Regular Meeting Agenda 6/3/2025

Steve Rader, Commissioner District 1

Steven L. Ferrell, Commissioner District 2

Richard R. Dahl, Commissioner District 3

Kelly Grayson, Clerk of the Board

Regular Public Meeting

June 3 , 202 5 , 9:00 a.m.

Board Meeting Convenes at 9:00 a.m.

 Invocation by Invitation

 Pledge of Allegiance

 Minutes of May 19-21 & 26-28, 2025

 Consent Agenda of June 3, 2025

 Request for Proposals

 Motion Items

 Public Hearings – 9:30 a.m.

 Public Comments

Citizen Participation may be anonymous. See RCW 42.30.040

Consent Agenda

Request for Proposals

1. Request for Proposals for Qualified Health Care Providers to provide Inmate Health Care Services to the Jail and Juvenile in-custody population scheduled for August 4, 2025 at 11:00 a.m.

Agreements/Contracts/Bid Awards

2. Interlocal Agreement with the City of Longview relating to Building Code Administration, Plans Examination and Building Inspection Services.

Board Correspondence

3. Letters/Notices

a. Federal Energy Regulatory Commission (FERC) Notice dated 5/22/2025 regarding the Notice of Availability of Environmental Assessment.

Regular Public Meeting

June 3, 2025, 9:00 a.m.

b. Letter dated 5/8/2025 from Kurt Fredenberg, Regional Director, United States Department of Interior Bureau of Indian Affairs, regarding a Notice of NonGaming Land Acquisition Application.

c. Letter dated 6/3/2025 to Elisa White appointing her to the Homeless Housing Task Force. This is a 2-year term that expires 6/30/2027.

Vouchers

The following vouchers/warrants are approved for payment.

1000064333-1000064344 54,991.31 Special Purpose District No. 1 5000003290-5000003312 582,440.30 Special Purpose District No. 1 5000019685-5000019733 43,863.81

Special Purpose District No. 2 7000000491-7000000491 309.27 Special Purpose District No. 2 7000004203-7000004209 9,217.74 Public Facilities District No. 1 9000000230-9000000230 997.68 Public Facilities District No. 1 9000000774-9000000775 33,229.33

163842-163869 39,442.73

286033-286593 1,344,832.64 Total $ 4,717,033.20

Motion Items

Public Works

4. Bid Award to Jeffries Construction LLC for the South Cloverdale Road Improvement Project and the South Cloverdale Road-Confer Road Intersection Improvement Project. The total cost is $7,256,372.86.

Facilities Maintenance

5. Bid Award and contract execution with Weatherguard for the Administration Building Roof Replacement project. The total amount will not exceed $423,752.00.

Public Hearings – 9:30 a.m.

Risk Management

6. 9:30 a.m. – Amendment to Cowlitz County Code 5.10 Music Festival

Regular Public Meeting

June 3, 2025, 9:00 a.m.

Updates

Chairman Updates

Upcoming Events:

 Wednesday, June 4th @ 2:30 p.m. – Opioid Settlements and Health & Human Services Contracts

 Wednesday, June 11th @ 2:30 p.m. – Tiny Home Projects

 Wednesday, June 18th @ 2:30 p.m. – District Court Billing Rates Update

Citizen Comments – Citizen participation may be anonymous. See RCW 42.30.040

RCW 42.30.040 - Conditions of attendance not to be required. A member of the public shall not be required, as a condition to attendance at a meeting of a governing body, to register his or her name and other information, to complete a questionnaire, or otherwise to fulfill any condition precedent to his or her attendance. People may remain anonymous when logging on to Zoom by creating any name and email of their choosing. In a meeting, public comment will be received, either or both, orally (raise hand in Zoom or use *9 on phone) and by writing. Note: Written comments may be sent to the Board at any time. For oral presentations, the Board may set a time for comments and speakers.

All matters listed with the Consent Agenda were previously distributed to each Board Member for reading and study, were available for public viewing, are considered items of regular County business, and will be approved, without separate discussion, by one motion of the Board of County Commissioners. An item may be removed from the Consent Agenda and placed on the Regular Agenda for separate discussion and voting at the request of any Board Member.

The Board of Commissioners may add and take action on other items not listed on this Agenda.

 Agenda Online Address: https://www.co.cowlitz.wa.us/535/Agendas Regular-Public-Meetings

 ZOOM Invitation Address (for all meeting days):

o https://us06web.zoom.us/j/82019613917

 KLTV Live Feed Address: http://www.kltv.org

Meeting Date: 06/03/2025

Request for Proposals #08-2025: Inmate Health Care

Submitted For: Chris Moses

Submitted By: Ashley Claussen Department: Jail

Information

Subject and Summary Statement

The Cowlitz County Corrections Department is seeking consent to request proposals from qualified Health Care Providers to provide Inmate Health Care Services to the Jail and Juvenile in-custody population.

Will Staff Attend - NAME OF STAFF No.

Department Recommendation

The Corrections Department recommends that the Cowlitz County Board of Commissioners approve the request for proposals and advertise as required.

Approved:_____________________

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Richard R. Dahl, Chairman

Steve Rader, Commissioner

Steven L. Ferrell, Commissioner

Attest:______________________ Clerk of the Board

Attachments

RFP  Notice

Form Review

Inbox Reviewed By Date Chris Moses

Form Started By: Ashley Claussen

Started On: 05/22/2025 09:48 AM

COWLITZ COUNTY Corrections Department

REQUEST FOR PROPOSALS (RFP)

NOTE: If you download this RFP from the County website located at http://www.co.cowlitz.wa.us/bids.aspx you are responsible for sending your name, address, e-mail address, and telephone number to the RFP Coordinator in order for your organization to receive any RFP amendments or bidder questions/COUNTY answers.

PROJECT TITLE: Inmate Health Care #08-2025

PROPOSAL DUE DATE: August 4, 2025 Prior to 11:00 A.M. Pacific Standard Time or Pacific Daylight Time, Kelso, Washington, USA.

Faxed or E-mailed bids will not be accepted.

CONSULTANT ELIGIBILITY: This procurement is open to those consultants that satisfy the minimum qualifications stated herein and that are available for work in Washington State.

CONTENTS OF THE REQUEST FOR PROPOSALS:

1. Introduction

2. General Information for Consultants

3. Proposal Contents

4. Evaluation and Award

5. Exhibits

A. Certifications and Assurances

B. Personal Service Contract with General Terms and Conditions

C. Medical Statistics

D. Staffing Plan (Costs) Worksheet

E. Medication Transformation Project

F. Reentry Initiative Policy and Operations

G. MOUD in Jails Services HCA Contract

H. Pharmacy Services

I. Electronic Health Records

J. Optional Services Scoring

Exhibit

Exhibit

Exhibit

Exhibit

Exhibit

Exhibit

Exhibit

Exhibit

1. INTRODUCTION

1.1.

PURPOSE AND BACKGROUND

The Cowlitz County Corrections Department, hereafter called "County,” is initiating this Request for Proposals (RFP) to solicit proposals from qualified vendors to provide Inmate Health Care Services for the Cowlitz County Corrections Department.

The Cowlitz County Jail was built in 2006 The Jail has eight (8) main housing areas with a bed capacity of 356 inmates There is one direct supervision medical observation unit consisting of 32 beds, as well as a 3 member team of officers dedicated to this unit. Pre-trial inmates with charges ranging from misdemeanors to Class A felonies are housed as well as sentenced inmates.

The average number of daily bookings for 2024 was 14 inmates. The ADP for 2024 was 193 inmates with 203 inmates as the highest population count for the year.

The Cowlitz County Corrections Department is governed by 3 elected Commissioners who appoint a Director to oversee the department.

1.2.

DEFINITIONS

Definitions for the purposes of this RFP include:

COUNTY – COWLITZ is the COUNTY in the state of Washington that is issuing this RFP

Apparent Successful Contractor – The consultant selected as the entity to perform the anticipated services, subject to completion of contract negotiations and execution of a written contract.

Consultant – Individual or company interested in the RFP and that may or does submit a proposal in order to attain a contract with the COUNTY

Contractor – Individual or company whose proposal has been accepted by the COUNTY and is awarded a fully executed, written contract.

HCP – Health Care Provider

MTP – Medication Transformation Project

Proposal – A formal offer submitted in response to this solicitation

Proposer - Individual or company that submits a proposal in order to attain a contract with the COUNTY.

Request for Proposals (RFP) – Formal procurement document in which a service or need is identified but no specific method to achieve it has been chosen The purpose of an RFP is to permit the consultant community to suggest various approaches to meet the need at a given price.

1.3.

PROJECT SPECIFICATIONS AND SCOPE OF WORK

Cowlitz County is seeking proposals from qualified contractors for providing quality health care services for people confined in the Cowlitz County Jail (Jail). The Contractor will also be required to administer medication and provide triage and sick call services to the Cowlitz County Juvenile Department Detention Center (a separate Department), located within one eighth (1/8) mile of the correctional facility (Please reference defined scope of work)

The County requires the use of professionally licensed and/or certified staff to perform the various functions needed to provide quality health care to our inmates

Cowlitz County desires that the majority of inmate health care services be provided inside the jail by the Health Care Providers (HCP) staff.

The responsibility for the provision of health care services to people confined in jail commences with the commitment of the person to the custody of the Jail, and ends with their release from custody The current program requirements include inmate medical screening, admissions evaluation, triage, sick call, care of medically fragile inmates, psychiatric screening, suicide risk assessments, mental health services, medical clearances for intra and inter-agency transfers, work clearances, treatment of Opioid Use Disorder (OUD) and Alcohol Use Disorder (AUD) and the continuing care of identified health problems, detoxification and emergency services.

The County currently has a contract with the Washington Health Care Authority (HCA) for the purpose of developing, implementing, and continuing to expand the MOUD in Jails Program. For the contract year, ending June 30, 2025, the Jail received compensation for $437,000.00 for continuation and expansion of the MOUD in Jails Program. Further funding has not yet been confirmed and will most likely be affected by the Washington State Medicaid Re-entry program.

The goal of this Request for Proposal (RFP) is to identify a qualified contractor who can provide cost effective medically necessary services and maintain a level of quality in accordance with current standards established by the National Commission on Correctional Health Care (2018) including all updates throughout the life of the agreement. The successful health care provider (HCP) will provide for medical and mental health staffing and services that meet or exceed the 2018 National Commission on Correctional Health Care (NCCHC) including Correctional Mental Health Care standards and all updates throughout the life of the agreement.

1.3.1 JUVENILEDETENTION CENTER

a. The Cowlitz County Juvenile Court and Detention Facility will ensure emergency medical and short-term medical under the supervision of a licensed health care provider.

• The provider will maintain personal health records for juveniles admitted to and housed in the detention facility

• All health care providers or health authorities under contract with the detention facility shall inform staff of special medical problems of juveniles, keep appropriate records, provide reports as required and shall comply with current laws, rules, regulations and policies governing the care of juveniles residing in the detention facility.

• Provider will provide medication pass three (3) times daily.

