Partnering Provider References for Project Specific Agreements

Background Materials:

• • • HCA Waiver letter received from Center for Medicare and Medicaid Services (CMS), including the Special Terms and Conditions: https://bit.ly/2FtJhT0
      • “Attachment C” to the Special Terms and Conditions: The Medicaid Transformation Project Toolkit: https://www.hca.wa.gov/assets/program/project-toolkit-approved.pdf

   

  • • Contract between WA Health Care Authority and the North Sound ACH: The Contract: https://bit.ly/2FzdXS4
    • Project Plan Submitted, November 2017
    • Baseline Measures
    • Pay for Performance Baseline Data Presentation 

Agreements between partnering provider and the North Sound ACH:

• • • • Master Services Agreement, agreed to via the Click Agreement in the Financial Executor Portal: https://bit.ly/2srwWX1

   

  • • • Project-Specific Agreement for non CCA Partners, addendum to Master Services Agreement: https://bit.ly/2FCWGXU

   

  • • • Project-Specific Agreement for CCA Partners, addendum to Master Services Agreement: https://bit.ly/2FqKUkd

   

  • • • Exhibit A: Template for Scope of Work (For all Partners) https://bit.ly/2FsJAxl

   

  • • • Exhibit B: Template for MOU for Care Coordination Agencies (CCAs only) bit.ly/2UgjbEb

   

  • • Exhibit C: Template for Payment Model (CCAs only) bit.ly/2HjuBG1

Other HCA Resources

• • HCA Pay for Performance measures: http://www.northsoundach.org/wp-content/uploads/2018/10/Toolkit-Metrics-Crosswalk.pdf
  • Other resources provided by the Health Care Authority: https://bit.ly/2FcoNd6