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Acceptance of an amended agreement between LCSO and Cascade Pacific Action Alliance BEFORE THE BOARD OF COUNTY COMMISSIONERS OF LEWIS COUNTY, WASHINGTON IN RE ACCEPTANCE OF AN AMENDED AGREEMENT ) Resolution No 19- fag BETWEEN THE LEWIS COUNTY SHERIFF ) AND CASCADE PACIFIC ACTION ALLIANCE ) WHEREAS the Lewis County Shenff's Office has determined that the interests of the public are best served by accepting the agreement with Cascade Pacific Action Alliance; and WHEREAS there is no cost to the county, this agreement is for unanticipated revenue related to a Medication Assisted Treatment(MAT)program at the Lewis County Jail,and WHEREAS, it appears to be in the best public interest to authorize the execution of said agreements NOW THEREFORE BE IT RESOLVED that the Sheriff or, m his absence, the Undershenff or Corrections Chief,is authorized to sign the subjoined Agreement on behalf of Lewis County DONE IN OPEN SESSION this &' day of , 2019 REVIEWED AS TO FORM. BOARD OF COUNTY COMMISSIONERS Jonathan Me, r, Pr 1:ecuting Attorney LEWIS COUNTY, WASHINGTON By: I eputy Prosecuting Attorney Robert C Jackson, Chair 54,-A--1 ATTEST. Gary St per,Vice Chair ,- -ee4z-,4y/e.fe____) &46--t....41-/ Rieva Lester, Clerk of the Board •''.t'• ••�SOOUnr�w • Edna J Fund, Commi oner iv`�' ,-pARDO.,`9s • ok�' 4 A .. ••a 1 SINCE \1 o' ei + 1845 fz0 • ••••::1:' '• DocuSign Envelope ID 71822758-07CA-4BC6-805D-166EB3ADD590 Medicaid Transformation Partner Provider CASCADE PACIFIC ACT r^ ALLIANCE CONTRACT AMENDMENT CPAA ACH LLC 1217 4th Ave E., Suite 200 Contract No Olympia, WA 98506 ®Amendment/Modification No DY2-K2293-28 (360) 539-7576 Contractor INFORMATION Agency Name Agency Address EIN# Lewis County Sheriff Department 345 W Main Street 91-6001351 Chehalis,WA 98532 Authorized Contract Signer Title Phone Number • Chris Sweet CEO/Key Leader • • Contract Signer's E-Mail Agency Fax Number Contact's Phone Number chris.sweet @lewiscountywa.gov (if different than above) CPAA INFORMATION Contract Title Medicaid Transformation Project Contact Person Title Contact Phone Number Christina Mitchell Program Director 360-539-7576 x 131 Contact E-Mail Address Contact's Fax Number mitchellc @crhn.org 360-943-1164 CONTRACT INFORMATON Funding Source Effective Dates Amendment Amount HCA Date of Execution to January 31,2022 (fcable% $ appl176,740 Reason for Amendment $Base $Rural Service $Attribution $Multi Project $Health I $Provider Incentive Incentive I $18,460 $0 Equity Reporting $42,930 $12,310 I Incentive $103,040 I 1 $0 I I Cascade Pacific Action Alliance ACH LLC Amendment DY2 Contract K2293-28 Page 1 DocuSign Envelope ID:71822758-07CA-48C6-B05D-1B6EB3ADD590 T Is"MEDICAID TRANSFORMATION PROJECT AMENDMENT"(AMENDMENT)is made and entered into by and between Cascade Pacific Action Alliance(CPAA)an Accountable Community of Health(ACH) And Lewis County Sheriff Department a Medicaid Transformation Project Partnering Provider(Partner)pursuant to Washington States Medicaid Transformation Project(MTP) 3 ® THIS ITEM APPLIES ONLY TO BILATERAL AMENDMENTS The Contract identified herein,including any previous amendments thereto,is hereby amended as set forth in item 5 below by mutual consent of all parties hereto 4 I THIS ITEM APPLIES ONLY TO UNILATERAL AMENDMENTS The Contract identified herein, including any previous amendments thereto,is hereby unilaterally amended as set forth in item 5 below pursuant to the changes and modifications clause as contained therein. 