• Providers will administer sick call twice (2) daily a m -p.m (triage noon slips)

• Provider will authorize admitted medications to be administered to residents.

• Provider will communicate with personal providers if/when needed and required

• TB and physical assessments will be provided upon request for treatment requirements

• Medical provider to provide Drug/Alcohol/Detox assessments for staff guidance as requested.

• Provide health care education/training to detention staff as requested.

• Provide accounting and inventory of all medications

• Provide medication refill notification in a timely manner.

• Provide 24 hr. phone triage.

• Provider agrees to collaborate with juvenile detention leadership team to develop operational protocols to support the implementation of the services specified above for juveniles within the detention center.

1.4. SPECIFICATIONSANDREQUIREMENTS

a. HCP shall operate the program in a cost-effective manner with full reporting and accountability to the Administrative Captain and Jail Director.

b. HCP will provide for adequate staffing to meet the service level expectations of the agreement these include, but are not limited to:

• 24 hours per day and 7 days per week coverage

• Daily sick call

• 24-houremergency/ on-call physician.

• Meeting a two-hour window of time to screen every new Jail arrival for medical and mental health problems

• Full physical for all lodged inmates within 14 days of admission in accordance with NCCHC standards.

• Mental health screening in accordance with NCCHC standards

c. HCP is responsible for review and verification that all invoices are appropriate and accurate prior to payment using County funds. This includes verification of services provided and accuracy of all co-pays and deductibles.

d. HCP shall have a process in place to investigate any and all insurance providers that may be responsible for medical costs during an inmate’s incarceration period.

e. HCP shall be responsible for recovery of all eligible costs this includes full knowledge and participation in the activities required by the state and federal guidelines of the Affordable Care Act.

f. HCP will be responsible for verification of inmates signed up for the Affordable Care Act, assisting with sign up, making sure any inmate hospitalized or about to be hospitalized is signed up and costs are processed by the hospital to the appropriate insurance coverage before accepting responsibility for the costs or passing the costs onto the County

g. HCP shall maintain an open and cooperative relationship with the Corrections Department staff and other County representatives

h. HCP shall be responsible for ensuring that any problems and/or unusual incidents are reported by its staff to the Administrative Captain and the Jail Director.

i. HCP shall ensure that the healthcare status of detainees admitted to outside hospitals is reviewed to ensure that the duration of the hospitalization is no longer than medically indicated.

j. HCP shall be responsible for full, current and detailed knowledge of and compliance with the pertinent requirements of federal and Washington state laws, their implementation of regulations and guidelines promulgated there under as they pertain to the services requested herein.

k. HCP shall operate the program in a constitutionally humane manner with respect to the inmates’ rights to basic services.

l. HCP shall utilize on-site facility ancillary services to their fullest extent and shall be responsible for the cost of all on-site and off-site laboratory charges, x-ray, and other diagnostic services as required, indicated, or ordered by HCP

m. HCP shall administer first responder emergency medical care to any employee or visitor of the Jail who requires such care.

n. HCP shall provide services and staff, and otherwise do all things necessary for, or incidental to, the performance of work, as required under the Medicaid Transformation Project (MTP) (See Exhibit E & F)

1.5. PERSONNEL

a. HCP will recruit, interview, hire, train and supervise all health care staff Health care staff must be adequate to meet all conditions and specifications of the contract.

b. All health services staff providing services under this contract must be licensed or certified to practice in the State of Washington and comply with all current and future applicable Washington professional practice act regulations and are able to pass a criminal background check HCP will be responsible for tracking, updating and maintaining these records.

c. The HCP shall have direct oversight, be responsible for and monitor the performance of all staff whether providing direct health care or performing other duties in support of the contract. The HCP shall be responsible and ensure that all staff perform only work within the scope of their respective license/certification and are appropriately supervised.

d. At a minimum, a full-time, on-site Health Service Administrator shall be provided who shall have general responsibility for the successful delivery of health care for the Jail, pursuant to this solicitation and final contract.

e. The County will conduct a comprehensive background investigation on all health services staff recruited to work in the Jail. All HCP staff will be required to pass this full background prior to working in the Jail even on a temporary basis Any HCP employee who does not satisfy the security clearance, at the sole discretion of the County, shall not be allowed access to the Jail.

f. HCP staff will have an ongoing duty to report criminal arrests or violations to County.

g. County reserves the right to immediately exclude any HCP employee from the Jail to preserve institutional safety and security.

h. HCP must provide required personnel for all shifts and fully meet all expectations of NCCHC requirements and performance standards. The County will only pay for actual hours worked on site.

• Annual staffing plan must contain billing rates for all positions and should include information on which positions are back filled and which is not, i.e. registered nurse would be back filled if they call in sick, the HSA would have paid time off and not be back filled

• HCP shall make provisions in their staffing plan to cover periods of vacation, educational or sick time by including appropriate relief factors and per diem staff The

HCP shall specify in their staffing plan relief factors

• The annual staffing plan is intended for budgeting purposes and should include a standard monthly cost. Fluctuations in staffing will be allowed for administrative positions The positions related to direct health care as represented in the minimum staffing plan will be required to be filled for each shift. At no time will the County pay more than the monthly standard amounts.

i. HCP staff shall be subject to and shall comply with all security regulations and procedures of the Jail Violations of the regulations may result in the employee being denied access to the Jail. In this event, the HCP shall provide alternate personnel.

j. County shall provide security for the HCP staff consistent with the security provided to other Jail staff

k. HCP staff shall adhere to the same standards in place for county employees with regard to harassment, alcohol and drug free workplace, violence in the workplace, Prison Rape Elimination Act, Electronic Systems and Equipment Use Policy, or any other current or future policy that impacts county employees

1.6. LABORATORY and OTHER TESTING SERVICES

a. HCP will provide all laboratory and other testing services with either in house staff or contracted staff to come into the Jail to complete the testing with minimum transfer costs to the Jail

b. HCP clinician shall review all routine laboratory results within 24-48 hours after receipt of test results to assess the follow-up care indicated and to screen for discrepancies between clinical observations and laboratory results. The clinician on-call will be notified immediately of all STAT reports as well as all critically abnormal results.

c. A list of critically abnormal lab values will be available at all times for healthcare staff reference

d. Provide blood borne pathogen testing when it is determined that County Jail staff or HCP staff have been exposed by an inmate

e. Provide onsite diagnostic testing such as x-rays and ultrasounds

f. All diagnostic testing shall be performed by qualified technicians and read by Board Certified Clinicians

g. Abnormal results shall be called or faxed to the healthcare staff and relayed to the in-house clinician or on call clinician immediately for disposition

h. HCP shall ensure that all results are reported to the institution and placed in the medical record within 24 hours

1.7. HEALTH SCREENINGS AND ASSESSMENTS

a. HCP will perform Health Screenings that comply with NCCHC standards.

b. Initial Health Screenings for all new commitments to the Cowlitz County Jail must be completed

within two hours of arrival and before the inmate enters the general population of the facility. The screening shall be completed by a registered nurse and shall comply with all NCCHC requirements for intake screening.

c. The HCP shall perform a comprehensive Health Assessment on all inmates within 14 calendar days of arrival of the inmate at the Jail Such assessment shall be performed by a qualified health professional and meet all requirements stipulated by the NCCHC standard for Fourteen-DayHealthAssessment.

1.8. REFERRALS

a. The HCP will have the ability to identify the need, schedule, coordinate all non-emergency and emergency health care rendered to inmates

b. HCP shall identify the need, schedule, coordinate all qualified medical professional services rendered to inmates inside or outside the Jail At a minimum, HCP shall identify a responsible physician to supervise all medical care provided by the Jail medical staff, a “qualified medical clinician” who shall conduct sick call and generally provide such care as is available in the community The “responsible physician” or another covering physician shall be on call seven days per week, 24 hours per day for emergency situations

c. HCP shall identify the need, schedule, coordinate and pay for all support diagnostic examinations Contractor shall also provide and pay for all laboratory services, as medically indicated.

d. HCP shall provide necessary follow-up for health problems, identified by any of the screening tests or laboratory tests. This would include inpatient or outpatient hospitalization, appropriate monitoring and prescription of medication, consultations with specialty medical providers, etc.

e. HCP shall seek reimbursement from all available sources, including private insurance and Medicare for all health care provided.

1.9. CHRONIC CARE

a. HCP will monitor and make recommendations for detainees with regard to therapeutic diets.

b. Chronic care patients shall be provided a review by a qualified medical clinician every three months at a minimum

c. A roster of patients with chronic disease, other significant health conditions, and disabilities shall be maintained.

1.10. MENTAL HEALTH

a. The HCP will provide mental health counseling and psychiatric services to the inmate population in compliance with NCCHC standards. Such services shall include:

• Evaluation by a qualified mental health professional of mental health problems identified, upon intake into the Jail system, as soon as possible and without unnecessary delay

• Mental health evaluation of detainees exhibiting unusual or bizarre behavior, as soon as possible and without unnecessary delay, of identification by Jail staff

• Crisis intervention and management of acute psychiatric episodes.

• Stabilization of individuals presenting with elevated symptoms related to a mental illness

• Prevention of psychiatric deterioration in the Jail setting.

• Identification, treatment, and referral of individuals deemed a danger to self or others and requiring inpatient services.

• Medication evaluation and monitoring

• Daily monitoring of segregated housing for chronically impaired

• Active coordination with other Mental Health staff and community provider agencies.

• Suicide assessment, intervention and monitoring of inmates on suicide watch. The MHP must have the capability to place an inmate on suicide watch/heightened awareness, as well as remove an inmate from suicide watch/heightened awareness.

b. HCP must have a process and procedures in place for forced medication of inmates who are in a mental health crisis and either dangerous to self or others, which complies with the requirements of Washington v Harper, 494 US 210 (1990) and subsequent cases.

1.11. DISCHARGEPLANNING

a. The HCP will staff a full-time case manager who will work in accordance with the Medicaid Transformation Project (MTP) (See Exhibit E&F)

b. Upon completion of detainment, those individuals in the MTP shall be provided community resources for on-going care, in accordance with the Medicaid Transformation Project

c. Medication will be provided based on the individual need and coordinated with the community provider in accordance with the Medicaid Transformation Project.

d. The HCP shall have a pre-release transition plan developed with the Jail staff to provide continuity of care, post-release, to meet the NCCHC standards which include:

• Formal linkages between the facility and community-based organizations

• Lists of community health professionals.

• Discussions with the inmate that emphasize the importance of appropriate follow-up care and after care.

• Specific appointments and medications that are arranged for the patient at the time of release.

• Health information, such as problem lists, current medications, allergies, procedures, and test results will be exchanged with community clinician prior to any scheduled appointment.

• 30-day supply of medications and medical supplies at release for those on the

Medicaid Transformation Project.

e. For inmates who have a need to continue medications after release, HCP shall supply a written prescription for those medications (by either giving to the inmate directly or faxing to a local pharmacy) so that the inmate may obtain needed medication in a timely manner (Wakefield v Thompson, 177 F.3d 1160 (9th Cir. 5/27/1997).

