HomeMy WebLinkAbout120814_ca06615 Sheridan Street
Port Townsend, WA 98368
www,JeffersonCountyPubl!cHealth.org
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TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Jean Baldwin, Director
DATE:
Consent Agenda
November 14, 2014
SUBJECT: Agenda Item — MOU between Washington State Association of Local
Public Health Officials (WSALPHO) and Jefferson County Public Health
(LHJ) regarding Medicaid Administrative Claiming (MAC); January 1,
2014 until terminated; fee for service.
STATEMENT C1F ISSUE:
Jefferson County Public Health requests Board approval of the memorandum of understanding to formalize
an agreement between WSALPHO and LHJ regarding the operation of Medicaid Administrative Claiming in
Washington State; January 1, 2014 until terminated; fee for service.
AN GOALS/ PRO'S and COWS:
This memorandum makes formal an ongoing relationship Jefferson County Public Health (JCPH) has with
WSALPHO through JCPH's Washington State Health Care Authority (HCA), Medicaid Administrative Claiming
contract. WSALPHO's administers a Random Moment Time Survey (RIVITS), provides coordinatlon and
leadership to ensure state-wide consistency that is compliant with the federally approved Cost Allocation
Plan,
FISCA FIT ANALYSIS:
This formalization of an ongoing agreement is funded by revenues received through Medicaid
Administrative Claiming that is reflected yearly in the Budget directed to Community Health programs.
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JCPH management request approval of the Memorandum of Understanding to formalize an ongoing
agreement with WSALPHO; January, 2014 until terminated; fee for service.
REVIEWED-,BY:
Philip Morjjry,Count/ iT1 n stra or Date
'Or-nrrbunity Health Environmental Health
Developmental Disabilities Water Quality
360-385-9400 360-385-9444
360-385-9401 M Always working for a safer and healthier community (f) 3,60--379-4487
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This AGREEMENT formalizes the understanding between the Washington State Association of
Local Public Health Officials (WSALPHO) and [Local Health Jurisdiction] regarding the
operation of Medicaid Administrative Claiming (MAC} l in Washington State,
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101 Cli ll I
The purpose of this AGREEMENT is to facilitate the operation of a statewide Randorn Moment
Time Survey (RMTS) that complies with the requirements of the LHFs Cost Allocation Plan
approved by the Centers for Medicare and Medicaid Services (CMS), with oversight by the
Health Care Authority (HCA) working with the LHJ MAC Steering Committee to provide
coordination and oversight among participating LHJs.
I MIRRIAM lil` Elk ff��
Authorized Representative: The person or persons authorized by the LHJ and WSALPHO to
coordinate activities under this AGREEMENT (the MAC Coordinator) will be the Point Of
Contact for response to 1-nonitoring activities. Contact information for the LHJ and WSALPHO
Representative, or the person who will connect the caller to the Authorized Representative, is
found in Appendix I to this AGREEMENT.
Business Associate: As defined in 45 CFR, Part 160.103, otherwise known as HIPAA, and
includes any entity that performs or assists in performing a function or activity involving the
uses/disclosures of individually identifiable Health Information or involving any other function
or activity regulated by HIPAA; or provides legal, accounting, actuarial, consulting, data
aggregation, management, accreditation, or financial service where the services involve
individually identifiable Health Information.
Shall mean Monday through Friday, 8:00 a.m. to 5:00 p.iri., Pacific
Time, except for holidays observed by the State of Washington.
Centers for Medicare and Medicaid—Scrvices (CMS): A federal agency within the Department of
Health and Human Services responsible for the administration and oversight of the Title XIX
Medicaid Administrative Claiming progt�
,, ram.
Cost Allocation Plan. A federally- approved plan describing the methodology and procedures for
claiming federal reimbursement for activities that are necessary for the efficient administration of
the State Medicaid Plan.
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Health Care Autl�crit iCA): The State agency responsible for administration and oversight of
the Medicaid Administrative Claiming program in Washington State.
HIPAA Rules: "HIPAA Rules" shall mean the Privacy, Security, Breach Notification, and
Enforcement Rules at 45 CFR Part 160 and 164.
