
nursing facilities, large group homes, congregate residential settings,
Institutions for Mental Diseases (IMDs), correctional facilities, and acute
care hospitals, or
Services protocol for the Health -Related Social Needs (HRSN) program
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Health Caro ik' hority
• Homeless, at risk of homelessness, or transitioning out of an emergency
shelter as defined by 24 CFR 91.5, or
• Youth transitioning out of the child welfare system, including foster care.
Utility costs including activation expenses and back payments to secure utilities,
limited to individuals receiving rent/temporary housing as described above.
Duration and
Up to six months once during the demonstration period.
frequency (if
applicable)
Implementation
Services to be provided in independent living situations, such as in -home, and
setting
interim housing settings.
Provider type
Any provider who is eligible to hold a contract with DSHS, HCA, and/or Commerce
and any housing -related contracts held through these contractors' awardees.
Providers may include:
• vocational services agencies
• Providers of services for individuals experiencing homelessness
• Life skills training and education providers
• County agencies
• Public hospital systems
• Mental health or substance use disorder treatment providers, including
county behavioral health agencies
• Social services agencies
• Affordable housing providers
• Supportive housing services providers
• Permanent supportive housing operators
• Peer support service providers
• Federally qualified health centers and rural health clinics
• Others as approved by the state
Community transition services
Description Community transition services help individuals live in the community and avoid
further institutionalization by providing:
1. Non -emergency, non -medical transportation.
2. Personal care and homemaker services.
Eligibility criteria Individuals who:
• Have functional impairments as defined for home and community -based
services (HCDS) or medical necessity and no other adequate support
system who, or
Services protocol for the Health -Related Social Needs (HRSN) program
48
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Q /v
Health Caro �44uthority
• Are at risk for hospitalization or institutionalization.
Community transition services must be necessary to ensure the health, welfare, and
safety of the individual, and without which the individual would be unable to move
to the private residence and would then require continued or re -
institutionalization.
Duration and N/A
frequency (if
applicable)
Implementation The services are available in a home that is owned, rented, leased, or occupied by
setting the individual or their caregiver.
For a home that is not owned by the individual, the individual must provide written
consent from the owner for physical adaptations to the home or for equipment that
is physically installed in the home (e.g., grab bars, chair lifts, etc.).
Provider type Providers may include:
• Home health agencies
• Nursing facilities and other long-term care facilities
• Area Agencies on Aging (AAA)
• Other providers as approved by the state
Stabilization centers
Description Stabilization centers are alternative destinations for individuals who are found to be
publicly intoxicated and would otherwise be transported to the emergency
department or jail. Stabilization centers provide these individuals, primarily those
who are homeless or those with unstable living situations, with a safe, supportive
environment to become sober. Stays are limited to less than 24 hours. Service does
not include room and board.
Eligibility criteria Adults who: are intoxicated but conscious, cooperative, able to walk, nonviolent, and
free from immediate medical distress, who would otherwise be transported to the
emergency department (ED) orjail; or have presented at the EDand can safely be
diverted to a stabilization center.
Duration and Less than 24 hours.
frequency (if
applicable)
Implementation Provider facilities may include designated stabilization centers or other appropriate
setting and allowable substance use disorder (SUD) facilities.
Provider type Providers may include:
• Behavioral health agencies
• Homelessness services agencies
Services protocol for the Health -Related Social Needs (HRSN) program
4
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Washington State / sc ,.rnr . �r
Health Care uthort
• Federally qualified health centers
• Others as approved by the state
Day habilitation programs
Description Day habilitation programs help an individual acquire, retain, and improve self-help,
socialization, and adaptive skills necessary to reside successfully in the person's
natural environment.
Day habilitation program services promote independence within the community
and do not include room and board. Examples of program services may include:
• Education about the use of public transit and other transportation options
• Personal skills development in conflict resolution
• Development of daily living skills (e.g., cooking cleaning, shopping, or
money management)
• Community resource awareness, such as police, fire, or local support
services
• Other skills development as needed
Eligibility criteria Individuals who are:
• Transitioning out of institutional care or congregate settings, such as
nursing facilities, large group homes, congregate residential settings,
Institutions for Mental Diseases (IMDs), correctional facilities, and acute
care hospitals, or
• Homeless, at risk of homelessness, or transitioning out of an emergency
shelter as defined by 24 CFR 91.5, or
• Youth transitioning out of the child welfare system, including foster care.