1.12. INTOXICATION and WITHDRAWAL

a. HCP shall have a protocol to provide intoxication and withdrawal treatment, support and medical services for drug and alcohol addicted inmates in accordance with NCCHC standards.

b. HCP shall provide intermittent monitoring of the inmates showing signs of intoxication or withdrawal to determine the health status of those individuals.

c. In severe cases, this monitoring shall include, at a minimum, documented vital signs and determination of the level of consciousness every two hours, and medically appropriate detoxificationtreatment.

d. HCP must provide appropriate treatment to prevent withdrawal in opiate addicted pregnant women.

e. HCP must have a policy that addresses the management of inmates on Medications for Opioid Use Disorder (MOUD)

f. Currently the Corrections Department does have a robust MOUD program.

1. HCP must provide a line item cost for a MOUD program that at a minimum; uses MOUD as part of an opiate withdrawal protocol, assesses and screens all incoming inmates for MOUD, and starts and continues on MOUD those identified as appropriate for the program in accordance with the MOUD in Jails Services HCA Contract (Exhibit G)

2. HCP must provide a plan for aftercare and community linkage for those on the MOUD program.

3. The Corrections Department encourages collaboration among security, medical and behavioral health personnel, as well as outside community vendors to ensure continued care and medication upon release.

4. HCP must outline a program plan that would be tailored to the Cowlitz County Jail as well as a desired outcome. This plan must include the breakdown of costs associated with necessary staffing to allow the program to be successful.

1.13. COUNTY JAIL STAFF TRAINING

a. The HCP shall be able to provide training of comprehensive health issues in Jails for Corrections staff as well as continuing training updates on current and pertinent Jail health issues Training must comply with the NCCHC standards

1.14. MISCELLANEOUS

a. HCP shall be responsible for the handling, disposal and cost of medical waste in accordance with state and local regulations.

b. HCP shall comply with the grievance review process and provide timely responses to grievances pursuant to Jail Policy and Procedure.

c. HCP shall describe remedies available for any medical grievance that is sustained by the County at the last stage of the grievance process

d. HCP shall provide a consultation service to the County on any and all aspects of the health care delivery system for the Jail This includes evaluation and recommendations concerning new programs, health care delivery procedures that impact Jail officers and other systems, and other matters relating to this contract upon which the County seeks the advice and counsel of the contractor.

1.15. QUALITYASSURANCE

a. HCP shall provide for a robust quality assurance program consistent with the NCCHC Medical Quality Assurance Program, which may include but not be limited to audit and medical chart reviewprocedures

b. NCCHC required quarterly quality assurance meetings shall be held between Cowlitz County Jail Director or designee, Administrative Captain, and HCP staff The purpose of this meeting will be:

• To review significant issues, discuss changes to policy and procedures.

• To document anyproblems or issues that may have arisen and brainstorm best solutions.

• Determine the appropriate annual quality improvement studies per NCCHC standard for process and outcome studies. These will include:

1. Problem identification

2. Study

3. Plan developed & implemented

4. Results are monitored & tracked

5. Improvement is demonstrated or the problem is re-studied.

6. Report on progress each quarterly meeting with each of the 2 studies completed by the end of each fiscal year.

• HCP shall document all meeting notes and distribute the Quality Assurance Team.

c. A monthly Medical Advisory Committee Meeting (MAC) is required to discuss the current issues, discuss monthly audit reports, identify problems or report on potential high-cost inmate medical procedures and will be attended by the Administrative Captain, Jail Director or designee, Health Service Administrator, Mental Health Team members, and other appropriate HCP staff HCP will staff and provide administrative support to the committee, as well as document and distribute all meeting notes.

d. HCP will cooperate with the County staff for monthly medical file audits by making the requested medical files available for review

e. HCP will notify County staff about potential high-cost claims as they are happening or are scheduled

1.16. TRANSFER of MEDICAL INFORMATION

a. HCP will have procedures in place to transfer medical information between agencies due to transferring of inmates to other facilities.

b. All detainee transfers received from other facilities shall have an initial health screening before placement in Jail housing as if they were a new inmate

1.17. MEDICALRECORDS

a. The County currently uses TechCare as their EHR system The County desires to maintain a EHR system and will evaluate different options for doing so, as outlined in this RFP.

b. HCP must maintain medical records pursuant to the NCCHC standards as a minimum requirement.

c. All entries should be legible with signatures and titles of all persons having contact with the inmate.

d. All contact with the inmates related to health issues must be documented in the medical record.

e. HCP will ensure that the medical record contains documentation showing that the detainees received individual health education and instruction in self-care for their health conditions

f. All requests for medical care, i.e. paper requests, phone requests, verbal requests must be documented in the inmates medical record.

g. All medical records (including mental health, medication logs, treatment logs, and charts etc.) will be made available immediately upon request to County staff as needed throughout the life of the agreement.

h. Quality improvement records, Policy and Procedures and other records related to this agreement will also be made available to County staff as requested throughout the life of the agreement.

i. HCP will maintain health and medical records and chart information regarding ordering and dispensing of medications and over the counter drugs issued to inmates

1.18. REPORTING

a. HCP will have reporting processes. Cost and quality assurance reporting must be submitted to the County monthly Minimum reporting would consist of:

• Qualityassurance reports.

• Monthly actual staff reports with hourly billing rates submitted.

• Monthly statistical reporting for review at the MAC.

b. Quarterly reporting of inmates with mental health conditions to be provided to the County Mental Health program Report to include:

• Number of inmates with “Mental Illness

• Number of inmates with “severe and persistent mental illness” which is defined as psychotic disorders and major affective disorders including severe recurrent depression and bipolar disorders.

• Number of inmates placed on suicide watch.

c. HCP shall generate and provide the Director a weekly log on all inmates requiring transport to the emergency room for the prior week, Monday through Sunday. The log shall, at a minimum, identify the following: 1) Inmate’s name and Inmate number; 2) date and time of triage decision, 3) name and credential of person making the triage decision; 4) treatment facility name and 5) diagnosis

1.19. PHARMACYSERVICES

a. HCP shall use the Washington State Department of Corrections formulary that allows generic medications to be substituted for brand name medications whenever possible.

b. HCP will maintain and track pharmacy budgetary costs and formulary

c. The HCP shall utilize least cost protocols for medication

d. The system shall include prescription medications and over-the-counter medications Inmates will be given limited access to over the counter medications issued by HCP. HCP will educate inmates on the commissary function in the jail to access over the counter medications

e. All prescription medications shall be prescribed by a qualified prescribing provider.

f. All prescription medications shall be administered by an appropriate licensed staff member.

g. All controlled substances, syringes, needles and surgical instruments will be stored under security conditions acceptable to the County

h. HCP shall comply with all applicable state and federal regulations regarding prescribing,

dispensing, administering, procuring and storing pharmaceuticals.

i. HCP shall maintain starter doses of medications which, if not readily available, could compromise the detainee’s health status. HCP will have agreements in place with local pharmacies for emergency purchases of medications to avoid out of stock situations

j. HCP shall notify the Administrative Captain should an inmate be given the incorrect medication, the wrong dosage, or not receive their medication for any reason other than refusal by the inmate.

k. HCP shall ensure that all detainees receive their prescribed medications as prescribed.

l. The HCP will work with community resources, as necessary, to assure that patients on MOUD are continued on their medication without interruption.

1.20. INVOICING

a. HCP will provide for monthly billings that include a detailed breakdown of all costs actually incurred

b. Documentation to be included with the invoice will detail:

• Actual time worked reported in the same format as it was estimated in the approved staffing plan The County will only pay for actual hours worked on site up to the maximum amount included in the approved staffing plan.

• Aggregate cost reports including documentation of payments by 3rd party insurance vendors for all eligible services rendered to inmates.

• A list of all overnight hospital stays and proof of ACA / Medicaid eligibility for cost coverage. Vendor will be responsible for all costs if they fail to complete verification and eligibility under section 1 4 (f)

• The Jail Medical Services, Juvenile Medical Services, Mental Health and Substance Abuse Fund, MAT Program Fund, and the MOUD Grant Services will be invoiced separately.

1.21. TRANSITIONPLANNING

a. HCP will detail their preferred transition planning process, costs involved with the transition and the estimated time it would take to transition from the current vendor, if the current vendor is not chosen.

b. The County intends to have a contract in place a minimum of four weeks prior to the expiration of the current contract. Provide a detailed implementation plan which includes a timeline and completion dates. Part of the implementation shall include providing completed background check information on employees and vendors who deliver to the jail within one week of receiving the Notice of Intent to Award. This will allow the County to complete background checks prior to employees coming on site.

1.22. COST PROPOSAL

a. Required Services - Using the data provided in the background information section as a guide, and your understanding of the RFP requirements, provide your company’s fixed price “Proposed Total Cost for Two Years” and an estimate of ongoing costs up to five total years The proposal should address the full Scope of Services to be provided. In addition please also provide a breakdown of proposed total cost for each service listed below and an estimate of ongoing costs up to five total years.

• Total cost to provide Medical Services

• Total cost to provide Mental Health Services

• Total cost to provide services to the Juvenile Detention Center as outlined in Section 1.3.1.

• Total cost to provide a MOUD program as outlined in Section 1.12 (All costs or a portion thereof will be paid out of the MOUD Grant Services and MAT Program Fund)

b. Optional Services - Using the data provided in the background information section as a guide, and your understanding of the RFP requirements, provide your company’s fixed price for the services listed below. These services, full or in part, can be incorporated into the Inmate Health Care contract as a proposed total cost or they can be proposed as a standalone service provided separately and/or in complete separation from the services listed in 1.22 a. In concept there could be separate vendors selected for the cost proposal and services offered in 1.22 a and those offered in 1.22 b. The proposal should address the full Scope of Services to be provided. In addition, please also provide a breakdown of the proposed total cost for each service listed below and an estimate of ongoing costs up to five total years. With the exception of number iv, scoring criteria for optional services can be found in Exhibit J.

i. Total cost to provide an electronic health records system that must integrate with our current JMS (Spillman) (Exhibit I). Any cost associated with integration will be the responsibility of the proposer.

ii. Total cost to provide billing and claims management services in accordance with the Medication Transformation Project (Exhibit E&F) and to scrub all other medical service billing that does not qualify as reimbursable through Medicaid.

iii. Total cost to provide pharmaceutical services to the jail in accordance with Exhibit H (Pharmacy Services) and to provide all pharmaceutical billing services in accordance with the Medication Transformation Project (Exhibit E&F).

iv. The Cowlitz County Corrections Department has an interest in any options that reduce the overall cost of the Inmate Health Care Contract. Proposers have the choice to propose, as a secondary option, contracted services that do not meet all the requirements contained in the NCCHC standards This secondary and

optional proposal will be scored in accordance with Inmate Health Care RFP #08-2025. Proposals must include sufficient, detailed information as to the variance from the required services contained in Inmate Health Care RFP #082025 and NCCHC requirements.

