HomeMy WebLinkAbout050718_ca11615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
x Consent Agenda
Public Fiealt
March 27, 2018
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Vicki Kirkpatrick, Director
Julia Danskin, Community Health Supervisor
DATE: S / --�,/ -),D /?
SUBJECT: Agenda Item —Amendment #2 — WA State Health Care Authority for
Medicaid Administrative Claiming #K1404; January 1, 2017 —
December 31, 2018; fee for service
STATEMENT OF ISSUE:
Jefferson County Public Health, Community Health, is requesting Board approval of Amendment #2 — WA
State Health Care Authority for Medicaid Administrative Claiming #K1404; January 1, 2017 —
December 31, 2018; fee for service.
ANALYSIS STRATEGIC GOALS PRO'S and CON'S:
The agreement covers reimbursement for a portion of expenses incurred when performing Medicaid related
administrative activities. The reimbursed activities support the goals and objectives of the state Medicaid
program, and include: 1) identifying potential Medicaid clients, 2) providing information about Medicaid to
low income, uninsured, or inadequately insured individuals, 3) facilitating the enrollment of potential clients,
and 5) referral of clients to medical providers for health services. This amendment changes Section 2.4:
Contract Manager, Section 6: Administrative Fee, and Section 7: Statement of Work.
FISCAL IMPACT COST BENEFIT ANALYSIS:
Reimbursement for services provided are based on Federal Financial formula that includes County wide
Medicaid Enrollments Rates (MER), JCPH Community Health Clinics MER and at 50% except skilled
Professional Medical Personnel, which is reimbursed at 75%. This revenue is estimated and budgeted in the
2018 Jefferson County Public Health Budget to benefit Community Health.
RECOMMENDATION:
JCPH management request approval of Agreement #2 — WA State Health Care Authority for
Medicaid Administrative Claiming #K1404; January 1, 2017 — December 31, 2018; fee for service.
REVIEWED BY:
Philip F�QR-��,��u, Administrator Date Environmental Health
Developmental Disabilities Water Quality
360-385-9400 360-385-9444
360-385-9401 (f) Always working for a safer and healthier community (f) 360-379-4487
HCA Contract No.: K1404
Washington State CONTRACT Amendment No.: 02
Health Care , uthority AMENDMENT
THIS AMENDMENT TO THE CONTRACT is between the Washington State Health Care Authority
and the party whose name appears below, and is effective as of the date set forth below.
CONTRACTOR NAME I CONTRACTOR doing business as (DBA)
Jefferson County Health -Human Services
CONTRACTOR ADDRESS
615 Sheridan
Port Townsend, WA 98368
WASHINGTON UNIFORM BUSINESS IDENTIFIER
(UBI)
WHEREAS, HCA and Contractor previously entered into a Contract to support Medicaid related
outreach and linkage activities performed by Local Health Jurisdictions (LHJ) to Washington State
residents who live within its jurisdiction, and;
WHEREAS, HCA and Contractor wish to amend the Contract to identify the HCA Contract Manager in
Section 2.4 — Contract Manager Contact Information; update the administrative fee requirements in
Section 6.0 - Administrative Fee; and update the overpayment requirements in Section 7 Timely Filing
and Overpayment Requirements as follows:
NOW THEREFORE, the parties agree the Contract is amended as follows:
1. Section 2.4 Contract Manager Contact Information. The Contract Manager for HCA, is amended
to read as follows:
Name:
Jon Brogger
Title:
Program Manager
Address:
PO Box 45506
Olympia, WA 98501
Email:
jon.brogger@hca.wa.gov
Phone:
(360) 725-1647
2. Statement of Work Section 6 Administrative Fee. This section is replaced in its entirety to read
as follows:
HCA charges MAC contractors an administrative fee to offset HCA's costs for the administration
of the MAC program. The rate is based on the costs associated with the staff effort spent on
MAC related work for an entire State Fiscal Year (SFY) and is billed as a line item on the
quarterly claim form A -19-1A submitted by the MAC contractor. This cost is divided by the dollar
amount of administrative claims submitted by the participating contractors in the MAC program
for the same SFY. The calculated rate is used on the claims for the subsequent SFY. At the
end of the period, the rate used will be validated using the actual claimed expenditures for that
period and any variances will be settled with the contractor during the second quarter of the new
SFY.
HCA Contract No. K1404-02 Page 1 of 2
3. Statement of Work Section 7 Timely Filing and Overpayment Requirements. This section is
replaced in its entirety to read as follows:
The Contractor must submit invoices for reimbursement to HCA for review and approval within
one hundred twenty (120) calendar days following the end of each Billing Quarter. Upon
approval, the Contractor must submit a signed A19 -1A invoice voucher within thirty (30) calendar
days.
a) Invoices submitted after one hundred twenty (120) calendar days following the end
of the Billing Quarter may result in corrective action.
b) HCA will not offset negative balances against future Al 9s. The contractor must
immediately remit a check to HCA for any funds requiring repayment.
C) HCA is not a recovery agent and any overpayments that are at or beyond the one
hundred eighty (180) calendar day mark will be turned over to the Office of
Financial Recovery (OFR).
d) HCA will not seek reimbursement for any invoice received after the 23rd month of
the two-year federal filing deadline.
4. This Amendment will be effective as of the last date of the signature shown below ("Effective
Date").
5. All capitalized terms not otherwise defined herein have the meaning ascribed to them in the
Contract.
6. All other terms and conditions of the Contract remain unchanged and in full force and effect.
The parties signing below warrant that they have read and understand this Amendment and have
authority to execute the Amendment. This Amendment will be binding on HCA only upon signature by
HCA.
CONTRACTOR SIGNATURE
PRINTED NAME AND TITLE
DATE SIGNED
HCA SIGNATURE
PRINTED NAME AND TITLE
DATE SIGNED
Annette Schuffenhauer, Chief Legal Officer
Division of Legal Services
Aved as o orm:
Vi,
:
C. Date: 411W4
Philip C. Hunsucker, Chief Civil Deputy Pros outing Attorney
Jefferson County Prosecuting Attorney's Office
HCA Contract No. K1404-02 Page 2 of 2