Health t7l
Lo jurisdiction: A signatory health department, health district, or county within the
State of Washington that operates a public health department or division within its county
government pursuant to authority granted under Chapters 70,05, 70.08, 70.46 RCW or other
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applicable law.
LHJ MAC Steering Committee: The LHJ MAC Steering Committee (Steering Committee)
functions as an advisory board working under the direction of WSALPHO leadership. The
Steering Committee provides broad oversight of the LHJ MAC program in Washington State and
acts as a point of contact for HCA staff.
Medicaid Administrative Claiming (MAC): Title XIX of the Social Security Act (the Act)
authorizes payments to states for expenditures necessary for the administration of the State
Medicaid Plan.
pKgppE!ional Sham: The percentage paid by each LHJ to WSALPHO for the costs of the
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WSALP140 Contractor and WSALPHO's administrative fee is based on the proportional share
of the total federal reimbursement paid to all LHJs for MAC activities for the most recent
calendar year for which there is complete data.
p--t—tpA 1-fi-q1th Information: Shall have the same meaning as those terms in the HIPAA Rules,
Random Moment Time Study: A web -Based system operated by WSALPHO's Contractor that
captures the activities that can be reimbursed under Medicaid Administrative Claiming via a
CMS-approved time survey methodology.
Association f Local Public Health Officials: WSALPHO is a 501(c)3 private, non-
profit organization operating on behalf of Local Health Jurisdictions to advance the interests of
local public health in Washington State.
WSALPHO Contractor: Vendor contracted through WSALPHO to operate a RMTS and
Claiming system [including offset, indirect rate, and Medicaid Eligibility Rate (MER)] for the
MAC program that is compliant with the currently LHJ Cost Allocation Plan for Ll-lJs who have
contracted with the Health Care Authority for reimbursement to the LHJs for approved Medicai d
administrative activities.
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ARTICLE III
POINT OF CONTACT
Jefferson County Public Health WSALPHO
Jean Baldwin Brad Banks
Administrator Managing Director
615 Sheridan Avenue 206 1O`" Street
Port Townsend, WA 98368 Olympia, WA 98501
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ARTICLE IV
�tT.j-,Spo.-&TSIBILITIES OF LOCAL HEALTH JURISDICTIQNS
Local Health Jurisdictions participating in the Medicaid Administrative Claiming program will:
* Participate in the MAC claiming program through an interlocal AGREEMENT between the
LHJ and HCA, and participate in an RMTS operated by the WSALPHO Contractor.
* Participate in peer review or other quality assurance activities to ensure the program's
compliance with all federal regulations and federal and state published guidance.
* Name an employee to act as the MAC Coordinator who will oversee MAC activities at the
LHJ and their compliance with federal and state regulations and published guidance,
including oversight and monitoring of RMTS and the development and updating of all non-
fiscal documents required for the MAC audit file,
* Name an employee to act as the MAC fiscal coordinator, who will oversee the development
of the quarterly MAC invoice, certify its accuracy, and maintain the fiscal sections of the
MAC audit file.
* The LHJ MAC Coordinator or designee will attend WSALPHO-sponsored semi-annual
training as offered.
* The LHJ fiscal coordinator will attend WSALPHO-sponsored fiscal trainings as scheduled.
* The LHJ MAC coordinator will participate in regularly-scheduled Coordinator conference
calls convened by WSALPHO.
ARTICLE V
WSALPHO will:
• procure a contractor to operate an RMTS and claiming system that complies with the most
current federally approved Cost Allocation Plan.
• Ensure that the WSALP140 Conti-actor and their employees or representatives and their
subcontractors and their employees will maintain the confidentiality of all information
provided by the LHJ or acquired in performance of this AGREEMENT as required by the
Health Insurance Portability and Accountability Act of 1996, commonly known as HIPAA,
and Washington State privacy laws as outlined in the Business Associate AGREEMENT
incorporated into this AGREEMENT as Attachment A. WSALPHO's Contractor for
purposes of this AGREEMENT is considered a Business Associate of the LHJ.
® Provide assurance that this AGREEMENT, once executed by the parties, is and remains a
Public Record subject to the provision of Ch. 42.56 RCW, the Public Records Act.