1.23. CONTINUITY OF OPERATIONS PLAN

a Proposer shall include a contingency plan to provide for services in the event of unexpected interruptions of the normal working conditions, i.e , power failure, fire, inclement weather, riot, lock-down, labor strikes or acts of God that would preclude normal expectations

1.24. RESPONSEITEMS

1. Proposals will be graded on a point scale, with the contract to be awarded to the highest calculation.

Applicant Capability (35 total points)

a. Describe your structure, service history, and experience for all contracts over the past three years (5 points)

b. Describe all current or past experience with other jail facilities of similar size and diverse populations (5 points)

c. Describe your experience in obtaining and maintaining NCCHC accreditation at your current locations (5 points)

d. Provide your current operating budget (10 points)

e. Provide your last audit/most recent financial review (10 points)

Program/Design Strategy (80 total points)

a. Describe your program model and service strategy for providing inmate health services that meet NCCHC standards. (10 points)

b. Document your transition plan for assuming services if you are the successful proposer and document an exit plan for the end of the contract should you not be successful in the next solicitation (5 points)

c. Demonstrate that you have a proven system of recruiting and training staff and have adequate support staff at the central office to assume the administrative functions of the agreement. (10 points)

d. What is the minimum level of staff required to meet the stated scope of work and meet NCCHC standards? (5 points)

e. What are your planned operational staffing levels? (10 points)

f. Indicate what the measurable service objectives and outcomes will be This should demonstrate what you want to accomplish and how you will know if you are successful and effective in making and impact on the target population (5 points)

g. The County has an interest in minimizing the cost of transporting, hospitalization, and outside treatment while still meeting NCCHC standards of quality care. Describe your strategy to

reduce transportation costs and detail how you will provide primary care in the facility. (10 points)

h. Include your current process for determination of medically necessary procedures and authorization process for off-site procedures (5 points)

i. Describe your process for timely response to health care services grievances. (5 points)

j. Describe the method that will be used to ensure complete staffing including an organizational chart. (5 points)

k. Include a discussion on your ability to track and care for chronic needs of inmates. (10 points)

Pharmacy Issues (10 points total)

l. HCP shall state their understanding and ability to comply with the Washington DOC formulary with proposal and alternative administration for detainees with swallowing issues, or history of hording (palming or cheeking) medications and causing a Jail security situation (5 points)

m. Describe how you will comply with security procedures from section 1.19 (g), all controlled substances, syringes, needles and surgical instruments will be stored under security conditions acceptable to the County (5 points)

Equipment and Supplies (5 points total)

n. Include a listing of any equipment that you would require the County to provide

Quality Assurance (35 points total)

o. Describe your quality assurance program, how it works, include sample reports, company standards that must be met and process for improvement. Clearly discuss how this meets the NCCHC standard for continuous quality improvement. (10 points)

p. Describe how you will handle complaints from staff and/or inmates Provide detail of grievance procedures Describe, by use of an example or other detail, types of complaints the applicant has determined to be a client grievance. (5 points)

q. Describe your internal monitoring system for assuring operational efficiency and effectiveness, fiscal integrity, compliance with current rules and regulations and contract performance requirements. (5 points)

r. Explain your methods for identifying and preventing deficiencies in quality of service performed by HCP staff before the level of performance becomes unacceptable. (10 points)

s. HCP shall have a policy and practice of treating people confined in jail humanely and respectfully Provide a copy of your policies, procedures, company standards or training that sets out the expectations of HCP staff in regard to treatment of patients. (5 points)

Reporting – All report samples shall be submitted in electronic format only. Reports shall be in a separate file labeled “Sample Reports”. (35 points total)

t. Monthly statistical reporting for review at the Medical Advisory Committee (Exhibit C for sample of a statistics report) Describe your strategies to ensure that these stats are accurate and produced to the Jail Director each month. Include your ability to meet requirements and identify standard penalties for not meeting these requirements. (25 points)

u. Include sample forms and reports that would accompany the invoices. Provide a detailed explanation of what is included to ensure accuracy and quality control of all invoices billed to the County. Provide any other sample reports available for review. (10 points)

Budget (100 points total)

v. Provide a breakdown of anticipated costs on the attached required form (Attachment D) All proposals must contain a not to exceed price per month for staffing, billing rates for all on-site staff, indirect costs, and administrative costs. (35 points)

w. Describe your strategies for cost containment, determining your aggregate cost estimates and meeting your aggregate cost estimates at other locations as identified in your references. Include your ability to meet minimum daily and weekly staffing requirements and identify standard penalties for not meeting these requirements. (20 points).

x. Explain how your financial reporting system meets the requirements of generally accepted accounting practices. (5 points)

y. All proposals must provide a daily and weekly staffing plan with job titles and hourly billing rates (5 points)

z. Describe how your company staff salaries fit within the US Department of Labor for Washington and Oregon wage scales. (5 points)

aa. Describe how you achieve favorable billing rates with local hospitals for emergency and inpatient care, and your contracting strategy to achieve this goal and provide examples of agreement terms that you have reached with hospitals near your facilities including the length of time the contracts have been in place. (5 points)

bb. Include a sample invoice that will match your cost estimate (5 points)

cc. Describe your strategies for controlling emergency and inpatient hospital costs. (15 points)

dd. Clearly identify any costs or charges that are not already detailed (5 points)

Third Party Insurance Impacts (20 points total)

ee. Describe in detail your process for identification of insurance companies that may be responsible for medical care for covered inmates This will include private insurance as well as ACA/Medicaid insurance coverage. (10 points)

ff. Include process for billing insurance carriers for any procedure provided to the inmate that may be allowed. (10 points)

Corporate, Tort Claims, and Litigation (50 points total)

gg. Describe in detail your organization’s history of and approach to handling tort claims and litigation for healthcare services provided in corrections facilities. Include a list of all tort claims and state or federal litigation over the last three years arising from the provision of any healthcare services, including claims for negligence, medical malpractice or deliberate indifference, and the outcome of those claims and cases. All cases must be identified by the facility location where the claim occurred, the court it was filed in, case number, and name of parties. (25 points)

hh. For all tort claims and litigation reported in above indicate whether your organization accepted full tender, partial tender, or denied tender of those claims. (25 points)

References (will be contacted and rated based upon their satisfaction with services provided) (30 points)

ii. Responder must include at least three references for like services. Preference will be given for references that fall within the geographical boundaries of the 9th Circuit Court of Appeals (10 points)

jj. Responder will include a list of all facilities (where these services were provided within the geographical boundaries of the 9th Circuit Court of Appeals) for the prior three years (10 points)

kk. References and list of prior locations must contain the following information: (10 points)

• Location where like services are currently provided.

• Contact information for contract administrator and jail command staff representative:

I. Name & title

II. Emailaddress

III. Phone number

IV. Address of the location

V. Length of engagement at this location

1.25 MINIMUMQUALIFICATIONS

Minimum qualifications include:

• Licensed to do business in the State of Washington or provide a commitment that it will become licensed in Washington within thirty (30) calendar days of being selected as the ApparentlySuccessfulContractor.

1.26 PERIOD OF PERFORMANCE

The period of performance of any contract resulting from this RFP is tentatively scheduled to begin on or about 10-01-2025 and to end on 12-31-2027 Amendments extending the period of performance, if any, shall be at the sole discretion of the COUNTY

The COUNTY reserves the right to extend the contract for three one-year periods

1.27 CONTRACTING WITH FORMER WASHINGTON PUBLIC EMPLOYEES

Washington State Department of Retirement System reporting requirements apply to public entities contracting with former Washington public employees pursuant to WAC 415-02-110, DRS Email 13011 and DRS Email 09-001 Proposers should familiarize themselves with these reporting requirements to the County before submitting a proposal that includes former public employees Information regarding these requirements can be found on the WA Department of Retirement System’s Independent Contractor Verification and State Retirement Status Reporting Form located on the last page of this document.

1.28 ADA

The COUNTY complies with the Americans with Disabilities Act (ADA). Consultants may contact the RFP Coordinator to receive this Request for Proposals in Braille or on tape.

2. GENERAL INFORMATION FOR CONSULTANTS

2.1.

RFPCOORDINATOR

The RFP Coordinator is the sole point of contact in the COUNTY for this procurement. All communication between the Consultant and the COUNTY upon release of this RFP shall be with the RFP Coordinator, as follows:

Name Ashley Claussen

E-MailAddress claussena@cowlitzwa.gov

Mailing Address 1600 13th ave Longview, WA 98632

PhysicalAddress for Delivery 1935 1st Ave

Kelso, WA 98626

Phone Number 360-577-3030x6856

Fax Number N/A

Any other communication will be considered unofficial and non-binding on the COUNTY. Consultants are to rely on written statements issued by the RFP Coordinator. Communication directed to parties other than the RFP Coordinator may result in disqualification of the Consultant.

2.2. ESTIMATED SCHEDULE OF PROCUREMENT ACTIVITIES

Issue Request for Proposals

Question & answer period ends -

Postquestions/responses

Issue last addendum to RFP

June, 5. 2025

June 12, 2025

June 13, 2025

June 17, 2025

Proposals due August 04, 2025

Evaluateproposals

Conduct interviews/Demos with finalists, if deemed necessary

Announce “Apparent Successful Contractor” and send notification via fax or e-mail to unsuccessful proposers

August 05, 2025

Week of Aug. 11, 2025

August 18, 2025

Negotiate contract and have signed contract approved September 09, 2025

Begin contract work October 1, 2025

The COUNTY reserves the right to revise the above schedule.

2.3 PRE-PROPOSALCONFERENCE

There will be NO mandatory pre-proposal meeting held for this RFP, Proposers wishing to tour the facility prior to the proposal due date may make arrangements by contacting Captain Chris Moses A site tour is not mandatory but recommended.

Upon the close of the proposal due date the County may, if deemed necessary, request a demonstration/and or interview of contractors proposed services.

COUNTY will be bound only to COUNTY’S written answers to questions Questions arising during a site tour or in subsequent communication with the RFP Coordinator will be documented and answered in written form A copy of the questions and answers will be sent to each prospective Consultant that has received a copy of the RFP or made the RFP Coordinator aware of its interest in this procurement.

2.4 SUBMISSION OF PROPOSALS

HARD COPY PROPOSALS:

Consultants are required to submit one (1) one copy of their proposal. One (1) electronic copy (CD or Flash Drive) must be included. The proposal, whether mailed or hand delivered, must arrive at the COUNTY no later than 11:00 AM, Pacific Standard Time or Pacific Daylight Time on August 04, 2025

The proposal is to be sent to the address noted below and in the solicitation The envelope should be clearlymarked:

Attn: Ashley Claussen Inmate Health Care Services #08-2025

1600 13th ave Longview, WA 98632

Consultants mailing proposals should allow normal mail delivery time to ensure timely receipt of their proposals by the RFP Coordinator. Consultants assume the risk for the method of delivery chosen The COUNTY assumes no responsibility for delays caused by any delivery service. Proposals may not be transmitted using facsimile transmission.

Late proposals will not be accepted and will be automatically disqualified from further consideration. All proposals and any accompanying documentation become the property of the COUNTY and will not be returned.