Duration and Less than 24 hours.
frequency (if
applicable)
Implementation Day habilitation program services are provided in an individual's home or an out -of -
setting home, non -facility setting
Provider type Providers of day habilitation services may include:
• Behavioral health or substance use disorder treatment providers
• Licensed psychologists
• Registered nurses
• Home health agency staff
• Homeless services providers
• Vocational skills agency staff
• Peer support service providers
• Clubhouse staff
Services protocol for the Health -Related Social Needs (HRSN) program
5,0
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:n
Washington Mate
Health Care.."'U""thority
• others as approved bythe state
Caregiver respite services
Description
Caregiver respite services provide intermittent temporary supervision on a short-
term basis in the individual's home, a health care facility, or an adult day center.
Services provided to the individual are primarily non -medical and may include
attending to the individual's basic self-help needs and other activities of daily living
(ADL), including interaction, socialization, and continuation of usual daily routines
that would ordinarily be performed by a caregiver.
Eligibility criteria
Individuals who live in the community and are compromised in their activities of
daily living and/or have been assessed to have a behavioral health need (e,g., a
child with serious emotional disturbance (SED)) and whose unpaid caregivers
require relief to avoid the individual being placed in an institution.
Duration and
Eligible individuals may receive up to 336 hours of services per calendar year. The
frequency (if
limit is inclusive of all in -home and in -facility services. Exceptions to the 336 hour
applicable)
per calendar year limit can be made when the caregiver experiences an episode,
including medical treatment and hospitalization, that leaves an individual without
their caregiver.
Implementation setting Caregiver respite services are provided to the individual in their own home, health
care facility, adult day care, or another location being used as the home. Caregiver
respite services cannot be provided virtually.
Provider type Providers may include:
• Behavioral health agencies
• Residential treatment facilities
• Home health agency
• others as approved by the state
Environmental accessibility and remediation adaptation
Description Medically necessary environmental accessibility and remediation adaptation
provide physical adaptations to a home that are necessary to ensure the health,
welfare, and safety of the individual or enable the individual to function with
greater independence in the home.
Adaptations may include:
• Asthma remediation
• Accessibility and safety adaptations
• Air filtration, air conditioning, or ventilation improvements
• Refrigeration for medications
• Carpet replacement
• Mold and pest removal
• Housing safety inspections
Services protocol for the Health -Related Social Needs (HRSN) program
5� s .
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Washington State
Health Care dfhority"
• Others as approved by the state
Eligibility criteria Individuals who:
• Are at risk for institutionalization due to inaccessible living environments
• Have poorly controlled asthma, or other medical condition(s) exacerbated
by in -home environmental factors.
Duration and N/A
frequency (if
applicable)
Implementation The services are available in a home that is owned, rented, leased, or occupied by
setting the individual or their caregiver.
For a home that is not owned by the individual, the individual must provide written
consent from the owner for physical adaptations to the home or for equipment that
is physically installed in the home (e.g., grab bars, chair lifts, etc.).
Provider type Providers may include:
• Home Health agencies
• Nursing facilities and other long-term care facilities
• Area Agencies on Aging (AAA)
• Others as approved by the state
Case management, outreach, and education
Description Case management, outreach, and education services provide linkages to other
state and federal benefit programs, benefit program application assistance, and
benefit program application fees.
This service includes HRSN service coordination and referral activities to be
completed by community and Native hubs.
Eligibility criteria Individuals who:
• Screen positive for food, housing, or financial insecurity, or
• Screen positive for other HRSN, or
• Would benefit from navigation assistance, such as benefit application or
referral to programs.
Duration and N/A
frequency (if
applicable)
Implementation Services may be initiated and provided in community -based or clinical settings and
setting may include:
• Physical and behavioral health care settings
• Tribal clinics
• Community -based organizations
Services protocol for the Health -Related Social Needs (HRSN) program
5 a.rrx,x;,n,.xr.,:,�anrh:ra»rro,,.,:arRam�«raxu�s�as rf�zarara *a
Page 114
Washington State 01,00
Health Care /_\'-II(Athority"
• Social service organizations
~ Food banks and farmers markets
• Day habilitation settings
• Stabilization centers
~ Prisons and jails
° Housing agencies
• Others as approved by the state
Provider type The state will contract directly with community and Native hubs to provide case
management services. Community and Native hubs will bethe soiecontracting
providers for case management services under this demonstration.