0 In conjunction with LHJ Steering Committee, will provide coordination and leadership of the
LHJ MAC program in Washington State to C11SUre quality assurance and consistency state-
wide.
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The MAC Contractor will operate a MAC RMTS and claiming system for participating LHJs in
Washington State in accordance with a federally approved cost allocation plan,
The MAC Contractor will subirrit a proposed work plan that includes proposed tasks, staffing,
timeline, and associated costs to WSALPHO no later than November 15 of the preceding year
for review and approval by WSALPHO and the LHJ MAC Steering Committee, which will be
incorporated annually as an amendment to this AGREEMENT,
I IOLVIL @I IN DIL10911,011 alwast
WSALPHO will invoice participating LHJs their proportional share of the MAC Contractor's
budget annually, but no later than March 31, with the option that LHJ may request a quarterly
or semi-annual billing arrangement. The annual budget for Contractor's services, WSALPHO's
administrative fee, and the LHJs proportionate share are incorporated by reference as Conti-actor
Budget and LHJ Proportional Share (Attachment B), `e'
'fl,le Contractor submits a quarterly invoice of actual costs to WSALPHO. Following the end of a
calendar year, WSALPHO will reconcile the budget to actual cost and credit each LHJ its
proportional share of any overpayment. This adjustment will be applied to the LHFs succeeding
year invoice.
WSALPHO receives a five Percent fee based on the Contractor's budget to administer the MAC
program and coordinate the work of the LHJ MAC Steering Committee. WSALPHO will
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reconcile this fee to the Contractor's actual cost and credit each LHJ its proportional share of any
overpayment. This adjustment will be applied to the LHFs succeeding year invoice.
ARTICLE VIII
PROTECTED HEALTH INFORMATION
WSALPHO acknowledges that some of the material and information that may come into the
possession or knowledge of its Contractor in connection with this AGREEMENT or its
performance may consist of Protected Health Information provided by participating LHJs.
WSALPHO, its employees., and its Contractors agree not to use or disclose Protected Health
Information other than as permitted or required by the AGREEMENT or as required by law.
Contractor agrees to larplernent physical, electronic, and managerial safeguards to prevent
unauthorized access to Protected Health Information.
WSALPHO Contractors that inay use the Ll-IJ Protected Health Information in the course of their
work are considered to be a Business Associate of WSALPHO and will be required to complete
a Business Associate AGREEMENT, as required by federal or state laws, including HIPAA,
Prior to the comi-nencernent of any work incorporated into this AGREEMENT as Attachment A,
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WSALPHO reserves the right to monitor, audit, or investigate the use of Protected Health
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Information collected, used, or acquired by Contractor through this AGREEMENT.
The obligations set forth in this Section shall survive completion, cancellation, expiration, or
termination of this AGREEMENT,
ARTICLE IX
MA&AUrgawtviNA
Each party shall indemnify, defend and hold harmless, each other, its officers, agents and
employees, from and against any and all claims, lawsuits, demands for money damages, losses or
liability, or any portion thereof, including attorney's fees and costs, arising frorn the negligent
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acts or omissions of the parties, its employees, or representatives.
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Records and other documents in any medium, furnished by one party to this AGREEMENT to
the other party, will remain the property of the furnishing party, unless otherwise agreed. The
receiving party will not disclose or make available this material to any third parties without first
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giving notice to the furnishing party and giving it a reasonable opportunity to respond. Each
party will utilize reasonable security procedures and protections to assure that records and
documents provided by the other party are not erroneously disclosed to third parties.
ARTICLE XI
RECORDS, DOCUMENTS, AND REPORTS
WSALPHO and its Contractor shall maintain books, records, documents, magnetic media,
receipts, invoices and other evidence relating to this AGREEMENT 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 perforniaricc of this
AGREEMEN-r. At no additional cost, these records, including materials generated under this
AGREEMENT, shall be subject at all reasonable times to inspection, review, or audit by the
LHJ. Records shall be retained for a period of six (6) years after the date of final payment.