2.5 PROPRIETARY INFORMATION/PUBLIC DISCLOSURE

Proposals submitted in response to this competitive procurement shall become the property of the COUNTY All proposals received shall remain confidential until the contract, if any, resulting from this RFP is signed by the Director of the COUNTY, or Designee, and the apparent successful Contractor; thereafter, the proposals shall be deemed public records as defined in Chapter 42 56 of the Revised Code of Washington (RCW).

Any information in the proposal that the Consultant desires to claim as proprietary and exempt from disclosure under the provisions of Chapter 42 56 RCW, or other state or federal law that provides for

the nondisclosure of your document, must be clearly designated. The information must be clearly identified and the particular exemption from disclosure upon which the Consultant is making the claim must be cited Each page containing the information claimed to be exempt from disclosure must be clearly identified by the words “Proprietary Information” printed on the lower right hand corner of the page. Marking the entire proposal exempt from disclosure or as Proprietary Information will not be honored

If a public records request is made for the information that the Consultant has marked as "Proprietary Information," the COUNTY will notify the Consultant of the request and of the date that the records will be released to the requester unless the Consultant obtains a court order enjoining that disclosure. If the Consultant fails to obtain the court order enjoining disclosure, the COUNTY will release the requested information on the date specified If a Consultant obtains a court order from a court of competent jurisdiction enjoining disclosure pursuant to Chapter 42.56 RCW, or other state or federal law that provides for nondisclosure, the COUNTY shall maintain the confidentiality of the Consultant's information per the court order.

A charge will be made for copying and shipping, as outlined in RCW 42.56 No fee shall be charged for inspection of contract files, but twenty-four (24) hours’ notice to the RFP Coordinator is required. All requests for information should be directed to the RFP Coordinator.

2.6 REVISIONS TO THE RFP

In the event it becomes necessary to revise any part of this RFP, addenda will be provided via e-mail to all individuals, who have made the RFP Coordinator aware of their interest. Addenda will also be published on http://www.co.cowlitz wa.us/bids.aspx For this purpose, the published questions and answers and any other pertinent information shall be provided as an addendum to the RFP and will be placed on the website. If you downloaded this RFP from the COUNTY website located at: http://www.co.cowlitz wa.us/bids.aspx , you are responsible for sending your name, e-mail address, and telephone number to the RFP Coordinator in order for your organization to receive any RFP addenda.

The COUNTY also reserves the right to cancel or to reissue the RFP in whole or in part, prior to execution of a contract.

2.7 MINORITY & WOMEN-OWNED BUSINESS PARTICIPATION

Cowlitz County encourages participation in all of its contracts by firms certified by the Office of Minority and Women’s Business Enterprises (OMWBE). Participation may be either on a direct basis in response to this solicitation or on a subcontractor basis However, no preference will be included in the evaluation of proposals, no minimum level of MWBE participation shall be required as a condition for receiving an award, and proposals will not be rejected or considered non-responsive on that basis.

2.8 ACCEPTANCEPERIOD

Proposals must provide 60 days for acceptance by COUNTY from the due date for receipt of proposals

2.9 RESPONSIVENESS

All proposals will be reviewed by the RFP Coordinator to determine compliance with administrative requirements and instructions specified in this RFP The Consultant is specifically notified that failure to comply with any part of the RFP may result in rejection of the proposal as non-responsive.

The COUNTY also reserves the right at its sole discretion to waive minor administrative irregularities.

2.10 MOST FAVORABLE TERMS

The COUNTY reserves the right to make an award without further discussion of the proposal submitted. Therefore, the proposal should be submitted initially on the most favorable terms which the Consultant can propose. There will be no best and final offer procedure. The COUNTY does reserve the right to contact a Consultant for clarification of its proposal

The Apparent Successful Contractor should be prepared to accept this RFP for incorporation into a contract resulting from this RFP Contract negotiations may incorporate some or all of the Consultant’s proposal It is understood that the proposal will become a part of the official procurement file on this matter without obligation to the COUNTY

2.11 CONTRACT AND GENERAL TERMS & CONDITIONS

The apparent successful contractor will be expected to enter into a contract which is substantially the same as the County’s standard personal services contract and in accordance with the general terms and conditions therein, attached as Exhibit B In no event is a Consultant to submit its own standard contract terms and conditions in response to this solicitation The Consultant may submit proposed exceptions as allowed in the Certifications and Assurances form, Exhibit A to this solicitation All exceptions to the contract terms and conditions must be submitted by Consultant as an attachment to Exhibit A, Certifications and Assurances form, or the standard contract shall be deemed accepted, as attached The COUNTY will review requested exceptions and accept or reject the same at its sole discretion in awarding the contract.

2.12 COSTS TO PROPOSE

The COUNTY will not be liable for any costs incurred by the Consultant in preparation of a proposal submitted in response to this RFP, in conduct of a presentation, or any other activities related to responding to this RFP.

2.13 NO OBLIGATION TO CONTRACT

This RFP does not obligate the COUNTY to contract for services specified herein.

2.14 REJECTION OF PROPOSALS

The COUNTY reserves the right at its sole discretion to reject any and all proposals received without penalty and not to issue a contract as a result of this RFP

2.15 COMMITMENT OF FUNDS

The Board of County Commissioners or duly elected official are the only individual(s) who may legally commit the COUNTY to the expenditures of funds for a contract resulting from this RFP No cost chargeable to the proposed contract may be incurred before receipt of a fully executed contract.

2.16 ELECTRONIC PAYMENT

Cowlitz County prefers to utilize electronic payment such as EFT, ACH or the County P-Card in its transactions The successful contractor will be provided a form to complete with the contract to authorize such payment methods.

2.17 INSURANCE COVERAGE

The Contractor is to furnish the COUNTY with a certificate(s) of insurance executed by a duly authorized representative of each insurer, showing compliance with the insurance requirements set forth below

The Contractor shall, at its own expense, obtain and keep in force insurance coverage which shall be maintained in full force and effect during the term of the contract. The Contractor shall furnish evidence in the form of a Certificate of Insurance that insurance shall be provided, and a copy shall be forwarded to the COUNTY within fifteen (15) days of the contract effective date.

The Contractor shall maintain in full force and effect during the term of this Agreement, and until final acceptance of the work, public liability and property damage insurance with companies or through sources approved by the state insurance commissioner pursuant to RCW Title 48, as now or hereafter amended. The County, its appointed and elected officials, agents and employees, shall be specifically named as additional insureds in a policy with the same company which insures the Contractor or by endorsement to an existing policy or with a separate carrier approved pursuant to RCW Title 48, as now or hereafter amended, and the following coverages shall be provided:

COMPREHENSIVEGENERALLIABILITY:

Bodily injury, including death.

$1,000,000 per occurrence

Propertydamage occurrence $1,000,000 per

ERRORS AND OMISSIONS or PROFESSIONAL

LIABILITY with an Extended Reporting Period

Endorsement (two year tail). Occurrence

$5,000,000 per $25,000,000 aggregate

WORKERS COMPENSATION: Statutoryamount

AUTOMOBILE: coverage on owned, non-owned, rented and hired vehicles

Bodily injury, liability, including death occurrence

Property damage liability occurrence

$1,000,000 per

$1,000,000 per

All Contractor’s and Contractor’s subcontractors’ insurance policies and additional named insured endorsements shall provide primary insurance coverage and be non-contributory Any insurance, self-insured retention, deductible, risk retention or insurance pooling maintained or participated in by the County shall be excess and not contributory to such insurance policies. All Contractor’s and Contractor’s subcontractors’ liability insurance policies must be endorsed to show this primary coverage.

Upon request, the Contractor shall provide a full and complete certified copy of all requested insurance policies to the County The County reserves the right, but not the obligation, to revise any insurance requirement, not limited to limits, coverages and endorsements, or to reject any insurance policies which fail to meet the requirements of this Agreement. Additionally, the County reserves the right, but not the obligation, to review and reject any proposed insurer providing coverage based upon the insurer’s financial condition or licensing status in Washington Any deductibles and/or self-insured retentions exceeding $10,000, stop loss provisions, and/or exclusions contained in such policies must be approved by the County in writing For any deductibles or self-insured retentions exceeding $10,000 or any stop-loss provisions, the County shall have the right to request and review the Contractor’s most recent annual financial reports and audited financial statements as a condition of approval

Contractor hereby agrees to a waive subrogation with respect to each insurance policy maintained under this Agreement. When required by an insurer, or if a policy condition does not permit Contractor to enter into a pre-loss agreement to waive subrogation without an endorsement, then Contractor agrees to notify the insurer and obtain such endorsement. This requirement shall not apply to any policy which includes a condition expressly prohibiting waiver of subrogation by the insured or which voids coverage should the Contractor enter into such a waiver of subrogation on a pre-loss basis.

The County, its departments, elected and appointed officials, employees, agents and volunteers shall be named as additional insureds on Contractor’s and Contractor’s subcontractors’ insurance policies by way of endorsement for the full available limits of insurance maintained by the Contractor and subcontractor, and all coverage shall be primary and non-contributory A statement or notation of additional insured status on a Certificate of Insurance shall not satisfy these requirements. [This endorsement shall not be required if the Contractor is a governmental entity and is insured through a governmental entity risk pool authorized by the State of Washington.]

The Contractor shall, for each required insurance policy, provide a Certificate of Insurance, with endorsements attached, evidencing all required coverages, limits, deductibles, selfinsured retentions and endorsements and which is conditioned upon the County receiving thirty (30) days prior written notice of reduction in coverages, cancellation or non-renewal Each Certificate of Insurance and all insurance notices shall be provided to: ATTN: Risk Manager, Cowlitz County Administrative Svc., 207 4th Ave. N., Kelso, WA 98626. This Agreement shall be void ab initio if the proof of coverage is not timely supplied

The insurance maintained under this Agreement shall not in any manner limit or qualify the liabilities or obligations of the Contractor under this Agreement. All insurance policy deductibles and self-insured retentions for policies maintained under this Agreement shall be paid by the Contractor.

Compensation and/or payments due to the Contractor under this Agreement are expressly conditioned upon the Contractor’s strict compliance with all insurance requirements. Payment to the Contractor shall be suspended in the event of non-compliance. Upon receipt of evidence of Contractor’s compliance, payments not otherwise subject to withholding or set-off will be released to the Contractor. This Agreement shall be void ab initio if the proof of coverage is not timely supplied.

If the Errors and Omissions or Professional Liability insurance obtained is an occurrence policy as opposed to a claims-made policy, the Extended Reporting Period Endorsement is not required

Workers’ Compensation Coverage

The Contractor will at all times comply with all applicable workers’ compensation, occupational disease, and occupational health and safety laws, statutes, and regulations to the full extent applicable. The County will not be held responsive in any way for claims filed by the Contractor or theiremployees for services performed under the terms of this contract.

2.18 Cooperative Purchase: This bid and contract is anticipated for use by other government agencies. The host agency of this bid and contract has entered into intergovernmental (Interlocal) purchasing agreements pursuant to RCW 39.34 with other government agencies. Interlocal purchasing agreements allow either party to make purchases at the other party's accepted bid price. By submitting an Offer, the Contractor agrees to make the same bid terms and price, exclusive of freight and transportation fees, available to other such governmental agencies. The host agency will in no way whatsoever incur any liability in relation to specifications, delivery, payment, or any other aspect of purchases by such agencies.