Nine community hubs, each operated byaregional ACH'will provide case
management services to Apple Health managed care and fee -for -service individuals
intheir associated region.
The Native Hub will provide case management services to Apple Health individuals
statewide inclose coordination and partnership with Washington Tribes.
Services protocol for the Health -Related Social Needs (HRSN)program
— - 53-__-
Master Service Agreement with Ad2026
FINAL
Final Audit Report 2025-12-18
Created: 2025-12-17
By: Teresa Davis (contracts@thrivingncw.org)
Status: Signed
Transaction ID: CBJCHBCAABAAc4w4jErUQZjAThrFDSXgJoki-1uu35GB
"Master Service Agreement with Advance 2026 FINAL"
History
Document created by Teresa Davis (contracts@thrivingncw.org)
2025-12-17 - 9:06:16 PM GMT
' Document emailed to Jesus Hernandez (Hernandez@fhc.us) for signature
2025-12-17 - 9:08:21 PM GMT
Email viewed by Jesus Hernandez (Hernandez@fhc.us)
2025-12-17 - 9:18:42 PM GMT
0 Document e-signed by Jesus Hernandez Ohernandez@fhc.us)
Signature Date: 2025-12-18 - 0:38:33 AM GMT - Time Source: server
L4 Document emailed to john@thrivingncw.org for signature
2025-12-18 - 0:38:36 AM GMT
Email viewed by john@thrivingncw.org
2025-12-18 - 0:53:52 AM GMT
&0 Signer john@thrivingncw.org entered name at signing as John Schapman
2025-12-18 - 0:54:15 AM GMT
kilo Document e-signed by John Schapman (john@thrivingncw.org)
Signature Date: 2025-12-18 - 0:54:17 AM GMT - Time Source: server
Agreement completed.
2025-12-18 - 0:54:17 AM GMT
Adobe Acrobat Sign
SCHEDULE OF SERVICES
TO BE PROVIDED BY
RENEW GRANT BEHAVIORAL HEALTH & WELLNESS
Grant County dba Renew (RENEW) ("SUBVENDOR") shall perform "Peer Support Services" in Grant
County. SUBVENDOR shall provide a sufficient number of full-time or part-time employees to fill two
(2.0) FTE to equal eighty (80) hours per week. The employee(s) will perform the following services, in
compliance with the terms and conditions of the SUBVENDOR AGREEMENT, to include, but are not
limited to the services outlined in SECTION 1.1-1.3 of this document and the PRIME AGREEMENT.
SECTION 1.1
The services provided by RENEW shall be provided in accordance with the SUBVENDOR AGREEMENT
and may include the following categories: 'Supportive Expenditures' to include Transportation (mileage
reimbursement). 'Staffing' to Peer Support personnel wages, benefits and fringe. RENEW will also
participate in County and/or Regional Groups or Meetings to give program feedback and assist in the
development of peer programs and workforce at the request of Advance or Thriving Together NCW.
SECTION 1.2
Data will be collected and reported monthly, no later than the 10th of the following month for the
month prior using the data collection spreadsheet provided (xlxs document attached) and other tools or
spreadsheets developed by Thriving Together NCW or Advance for data collection in North Central
Washington.
Client information will be collected and maintained in the case management system provided by
Advance or Thriving Together NCW (i.e. VisionLink Platform). Case notes and documentation concerning
client encounters will be documented contemporaneously to ensure accuracy. The information will be
handled by Renew and their staff in compliance with HIPAA and 42CFR standards for peer support
behavioral health and SUD services.
SECTION 1.3
Page 1 of 2
Clients released from Jail and/or the Emergency Room will receive meaningful referrals to all community
resources that serve their ongoing needs, including, but not limited to long term peer recovery supports
(i.e. Recovery Navigator Program), long term behavioral health and/or SUD support services, housing
supports, food security resources, educational resources, supported employment resources and
establish a medical home. These are not listed in order of priority and should be adjusted based on a
client centered, individualized wellness plan outlined with their recovery coach prior to release.
Page 2 of 2