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Home My WebLink AboutCAG2019-1007 - Original - Public Health Seattle & King County (PHSKC) - Medicaid Administrative Claiming (MAC) Agreement # 4909 CHS - 10/01/2019 FOR CITY OF KENT OFFICIAL USE ONLY Sup/Mgr: Agreement Routing Form Dir Asst: • For Approvals,Signatures and Records Management Dir/Dep: KE N T This form combines&replaces the Request for Mayor's Signature and Contract Cover Sheet forms. (Optional) WA S H I N G T O N Originator: Department: KateLynn Jennings for Lori Guilfoyle Parks, Recreation & Community Services Date Sent: Date Required: > 04/20/2023 0 CL Authorized to Sign: Date of Council Approval: C Director or Designee Mayor N/A Budget Account Number: Grant?[:]YesZNo 10006370.64150.4690 Budget?R]Yes:No Type: N/A Vendor Name: Category: Public Health - Seattle King County Contract Vendor Number: Sub-Category: = 35625 Original 0 aProject Name: Medicaid Administrative Claiming Agreement E Project Details:PHSKC will subcontract with City of Kent partner Children's Therapy Center to provide the Children with Special Needs program. C 4) Agreement Amount: $50,000 Basis for Selection of Contractor: Other 47 `Memo to Mayor must be attached 3- Start Date: 10/1/2019 Termination Date: 12/31/2021 Im Q Local Business?P1]YesF_1No* If meets req uiremen ts per KCC 3.70.100,please complete"Vendor Purchase-Local Exceptions'form on Cityspace. Business License Verification:Yes:In-Process ElExempt(KCC 5.01.045) Notice required prior to disclosure? Contract Number: FlYesF]No CAG2019-1007 Comments: See CAG2019-090 for agreement with Children's Therapy Center. _ 0 N y •> i N OC a3, Date Received by City Attorney: N/A R Date Routed to the Mayor's Office: N/A N Date Routed to the City Clerk's Office: 4/20/23 ac00)373_-_70 Visit Documents.KentWA.gov to obtain copies of all agreements rev.20200218 DocuSign Envelope ID: F6B938A8-OF6E-4D40-80C6-9D469879A5F2 AGREEMENT Between CITY OF KENT, WASHINGTON and PUBLIC HEALTH-SEATTLE & KING COUNTY MEDICAID ADMINISTRATIVE CLAIMING (MAC) PERIOD 10/1/2019 — 12/31/2021 AGREEMENT # 4909 CHS I. Overview Under this Agreement between the City of Kent, Washington (CITY OF KENT) and Seattle- King County Department of Public Health a.k.a. Public Health-Seattle & King County (PHSKC), PHSKC shall provide CITY OF KENT with the scope and range of services described in Exhibit I. Such services shall at all times be provided on a basis satisfactory to CITY OF KENT and shall at a minimum be consistent with the goals and objectives set forth in Exhibit I: Scope of Work and Reimbursement, which is attached hereto and incorporated herein by this reference. II. Compensation CITY OF KENT shall compensate PHSKC as stated in Exhibit I. III. Indemnification PHSKC shall protect, defend, indemnify, and save harmless CITY OF KENT, their officers, employees, and agents from any and all costs, claims, judgments, and/or awards of damages, arising out of, or in any way resulting from, the negligent acts or omissions of PHSKC, its officers, employees, and/or agents, in its performance and/or non-performance of its obligations under this Agreement. PHSKC agrees that its obligations under this subparagraph extend to any claim, demand, and/or cause of action brought by, or on behalf of, any of its employees or agents. For this purpose, PHSKC, by mutual negotiation, hereby waives, as respects CITY OF KENT only, any immunity that would otherwise be available against such claims under the Industrial Insurance provisions of Title 51 RCW. In the event CITY OF KENT incurs any judgment, award, and/or cost arising therefrom including attorneys' fees to enforce the provisions of this article, all such fees, expenses, and costs shall be recoverable from PHSKC. CITY OF KENT will protect, defend, indemnify, and save harmless PHSKC, their officers, employees, and agents from any and all costs, claims, judgments, and/or awards of damages, arising out of, or in any way resulting from, the negligent acts or omissions of CITY OF KENT, its officers, employees, or agents. CITY OF KENT agrees that its obligations under this subparagraph extends to any claim, demand, and/or cause of action brought by, or on behalf of, any of its employees