If any litigation, claim or audit is started before the expiration of the six (6) year period, the
records shall be retained until all ]litigation. claims, or audit findings involving the records have
been resolved.
ARTICLE ;III
TERM AND TERMINATION
This AGREEMENT is effective January 1, 2014, and will continue year to year until terminated
by either party, Either LHJ or WSALPIIO, may terminate this AGREEMENT far convenience
with written notification to all of the other signatories to the AGREEMENT no less than ninety
(90) calendar days prior to the beginning of a calendar quarter,
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ARTICLE XIII
AMENDMENTS
Modifications to this AGREEMENT must be in writing and will become effective upon the
approval of the modification by WSALPHO and LHJ.
ARTICLE XIV
The employees or agents of WSALPHO or LHJ who are engaged in the performance of this
AGREEMENT shall continue to be employees or agents of that party and shall not be considered
for any purpose to be employees or agents of any other party to this AGREEMENT,
ARTICLE XV
SEVERABILITY
If any provision of this AGREEMENT or any document incorporated by reference shall be held
invalid, such invalidity shall not affect tile other provisions of this AGREEMENT which can be
given effect without the invalid provision, if such remainder conforms to the requirements of
applicable law and the fundamental purpose of this AGREEMENT, and to this end the
provisions of this AGREEMENT are declared to be severable,
ARTICLEXVI
NO THIRD PARTY BENEFICIAR111,
This AGREEMENT is entered into solely for the mutual benefit Of the parties to this
AGREEMENT. This AGREEMENT is not entered into Widi the intent that it shall benefit any
other person and no other such person shall be entitled to be treated as a third-party beneficiary
of this AGREEMENT,
ARTICLE X'V'II
DISPUTE RESOLUTION
If a dispute between any parties to this AGREEMENT arises out of or related to this
AGREEMENT, or the breach thereof, and if the dispute cannot lie settled through direct
discussions, the parties agree to first endeavor to settle the dispute in an amicable manner by
mediation. Thereafter, any unresolved controversy or claim arising Out Oforrelated to this
AGREEMENT, or breach thereof, may be settled in a court jurisdiction urisdiction thereof. T
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parties may seek to resolve disputes pursuant to mediation or arbitration, but are not required to
do so.
ARTICLE X'III
NOTICES
Whenever this AGREEMENT provides for notice to be provided by one party to another, Such
notice shall be i I
n writing and directed to the Authorized Representatives identified in Article Ill.
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The following clauses survive the termination of this AGREEMENT:
Vill Confidential Information
IX. immunity, Indemnification, and Limitations
XIV. Severability
XV. No Third Party Beneficiaries
XVI. Dispute Resolution
ARTICLE XX
INSURANCE
WSALPHO shall insure that any Contractor shall provide insurance coverage as set out in this
section. The intent of the required insurance is to protect WSALPIJ0 should there be any claims,
suits, actions, costs, damages or expenses arising from any negligent or intentional act or
omission of the Contractor or subcontractor, or agents of either, while performing under the
terms of this AGREEMENT,
The Contractor shall provide insurance coverage that shall be maintained in full force and effect
during the term of this AGREEMENT, as follows:
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 $1,000,000 per occurrence.
Professional Liability Insurance: Provide a Professional Liability Insurance policy, including
contractual liability, in adequate quantity to protect against legal liability, but no less than
$ 1,000,000 per claim.
ARTICLE XXI
OTHER OR PRIOR AGREEMENTS
if WSALPHO and LHJ have a prior written AGREEMENT that relates to the subject matter of
this AGREEMENT, namely, MAC claiming, then, at such tirne that WSALPHO and said LHJ
both execute this AGREEMENT, such prior written AGREEMENT between them shall becorne
null and vold and of no further force and effect.
ARTICLE XXII
GOVERNING LAW
This AGREEMENT shall be interpreted, construed and enforced in accordance with the laws of
the State: of Washington.
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IN WITNESS WHEREOF, this AGREEMENT has been execrated and approved and is effective
and operative by WSALPHG and LHJ as herein provided.
L11 J °� 11C� WSALPHO
By: By:
11141�1
Narne A ranagif a s
Title irector
Date: Date:
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