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
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ATTEST. Gary St per,Vice Chair
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Rieva Lester, Clerk of the Board •''.t'•
••�SOOUnr�w • Edna J Fund, Commi oner
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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
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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
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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
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•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
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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