or agents. For this purpose, CITY OF KENT, by mutual negotiation, hereby waives, as respects PHSKC only, any immunity that would otherwise be available against such claims under the Industrial Insurance provisions of Title 51 RCW. In the event PHSKC incurs any judgment, award, and/or cost arising therefrom including attorneys' fees to enforce the provisions of this article, all such fees, expenses, and costs shall be recoverable from CITY OF KENT. 4909 CHS DocuSign Envelope ID: F6B938A8-OF6E-4D40-80C6-9D469879A5F2 Claims shall include, but not be limited to, assertions that use or transfer of software, book, document, report, film, tape, or sound reproduction or material of any kind, delivered hereunder, constitutes an infringement of any copyright, patent, trademark, trade name, and/or otherwise results in unfair trade practice. Nothing contained within this provision shall affect and/or alter the application of any other provision contained within this Agreement. IV. Amendment Provision Either party may request changes to this Agreement. Proposed changes that are mutually agreed upon shall be incorporated by written amendment to this Agreement. V. Agreement Duration and Termination Provision Upon execution by both parties, this Agreement will be in force from Oct 1, 2019, through December 31, 2021. This Agreement may be terminated by either party without cause, in whole or in part, by providing the other party thirty (30) days advance written notice of the termination. VI. No Third Party Beneficiaries. Except for the parties to whom this Agreement is assigned in compliance with the terms of this Agreement, there are no third-party beneficiaries to this Agreement, and this Agreement shall not impart any rights enforceable by any person or entity that is not a party hereto. We, the undersigned, agree to this reimbursement arrangement: DocuSigned by: f,4Srw, 3/10/2020 �Fsaars3sa Patty Hayes, Director Date Public Health — Seattle & King County FDocuSigned by: nut, pa ro'sCbl&JA& 3/6/2020 Director Date City of Kent, Washington CONCURRENCE DocuSigned by: ,Aan.t,�' �,GUM�bW 1�SS 3/10/2020 Ijat 2CBjj!§t, Chief Finance Officer Date Children's Therapy Center 4909 CHS DocuSign Envelope ID: F6B938A8-OF6E-4D40-80C6-9D469879A5F2 EXHIBIT I: SCOPE OF WORK AND REIMBURSEMENT MEDICAID ADMINISTRATIVE CLAIMING (MAC) PERIOD 10/01/2019 — 12/31/2021 4909 CHS I. Objective This Exhibit specifies administrative and fiscal procedures for reimbursing Children's Therapy Center, neurodevelopmental center located in King County, Washington. The objective of the program is to support Medicaid-related administrative claiming activities. Local funds will be provided by the CITY OF KENT and allowable Medicaid Administrative Claiming (MAC) funds will be provided by PHSKC. II. Scope of Work PHSKC will subcontract with CITY OF KENT partner Children's Therapy Center to conduct the following MAC activities: A. Outreach to inform eligible or potentially eligible people of the Medicaid programs and how to access them. B. Link eligible or potentially eligible people to Medicaid covered services, including making referrals to, coordinating and/or monitoring their access to services. C. Assist people to become eligible for Medicaid benefits, through assistance with applications for Medicaid benefits, or troubleshooting individuals' Medicaid coverage. D. Program planning, policy development and interagency coordination related to medical services E. Medicaid/medical related training III. Key Elements Key elements of the operational agreement between CITY OF KENT and PHSKC are as follows: PHSKC will reimburse Children's Therapy Center for a portion of costs incurred to provide delegated MAC activities upon receipt and verification of quarterly invoices. PHSKC will then invoice CITY OF KENT for payment. The maximum allocations to be distributed to Children's Therapy Center are $50,000.00. The City of Kent will no longer be paying Children's Therapy Center directly. No individually identifiable health information, as defined by the Department of Health and Human Services Privacy Regulations, 45 CFR Parts 160 and 164, will be exchanged between PHSKC and CITY OF KENT in the performance of this Agreement. 4909 CHS