3. PROPOSAL CONTENTS

Proposals must be written in English, with tabs separating the major sections of the proposal The four major sections of the proposal are to be submitted in the order noted below:

1. Letter of Submittal, including signed Certifications and Assurances (Exhibit A to this RFP)

2. TechnicalProposal

3. ManagementProposal

4. Response Items

5. Cost Proposal

3.1. LETTER OF SUBMITTAL

The Letter of Submittal and the attached Certifications and Assurances form (Exhibit A to this RFP) must be signed and dated by a person authorized to legally bind the Consultant to a contractual relationship, e.g., the President or Executive Director if a corporation, the managing partner if a partnership, or the proprietor if a sole proprietorship. Along with introductory remarks, the Letter of Submittal is to include by attachment the following information about the Consultant and any proposed subcontractors:

1. Name, address, principal place of business, telephone number, and fax number/e-mail address of legal entity or individual with whom contract would be written.

2. Name, address, and telephone number of each principal officer (President, Vice President, Treasurer, Chairperson of the Board of Directors, etc.)

3. Legal status of the Consultant (sole proprietorship, partnership, corporation, etc.) and the year the entity was organized to do business as the entity now substantially exists

4. Federal Employer Tax Identification number or Social Security number and the Washington Uniform Business Identification (UBI) number issued by the state of Washington Department of Revenue If the Consultant does not have a UBI number, the Consultant must state that it will become licensed in Washington within thirty (30) calendar days of being selected as the ApparentlySuccessfulContractor.

5. Location of the facility from which the Consultant would operate

3.2. TECHNICALPROPOSAL

The Technical Proposal must contain a comprehensive description of services including the following elements:

A. Project Approach/Methodology – Include a complete description of the Consultant’s proposed approach and methodology for the project. This section should convey Consultant’s understanding of the proposed project.

B. Work Plan - Include all project requirements and the proposed tasks, services, activities, etc. necessary to accomplish the scope of the project defined in this RFP This section of the technical proposal must contain sufficient detail to convey to members of the evaluation team

the Consultant’s knowledge of the subjects and skills necessary to successfully complete the project. Include any required involvement of COUNTY staff The Consultant may also present any creative approaches that might be appropriate and may provide any pertinent supportingdocumentation

C. Project Schedule - Include a project schedule indicating when the elements of the work will be completed. Project schedule must ensure that any deliverables requested are met.

D. Outcomes and Performance Measurement – Describe the impacts/outcomes the Consultants propose to achieve as a result of the delivery of these services including how these outcomes would be monitored, measured and reported to the COUNTY

E. Risks - The Consultant must identify potential risks that are considered significant to the success of the project. Include how the Consultant would propose to effectively monitor and manage these risks, including reporting of risks to the COUNTY’S contract manager.

F. Deliverables – Fully describe deliverables to be submitted under the proposed contract. Deliverables must support the requirements set forth in Section 1 3, Project Specifications and Scope of Work.

3.3. MANAGEMENTPROPOSAL

A. Project Management

1. Project Team Structure/Internal Controls - Provide a description of the proposed project team structure and internal controls to be used during the course of the project, including any subcontractors Provide an organizational chart of your firm indicating lines of authority for personnel involved in performance of this potential contract and relationships of this staff to other programs or functions of the firm This chart must also show lines of authority to the next senior level of management. Include who within the firm will have prime responsibility and final authority for the work

C. RelatedInformation

1. If the Consultant’s staff or subcontractor’s staff was a public employee within the state of Washington during the past 24 months, or is currently a Washington public employee, identify the individual by name, the agency previously or currently employed by, job title or position held and separation date.

2. If the Consultant has had a contract terminated for default in the last five years, describe such incident. Termination for default is defined as notice to stop performance due to the Consultant’s non-performance or poor performance and the issue of performance was either (a) not litigated due to inaction on the part of the Proposer, or (b) litigated and such litigation determined that the Proposer was in default.

3. Submit full details of the terms for default including the other party's name, address, and phone number. Present the Consultant’s position on the matter. The COUNTY will evaluate the facts and may, at its sole discretion, reject the proposal on the grounds of the past experience. If no such termination for default has been experienced by the Consultant in the past five years, so indicate

3.4. RESPONSEITEMS

A. Response Items

Provide a copy of all answers from Section 1.24.

Submit all requested reports and samples in electronic format only. Present them in a separate file labeled “ Sample Reports”

3.5. COST PROPOSAL

The evaluation process is designed to award this procurement not necessarily to the Consultant of least cost, but rather to the Consultant whose proposal best meets the requirements of this RFP

A Identification of Costs

Identify all costs in U.S dollars including expenses to be charged for performing the services necessary to accomplish the objectives of the contract. The Consultant is to submit a fully detailed budget including staff costs and any expenses necessary to accomplish the tasks and to produce the deliverables under the contract. Consultants are required to collect and pay Washington state sales and use taxes, as applicable.

Costs for subcontractors are to be broken out separately. Please note if any subcontractors are certified by the Office of Minority and Women’s Business Enterprises.

. OMWBE Certification (OPTIONAL AND NOT SCORED)

Include proof of certification issued by the Washington State Office of Minority and Women’s Business Enterprises (OMWBE) if certified minority-owned firm and/or women-owned firm(s) will be participating on this project. For information: http://www.omwbe.wa.gov

4. EVALUATION AND CONTRACT AWARD

4.1. EVALUATIONPROCEDURE

Responsive proposals will be evaluated strictly in accordance with the requirements stated in this solicitation and any addenda issued. The evaluation of proposals shall be accomplished by an evaluation team(s), to be designated by the COUNTY, which will determine the ranking of the proposals.

COUNTY, at its sole discretion, may elect to select the top-scoring firms as finalists for an oral presentation.

The RFP Coordinator may contact the Consultant for clarification of any portion of the Consultant’s proposal

4.2. EVALUATION WEIGHTING AND SCORING

The following weighting and points will be assigned to the proposal for evaluation purposes:

400 POINTS

COUNTY reserves the right to award the contract to the Consultant whose proposal is deemed to be in the best interest of the COUNTY

4.3.

ORAL PRESENTATIONS MAY BE REQUIRED

The COUNTY may after evaluating the written proposals elect to schedule oral presentations of the finalists. Should oral presentations become necessary, the COUNTY will contact the top-scoring firm(s) from the written evaluation to schedule a date, time and location. Commitments made by the Consultant at the oral interview, if any, will be considered binding

CHOICES FOR ORAL SCORING:

The oral presentation will determine the apparent successful contractor OR The scores from the written evaluation and the oral presentation combined together will determine the apparent successfulcontractor.

4.4. NOTIFICATION TO PROPOSERS

The COUNTY will notify the Apparently Successful Contractor of their selection in writing upon completion of the evaluation process Individuals or firms whose proposals were not selected for further negotiation or award will be notified separately by e-mail or facsimile

4.5. PROTESTPROCEDURE

Protests may be made only by Consultants who submitted a response to this solicitation document. The Consultant is allowed three (3) business days to file a protest of the acquisition with the County Purchasing Manager Protests must be received by the Purchasing Manager no later than 4:30 PM, local time, in Longview, Washington on the third business day following the award Protests may be submitted by e-mail, but must then be followed by the document with an original signature.

Purchasing Coordinator

Ashley Claussen

Phone: 360-577-3030x6856 claussena@cowlitzwa.gov

Consultants protesting this procurement shall follow the procedures described below Protests that do not follow these procedures shall not be considered This protest procedure constitutes the sole administrative remedy available to Consultants under this procurement.

All protests must be in writing, addressed to the Purchasing Coordinator, and signed by the protesting party or an authorized Agent. The protest must state the RFP number, the grounds for the protest with specific facts and complete statements of the action(s) being protested A description of the relief or corrective action being requested should also be included.

Only protests stipulating an issue of fact concerning the following subjects shall be considered:

• A matter of bias, discrimination or conflict of interest on the part of an evaluator;

• Errors in computing the score;

• Non-compliance with procedures described in the procurement document or COUNTY policy

Protests not based on procedural matters will not be considered Protests will be rejected as without merit if they address issues such as: 1) an evaluator’s professional judgment on the quality of a proposal, or 2) COUNTY’S assessment of its own and/or other agencies needs or requirements.

Upon receipt of a protest, a protest review will be held by the COUNTY. The COUNTY Purchasing Coordinator or an employee delegated by the Purchasing Coordinator who was not involved in the procurement will consider the record and all available facts and issue a decision within five (5) business days of receipt of the protest. If additional time is required, the protesting party will be notified of the delay

In the event a protest may affect the interest of another Consultant that also submitted a proposal, such Consultant will be given an opportunity to submit its views and any relevant information on the protest to the Purchasing Coordinator

The final determination of the protest shall:

• Find the protest lacking in merit and uphold the COUNTY’s action; or

• Find only technical or harmless errors in the COUNTY’s acquisition process and determine the COUNTY to be in substantial compliance and reject the protest; or

• Find merit in the protest and provide the COUNTY options which may include:

Correct the errors and re-evaluate all proposals, and/or

Reissue the solicitation document and begin a new process, or Make other findings and determine other courses of action as appropriate.

If the COUNTY determines that the protest is without merit, the COUNTY will enter into a contract with the apparent successful contractor. If the protest is determined to have merit, one of the alternatives noted in the preceding paragraph will be taken

5. RFP EXHIBITS

Exhibit A Certifications and Assurances

Exhibit B Personal Service Contract Format including General Terms and Conditions (GT&Cs)

Exhibit C MedicalStatistics

Exhibit D Staffing Plan (Costs) Worksheet

Exhibit E Medication Transformation Project

Exhibit F Reentry Initiative Policy and Operations Guide

Exhibit G MOUD in Jails Services HCA Contract

Exhibit H Pharmacy Services

Exhibit I Electronic Health Records

Exhibit J Optional Services Scoring

CERTIFICATIONSANDASSURANCES

I/we make the following certifications and assurances as a required element of the proposal to which it is attached, understanding that the truthfulness of the facts affirmed here and the continuing compliance with these requirements are conditions precedent to the award or continuation of the related contract:

1. I/we declare that all answers and statements made in the proposal are true and correct.

2. The prices and/or cost data have been determined independently, without consultation, communication, or agreement with others for the purpose of restricting competition However, I/we may freely join with other persons or organizations for the purpose of presenting a single proposal

3. The attached proposal is a firm offer for a period of 60 days following receipt, and it may be accepted by the COUNTY without further negotiation (except where obviously required by lack of certainty in key terms) at any time within the 60-day period

4. I/we understand that the COUNTY will not reimburse me/us for any costs incurred in the preparation of this proposal All proposals become the property of the COUNTY, and I/we claim no proprietary right to the ideas, writings, items, or samples, unless so stated in this proposal.