5 PURPOSE OF AMENDMENT a) To define methodology for funding allocation i The calculation for DY 2 funds are based on calculations provided by Washington State Health Care Authority(HCA) Funding-is contingent upon the achievement value CPAA receives for submission of FICA required documentation and 100%completion of Partner Provider deliverables as stated in the Partner's original contract Addendum B—Scope of Work b) To define funding area allocations i. Base incentive—Allocation based on selection as Partner Provider ii Rural incentive—Allocation based on.RUCA score(rural-urban commuting area)derived from averaged zip codes reported in the original RFP submitted iii Attribution—Allocation based on Medicaid lives served based on zip codes reported in original RFP submitted Iv Health Equity—Allocation based on Community Needs Index score averaged by zip codes provided in the original RFP submitted v Bonus incentive—Allocation based on multi-project participation in more than one project area c) To present definitions for MTP Protects Areas, MTP Interventions and Change Plans t MTP Project areas were developed by Washington State's Health Care Authority Participation in the various Project Areas was determined by each Accountable Community of Health(ACH). CPAA selected to participate in the following project areas. • 2A. Bi-Directional Integration of Care • 2B• Community-Based Care Coordination • 2C: Transitional Care • 3A.Addressing the Opioid Use Public Health Crisis • 3B Reproductive and Maternal/Child Health • 3D'Chronic Disease Prevention and Control Cascade Pacific Action Alliance ACH LLC Amendment DY2 Contract tr 1(2293-28 Page 2 DocuSign Envelope ID.71B2275B-07CA-48C6-B05D-1B6EB3ADD590 ii. MTP Interventions support each of the six MTP Project areas. Every project area has its own menu of state-approved,evidence-based interventions as defined in the MTP project toolkit that must be pursued to achieve targeted levels of improvement for project-specific outcomes iii MTP Implementation Partners chose which MTP Interventions to implement for each of their CPAA approved MTP Project areas which are listed in the Partner's Change Plan. d.)To provide further definition to the Partner's original contract Addendum B— Statement of Work under Section 3 "The Partners Roles and Responsibilities" Item X—"The Partner will complete tasks and deliverables as set forth in the Change Plan and agrees to notify the CPAA Program Manager if timeline or deliverable will not be submitted as required." Per this amendment The Partner may amend the Change Plan under two conditions 1 Annual Modifications ii A qualifying event e.) Annual Modification i Organizations requesting a Change Plan modification must do so in writing using the Change Plan Modification Request Form(Addendum A)request must be submitted by 11/01/2019 to reporting(2cpaawa.org f.) Qualifying Event. i Organizations are asked to complete the Change Plan Modification Request Form (Addendum A)and submit to reportingcpaawa.org within 60 days of the qualifying event to request a Change Plan Modification A qualifying event is defined as an unforeseen circumstance that alters the scope of work or execution of work fundamentally Staff turnover or delayed implementation do not count as qualifying events g.) To provide additional reporting information i Partners will submit reporting in accordance with the chart below to reporting@cpaawa.org Quarter 1 (Jan-Mar) Quarter 2(Apr—Jun) Quarter 3(Jul-Sep) Quarter 4(Oct-Dec) 1 Change Plan 1 Change Plan 1 Change Plan 1 Change Plan Progress Report Progress Report Progress Report Progress Report 2 Intervention Metrics 2 Intervention Metrics 3 Change Plan Update April 30,2019 July 31,2019 October 31. 