HomeMy WebLinkAboutAgreements/Contracts - BOCC (008)K19-020 _*�_ 1
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Community Choice, dba Action Health Partners,
Pathways Community HUB and Community Specialist Services Agency
Memorandum of Understanding
The purpose of this memorandum of understanding ("MOU") is to establish a working relationship for the
provision of Pathways Community Specialist services while a formal contract is being developed between
Community Choice, d.b.a. Action Health Partners, ("HUB") and Grant Integrated Services, ("CSSA"). This
MOU defines the roles of HUB and CSSA with respect to Pathways Community HUB Community Specialist
services during this start-up period.
It is agreed that HUB shall carry out the responsibilities of a Pathways Community HUB including, but not
limited to:
• Provide administrative services for CSSA, including access to the Pathways Community HUB Care
Coordination System ("CCS"), CCS data platform, training of Pathways Community Specialists
("PCS"), receiving and assigning referrals and all other administrative and quality assurance activities
required for successful operation of the Pathways Community HUB.
• Match qualified referred clients to CSSA following HUB's established and approved policies and
procedures for assignment.
• Provide all necessary and desired reporting to the North Central Accountable Community of Health
(NCACH) and WA Health Care Authority, (HCA).
• Bill for, collect and disburse payments from NCACH and other Funders to CSSA based upon completion
of established Pathways milestones. In recognition of the start-up expenses for CSSA and the time
required to ramp up performance based payments, upon execution of this MOU by both parties, HUB
will provide CSSA a stipend of $12,500/PCS hired to a maximum of $25,000.
• Collect, analyze, and report financial, health status, and other performance measures to NCACH,
Contracting Agencies, WA Health Care Authority and other stakeholder groups as appropriate.
It is agreed that CSSA shall:
• Provide Pathways Community Specialist services to clients assigned to CSSA by the HUB in accordance
with established Pathways methodology, policies and procedures which can be found in the Action
Health Partners Pathways Community HUB General Operating Policies and Procedures Manual, (to be
provided to CSSA).
• Maintain adequate separation between duties/activities associated with Pathways Community HUB and
other services provided by CSSA in order to maintain strict adherence to Pathways methodology
policies and procedures, support information gathering for reporting and monitoring of quality and to
ensure PCSs receive and maintain all needed training and support as detailed in the policy entitled
"Boundaries, Ethics and Training Policy and Procedure" found in the General Operating Policies and
Procedures Manual referenced above.
• Account separately for the expenses and revenues associated with Pathways Community Specialist
Services versus other programs of CSSA in order to support accurate discussions with the HUB
regarding payment levels and financial sustainability of the Pathways Community Specialist program.
CSSA MOU Page I of 2 Action Health Partners Pathways Community HUB
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It is agreed by both parties that;
• A strong collaborative relationship with respect to the delivery of Pathways Community Specialist
services is highly desired.
• Should an issue arise that is not reflected in this MOU, both parties shall communicate by appropriate
means to resolve the issues so as to best support the Pathways Community Specialist clients or staff
involved. Further, they will use best efforts to execute an Action Health Partners Pathways Community
HUB Community Specialist Service Agreement as soon as possible.
• Client's medical data shall be communicated subject to HIPAA guidelines, the Action I lealth Partners
Pathways Community HUB HIPAA Compliance Policies and Procedures Manual, (to be provided to
CSSA), and to the attached Action Health Partners Pathways Community HUES Business Associate
Agreement.
This MOU shall remain in force until such time as revision is deemed necessary or it is replaced by an Action
Health Partners Pathways Community I IUB Community Specialist Service Agreement. Revisions many be
made at any time by mutual written agreement of the parties. Either party may terminate this MOU at any time
%� ithout cause with 60 days written notice.
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}Xb ��iller, Executive Director, For Community Choice, dba Action Health Partners Date
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Gail Goodwin, Director of Management Services, Grant Integrated Services Date
Tom rTaai , Grant County Board of County Commissioners Date
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Cindy Carter, ice Chair, Grant County Board of County Commissioners Date
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Richard Stevens, Member, Grant County Board of County Commissioners Date
CSSA MOU Page 2 of 2 Action Health Partners Pathways Cotnmcmity lit'R