5. Unless otherwise required by law, the prices and/or cost data which have been submitted have not been knowingly disclosed by the Proposer and will not knowingly be disclosed by him/her prior to opening, directly or indirectly, to any other Proposer or to any competitor.

6. I/we agree that submission of the attached proposal constitutes acceptance of the solicitation contents and the attached sample contract and general terms and conditions. If there are any exceptions to these terms, I/we have described those exceptions in detail on a page attached to this document.

7. No attempt has been made or will be made by the Proposer to induce any other person or firm to submit or not to submit a proposal for the purpose of restricting competition

8. I/we grant the COUNTY the right to contact references and other, who may have pertinent information regarding the ability of the Consultant and the lead staff person to perform the services contemplated by this RFP.

9. If any staff member(s) who will perform work on this contract has retired from the State of Washington under the provisions of the 2008 Early Retirement Factors legislation, his/her name(s) is noted on a separatelyattached page.

We (circle one) are / are not submitting proposed Contract exceptions (See Section 2 10, Contract and General Terms and Conditions.) If Contract exceptions are being submitted, I/we have attached them to this form

On behalf of the Consultant submitting this proposal, my name below attests to the accuracy of the above statement

Signature of Proposer

Title Date

PERSONAL SERVICESAGREEMENT

ContractNumber:

THIS AGREEMENT is entered into between COWLITZ COUNTY, a political subdivision of the State of Washington, (hereinafter called "County" or "Cowlitz County") and

Name:

Address :

Phone No: (hereinafter called "Contractor").

This Agreement is comprised of:

Attachment A – Scope of Work

Attachment B – Compensation

Attachment C – General Conditions

Attachment D – Special Terms and Conditions and Retirement Status Form (signature required)

Attachment E – (specify)

copies of which are attached hereto and incorporated herein by this reference as if fully set forth.

The term of this Agreement shall commence on the day of 20 and shall, unless terminated as provided elsewhere in the Agreement, terminate on the day of , 20

IN WITNESS WHEREOF, the parties have executed this Agreement on this day of 20 .

CONTRACTOR: [2014 ver. 3]

COWLITZCOUNTY:

Print name:

Title: Date: 20

(Optional for Commissioner Approval) ATTEST:

Tiffany Ostreim, Clerk of the Board

Title: (BOCC approval subject to Board ratification or authorization)

CONTRACT HAS BEEN APPROVED AS TO FORM BY COWLITZ COUNTY PROSECUTING ATTORNEY

SCOPE OF WORK

The contractor agrees to complete the professional services work for Cowlitz County, as described below (or in the attached document), including the following elements:

In the event the Contractor, or its agents or assigns, are unable to complete their work as scheduled, the contract period and compensation may be adjusted by mutual agreement of the County and Contractor.

COMPENSATION

1. a. FIXED FEE FOR SERVICE: For services rendered, the County shall pay to the Contractor a fixed fee of DOLLARS ($ ) for the completed work set forth in Attachment “A.”. Payments for completed tasks shall be made no more frequently than bi-monthly; quarterly; semi-annually; annually; at completion of project; other (specify) .

Each request for payment shall be supported by an invoice specifying the tasks completed up to the request for payment and the payment amount requested In no event shall payment be sought in an amount which represents a percentage of the fee greater than the percentage of completed tasks

OR

b. HOURLY RATES: For services rendered, the County shall compensate the Contractor at the following hourlyrates:

Name/Position Hourly Rate

Payments for completed tasks shall be made no more frequently than monthly; quarterly; semiannually; annually; at completion of project; other (specify)

Each request for payment shall be supported by an invoice specifying: the name/position of the Contractor’s employee if two or more are identified above; number of hours worked; completed tasks for which compensation is sought and; payment amount requested.

In no event shall Contractor be compensated in excess of DOLLARS for the completed work set forth in Attachment “A.”

2. AND

a. The compensation set forth herein includes, without limitation: labor, materials, equipment, travel, telephone, computer, copiers and the like.

OR

b. The County shall reimburse the Contractor for actual expenses incurred for travel, telephone, copiers and computer. Reimbursement for airfare, mileage, meals and/or accommodations shall be at the same rate as that applicable to county employees traveling on county business

OR

c. Other (specify) The County, in addition to the compensation herin set forth shall provide to the Contractor the following:

GENERALCONDITIONS

1. Scope of Contractor's Services The Contractor agrees to provide to the County services and any materials set forth in the project narrative identified as Attachment A during the agreement period. No material, labor, or facilities will be furnished by the County, except as provided for herein.

2. Accounting and Payment for Contractor Services Payment to the Contractor for services rendered under this Agreement shall be as set forth in Attachment B Unless specifically stated in Attachment B, the County will not reimburse the Contractor for any costs or expenses incurred by the Contractor in the performance of this contract.

3. Delegation and Subcontracting Contractor's services are deemed personal and no portion of this contract may be delegated or subcontracted to any other individual, firm or entity without the express and prior written approval of the County Project Manager.

4. Independent Contractor

The Contractor's services shall be furnished by the Contractor as an independent contractor and nothing herein contained shall be construed to create a relationship of employer/employee or master/servant.

The Contractor acknowledges that the entire compensation for this Agreement is specified in Attachment B and the Contractor is not entitled to any county benefits including, but not limited to: vacation pay, holiday pay, sick leave pay, medical, dental or other insurance benefits, or any other rights or privileges afforded to Cowlitz County employees. The Contractor represents that it maintains a separate place of business, serves clients other than the County, will report all income and expense accrued under this contract with the Internal Revenue Service on a business tax schedule, and has a tax account with the State of Washington Department of Revenue for payment of all sales and use and Business and Occupation taxes collected by the State of Washington

In the event that either the state or federal government determines that an employer/employee or master/servant relationship exists rather than an independent contractor relationship such that Cowlitz County is deemed responsible for federal withholding, social security contributions, workers compensation and the like, the Contractor agrees to reimburse Cowlitz County for any payments made or required to be made by Cowlitz County. Should any payments be due to the Contractor pursuant to this Agreement, the Contractor agrees that reimbursement may be made by deducting from such future payments a pro rata share of the amount to be reimbursed

Notwithstanding any determination by the state or federal government that an employer/employee or master/servant relationship exists, the Contractor, its officers, employees and agents, shall not be entitled to any benefits which Cowlitz County provides to its employees

5. No Guarantee of Employment. The performance of all or part of this contract by the Contractor shall not operate to vest any employment rights whatsoever and shall not be deemed to guarantee any employment of the Contractor or any employee of the Contractor or any subcontractor or any employee of any subcontractor by the County at the present time or in the future.

6. Regulations and Requirements This Agreement shall be subject to all federal, state and local laws, rules, and regulations

7. Right to Review. This contract is subject to review by any federal or state auditor. The County shall have the right to review and monitor the financial and service components of this program by whatever means are deemed expedient by the County Project Manager. Such review may occur with or without notice, and may include, but is not limited to, on-site inspection by County agents or employees, inspection of all records or other materials which the County deems pertinent to the Agreement and its performance, and any and all communications with or evaluations by service recipients under this Agreement. The Contractor shall preserve and maintain all financial records and records relating to the performance of work under this Agreement for six (6) years after contract

termination, and shall make them available for such review, within Cowlitz County, State of Washington, upon request, during reasonable business hours

8. Modifications Either party may request changes in the Agreement. Any and all agreed modifications shall be in writing, signed by each of the parties.

9. Termination for Default If the Contractor defaults by failing to perform any of the obligations of the contract or becomes insolvent or is declared bankrupt or makes an assignment for the benefit of creditors, the County may, by depositing written notice to the Contractor in the U.S Mail, postage prepaid, terminate the contract, and at the County's option, obtain performance of the work elsewhere. If the contract is terminated for default, the Contractor shall not be entitled to receive any further payments under the contract. Any extra cost or damage to the County resulting from such default(s) shall be deducted from any money due or coming due to the Contractor. The Contractor agrees to bear any extra expenses incurred by the County in completing the work, including all increased costs for completing the work, and all damage sustained, or which may be sustained by the County by reason of such default.

If a notice of termination for default has been issued and it is later determined for any reason that the Contractor was not in default, the rights and obligations of the parties shall be the same as if the notice of termination had been issued pursuant to the Termination for Public Convenience paragraph hereof.

10. Termination for Public Convenience The County may terminate the contract in whole or in part whenever the County determines, in its sole discretion that such termination is in the interests of the County Whenever the contract is terminated in accordance with this paragraph, the Contractor shall be entitled to payment for actual work performed for completed items of work An equitable adjustment in the contract price for partially completed items of work will be made, but such adjustment shall not include provision for loss of anticipated profit on deleted or uncompleted work Termination of this contract by the County at any time during the term, whether for default or convenience, shall not constitute a breach of contract by the County

11. Termination Due to Insufficient Funds If sufficient funds for payment under this contract are not appropriated or allocated or are withdrawn, reduced, or otherwise limited, the County may terminate this contract upon thirty (30) days written notice to the Contractor. No penalty or expense shall accrue to the County in the event this provision applies.

12. Termination Procedure The following provisions apply in the event that this Agreement is terminated:

(a) The Contractor shall cease to perform any services required hereunder as of the effective date of termination and shall comply with all reasonable instructions contained in the notice of termination, if any

(b) The Contractor shall provide the County with an accounting of authorized services provided through the effective date of termination

(c) If the Agreement has been terminated for default, the County may withhold a sum from the final payment to the Contractor that the County determines necessary to protect itself against loss or liability

13. Defense and Indemnity Agreement

• Indemnification by Contractor. To the fullest extent permitted by law, the Contractor agrees to indemnify, defend and hold the County and its departments, elected and appointed officials, employees, agents and volunteers, harmless from and against any and all claims, damages, losses

and expenses, including but not limited to court costs, attorney's fees and alternative dispute resolution costs, for any personal injury, for any bodily injury, sickness, disease or death and for any damage to or destruction of any property (including the loss of use resulting therefrom) which 1) are caused in whole or in part by any act or omission, negligent or otherwise, of the Contractor, its employees, agents or volunteers or Contractor’s subcontractors and their employees, agents or volunteers; or 2) are directly or indirectly arising out of, resulting from, or in connection with performance of this Agreement; or 3) are based upon the Contractor’s or its subcontractors’ use of, presence upon or proximity to the property of the County. This indemnification obligation of the Contractor’s shall not apply in the limited circumstance where the claim, damage, loss or expense is caused by the sole negligence of the County This indemnification obligation of the Contractor’s shall not be limited in any way by the Washington State Industrial Insurance Act, RCW Title 51, or by application of any other workmen's compensation act, disability benefit act or other employee benefit act, and the Contractor hereby expressly waives any immunity afforded by such acts. The foregoing indemnification obligations of the Contractor are a material inducement to County to enter into this Agreement, are reflected in the Contractor’s compensation, and have been mutually negotiated by the parties.

Contractor’s initials acknowledging indemnityterms:

• Participation by County – No Waiver. The County reserves the right, but not the obligation, to participate in the defense of any claim, damages, losses or expenses and such participation shall not constitute a waiver of Contractor’s indemnity obligations under this Agreement.