2019 January 31,2020 ii Partners participating in Projects 2A and 3A will submit project specific information related to pay for reporting(P4R)metrics established by the Washington State Health Care Authority(HCA) In order to align with the HCA reporting timeframe,CPAA will gather this information from partners on a Cascade Pacific Action Alliance ACH LLC Amendment DY2 Contract#K2293-28 Page 3 DocuSign Envelope ID:71 B2275B-07CA-4BC6-B05D-1 B6EB3A00590 slightly earlier schedule than Change Plan Progress Reports outlined above CPAA Program Managers will coordinate with each partner to complete this reporting requirement a. Project 2A The MeHAF Site-Self Assessment needs to be completed semiannually between April 1 and June 30 2019 and October 1 and December 31,2019 b Project 3A Complete the CPAA Opioid Response P4R Metrics Survey semiannually by June 15,2019 and December 15, 2019 iii Projected quarterly payments are stated below Payments are estimated and subject to change based on Health Care Authority information. Reporting QTR 1 Reporting QTR 2 Reporting QTR 3 Reporting QTR 4 $25,760 $25,760 $25,760 $25,760 h.) Provide guidelines for Project 2B Pathways Outcome Based Payments i An "Addendum B"will be included with this amendment only for Partners selected for and participating in Project 2B 6 f] This is a unilateral amendment Signature of contractor is not required below ® Contractor hereby acknowledges and accepts the terms and conditions of this amendment Signature is required below IN WETNESS WHEREOF,CPAA and the Partner have signed this agreement PARTNER MIGNArvR[: DATE CHOICE REGIONAL HEALTH NE1 WORk SIO'+I.krotE DATE Cascade Pacific Action Alliance ACH LLC Amendment DY2 Contract g K2293 28 Page 4 •DocuSign Envelope ID: 718227513-07CA-4B06-13050-1B6EB3ADD590 Addendum A — Change Plan Modification Request Form ChanDP Plan Request Modification • •est Form Annual Chanfie Plan Modification Request Process: • Please complete the Criarige Plan Modification Request Form and submit to,-,,ncrtnePqqssekve.o:-.=. between 10i01/1:119 and 11/01/2013 • Once the Change PI sn Modification Request na.s beer approved,you:wig reserve your orgarietion's or:Eine a ppiroved Change Flan with instructions on how to make rnoidlf-imtions. 4 Pease follow the instructions and submit your organization's updated Change P'sar!,by 12/31/2019 • Submitted Char:sp.Plans will go through an lnterra i approval process tefore being accepted. Chisalifying Event Change Plan Mochcation Process: • Pease complete te Ch a n es Plan ritiodificatior Request Form and 5.111,1it to rstacr.inOP within GO days of a q us.ifying event. o A qualilrie event is defined as an unforeseen brourristance.that fundamentally asters the scope of work or execution of work.Staf turnover or deiaved implementation are not quail:hong events,as:tele events:Nil/be captured in a-iarterly Rebortng. • Once the Change Pan Modification Request has beevri approved,you will receive your arrarization's original approved Change Plan whin instructions on how to make.modifications. • Pease flow the instructions and submit our organizations updated Change Pan within 30 days of receipt. • Sv'uOrnitted Change.Plans will go through,Cr!internal approval process before being accepted. Organization Name: Name of Requestor. Date of Request: Type of Request 3 Ann usi"Change Plan Modification Request bent Change Plan Modification Request :as:not:or of QuabfPla Evert Project Areas Affected: 111A.SI-Directional Integration of Care 142Bi Community-Based Care Coordination 142C:Transtional Care • Resporise 13Si Maternal and CNd Health 3D:Ciron. Disease Preiention and Control Reason for Changes: Brief Description of Changes: For internal use only- F-oliow-up Requested ,,Red Jest Approved 1 Request De.nled Cascade Pacific Action Alliance ACH LLC Amendment DY2 Contract#K2293-28 Page 5 BOCC AGENDA ITEM SUMMARY Resolution BOCC Meeting Date May 06, 2019 Suggested Wording for Agenda Item. Agenda Type Consent Approve an amended agreement with Cascade Pacific Action Alliance for Medication Assisted Treatment Contact Chief Chris Sweet Phone 3607402714 Department Sheriff Action Needed Approve Resolution Description Approve an amended agreement with Cascade Pacific Action Alliance for Medication Assisted Treatment Cover Letter To Chief Chris Sweet Additional Copies Carrie Breen