• Survival of Contractor’s Indemnity Obligations The Contractor agrees all Contractor’s indemnity obligations shall survive the completion, expiration or termination of this Agreement.

• Indemnity by Subcontractors. In the event the Contractor enters into subcontracts to the extent allowed under this Agreement, the Contractor’s subcontractors shall indemnify the County on a basis equal to or exceeding Contractor’s indemnity obligations to the County

14. Industrial Insurance Waiver With respect to the performance of this Agreement and as to claims against the County, its appointed and elected officers, agents and employees, the Contractor expressly waives its immunity under Title 51 of the Revised Code of Washington, the Industrial Insurance Act, as now or hereafter amended, for injuries to its employees and agrees that the obligations to indemnify, defend and hold harmless provided in this Agreement extend to any claim brought by or on behalf of any employee of the Contractor. Along with the other provisions of this Agreement, this waiver is mutually negotiated by the parties to this Agreement.

15. Venue and Choice of Law In the event that any litigation should arise concerning the construction or interpretation of any of the terms of this Agreement, the venue of such action shall be in the courts of the State of Washington in and for the County of Cowlitz. This Agreement shall be governed by the law of the State of Washington

16. Withholding Payment In the event the County Project Manager determines that the Contractor has failed to perform any obligation under this Agreement within the times set forth in this Agreement, then the County may withhold from amounts otherwise due and payable to Contractor the amount determined by the County as necessary to cure the default, until the County Project Manager determines that such failure to perform has been cured. Withholding under this clause shall not be deemed a breach entitling Contractor to termination or damages, provided that the County promptly gives notice in writing to the Contractor of the nature of the default or failure to perform, and in no case more than ten (10) days after it determines to withhold amounts otherwise due A determination of the County Project Manager set forth in a notice to the Contractor of the action required and/or the amount required to cure any alleged failure to perform shall be deemed conclusive, except to the extent that the Contractor acts within the times and in strict accord with the provision of the Disputes clause of this Agreement. The County may act in accordance with any determination of the County Project Manager which has become conclusive under this clause, without prejudice to any other remedy under the Agreement, to take all or any of the following actions: (1) cure any failure or

default, (2) to pay any amount so required to be paid and to charge the same to the account of the Contractor, (3) to set off any amount paid or incurred from amounts due or to become due the Contractor. In the event the Contractor obtains relief upon a claim under the Disputes clause, no penalty or damages shall accrue to the Contractor by reason of good faith withholding by the County under this clause.

17. Rights and Remedies The duties and obligations imposed by this Agreement and the rights and remedies available hereunder shall be in addition to and not a limitation of any duties, obligations, rights and remedies otherwise imposed or available bylaw

18. Contractor Commitments, Warranties and Representations Any written commitment received from the Contractor concerning this Agreement shall be binding upon the Contractor, unless otherwise specifically provided herein with reference to this paragraph. Failure of the Contractor to fulfill such a commitment shall render the Contractor liable for damages to the County. A commitment includes, but is not limited to any representation made prior to execution of this Agreement, whether or not incorporated elsewhere herein by reference, as to performance of services or equipment, prices or options for future acquisition to remain in effect for a fixed period, or warranties.

19. Patent/Copyright Infringement Contractor will defend, indemnify and save harmless County, its appointed and elected officers, agents and employees from and against all loss or expense, including but not limited to claims, demands, actions, judgments, settlements, attorneys' fees and costs by reason of any and all claims and demands upon the County, its elected or appointed officials or employees for damages because of the Contractor’s alleged infringement on any patent or copyright. The Contractor will pay those costs and damages attributable to any such claims that are finally awarded against the County, its appointed and elected officers, agents and employees in any action Such defense and payments are conditioned upon the following:

(a) That Contractor shall be notified promptly in writing by County of any notice of such claim

(b) Contractor shall have the right, hereunder, at its option and expense, to obtain for the County the right to continue using the information, in the event such claim of infringement, is made, provided no reduction in performance or loss results to the County

20. Disputes:

(a) General Differences between the Contractor and the County, arising under and by virtue of the contract documents shall be brought to the attention of the County at the earliest possible time in order that such matters may be settled or other appropriate action promptly taken The records, orders, rulings, instructions, and decision of the County Project Manager shall be final and conclusive thirty (30) days from the date of mailing unless the Contractor mails or otherwise furnishes to the County Project Manager a written notice of appeal The notice of appeal shall include facts, law, and argument as to why the conclusions of the County Project Manager are in error.

In connection with any appeal under this clause, the Contractor and County shall have the opportunity to submit written materials and argument and to offer documentary evidence in support of the appeal Oral argument and live testimony will not be permitted The decision of the County Project Manager for the determination of such appeals shall be final and conclusive. Reviews of the appellate determination shall be brought in the Superior Court of Cowlitz County within fifteen (15) days of mailing of the written appellate determination Pending final decision of the dispute, the Contractor shall proceed diligently with the performance of this Agreement and in accordance with the decision rendered

(b) Notice of Potential Claims The Contractor shall not be entitled to additional compensation or to extension of time for (1) any act or failure to act by the County Project Manager or the County, or (2) the happening of any event or occurrence, unless the Contractor has given the County a written Notice of Potential Claim within ten (10) days of the commencement of the

act, failure, or event giving rise to the claim, and before final payment by the County. The written Notice of Potential Claim shall set forth the reasons for which the Contractor believes additional compensation or extension of time is due, the nature of the cost involved, and insofar as possible, the amount of the potential claim Contractor shall keep full and complete daily records of the work performed, labor and material used, and all costs and additional time claimed to be additional.

(c) Detailed Claim The Contractor shall not be entitled to claim any such additional compensation, or extension of time, unless within thirty (30) days of the accomplishment of the portion of the work from which the claim arose, and before final payment by the County, the Contractor has given the County a detailed written statement of each element of cost or other compensation requested and of all elements of additional time required, and copies of any supporting documents evidencing the amount or the extension of time claimed to be due.

21. Ownership of Items Produced and Public Disclosure All writings, programs, data, art work, music, maps, charts, tables, illustrations, records or other written, graphic, analog or digital materials prepared by the Contractor and/or its consultants or subcontractors, in connection with the performance of this Agreement shall be the sole and absolute property of the County and constitute "work made for hire" as that phrase is used in federal and/or state intellectual property laws and Contractor and/or its agents shall have no ownership or use rights in the work Except as to data or information in the public domain or previously known to Contractor or required to be disclosed by law, subpoena or other process, the following shall apply:

(a) Correspondence, emails, reports and other electronic or written work product will be generated between the Contractor and County during the course of this Contract. This Contract and such work product in the possession of Contractor may be deemed public records subject to disclosure under the Washington State Public Records Act, Chapter 42.56 RCW (Public Records Act). Thus, the County shall be required, upon request, to disclose this Contract and all documents related to it unless an exemption under the Public Records Act or other laws applies. Contractor shall fully cooperate with and assist the County with respect to any request for public records received by the County related to the services performed under this Contract.

(b) Should County receive a request for disclosure, County agrees to provide Contractor ten (10) days written notice of impending release, and to cooperate with any legal action which may be initiated by Contractor to enjoin or otherwise prevent such release, provided that all expense of any such litigation shall be borne by Contractor, including any damages, attorney’s fees or costs awarded by reason of having opposed disclosure, and further provided that County shall not be liable for any release where notice was provided and Contractor took no action to oppose the release of information Notice of any proposed release of information pursuant to Chapter 42.56 RCW, shall be provided to Contractor according to the “Notice” provision herein. If the Contractor has not obtained an injunction and served the County with that injunction by the close of business on the tenth business day after the County sent notice, the County will then disclose the record unless it makes an independent determination that the record is exempt from disclosure. Notwithstanding the above, the Contractor must not take any action that would affect (a) the County’s ability to use goods and services provided under this Contract or (b) the Contractor obligations under this Contract. The Contractor will fully cooperate with the County in identifying and assembling records in case of any public disclosurerequest.

(c) Contractor’s failure to timely provide such records upon demand shall be deemed a material breach of this Contract. To the extent that the County incurs any monetary penalties, attorneys’ fees, and/or any other expenses as a result of such breach, Contractor shall fully indemnify and hold harmless County as set forth in Section 13. For purposes of this section, the terms “public records” and “agency” shall have the same meaning as defined by Chapter 42.56 RCW, as said chapter has been construed by Washington courts. The provisions of this section shall survive the expiration or termination of this Agreement.

22. Recovery of Payments to Contractor. The right of the Contractor to retain monies paid to it is contingent upon satisfactory performance of this Agreement, including the satisfactory completion of the project described in the Scope of Work (Attachment A). In the event that the Contractor fails, for any reason, to perform obligations required of it by this Agreement, the Contractor may, at the County Project Manager's sole discretion, be required to repay to the County all monies disbursed to the Contractor for those parts of the project that are rendered worthless in the opinion of the County Project Manager by such failure to perform

Interest shall accrue at the rate of 12 percent (12%) per annum from the time the County Project Manager demands repayment of funds.

23. Project Approval. The extent and character of all work and services to be performed under this Agreement by the Contractor shall be subject to the review and approval of the County Project Manager. For purposes of this Agreement, the County Project Manager is:

Name: Chris Moses

Title: Administrative Captain Department: Corrections

Address: 1935 1st Ave. Longview, Wa. 98632

Telephone: 360-577-3094x7510

E-mail: Mosesc@cowlitzwa.gov

In the event there is a dispute with regard to the extent and character of the work to be done, the determination of the County Project Manager as to the extent and character of the work to be done shall govern subject to the Contractor's right to appeal that decision as provided herein.

24. Non-Discrimination The Contractor shall not discriminate against any person on the basis of race, creed, political ideology, color, national origin, sex, marital status, sexual orientation, age, or the presence of any sensory, mental or physical handicap

25. Subcontractors In the event that the Contractor employs the use of any subcontractors, the contract between the Contractor and the subcontractor shall provide that the subcontractor is bound by the terms of this Agreement between the County and the Contractor. The Contractor shall insure that in all subcontracts entered into, County is named as an express third-party beneficiary of such contracts with full rights as such.

26. Third Party Beneficiaries. This agreement is intended for the benefit of the County and Contractor and not for the benefit of any third parties.

27. Standard of Care The Contractor shall perform its duties hereunder in a manner consistent with that degree of care and skill ordinarily exercised by members of the same profession as Contractor currently practicing under similar circumstances. The Contractor shall, without additional compensation, correct those services not meeting such a standard.

28. Time is of the Essence. Time is of the essence in the performance of this contract unless a more specific time period is set forth in either the Special Terms and Conditions or Scope of Work

29. Notice Except as set forth elsewhere in the Agreement, for all purposes under this Agreement, except service of process, any notices shall be given by the Contractor to the County Project Manager. Notice to the Contractor for all purposes under this Agreement shall be given to the person executing the Agreement on behalf of the Contractor at the address identified on the signature page.

30. Severability. If any term or condition of this contract or the application thereof to any person(s) or circumstances is held invalid, such invalidity shall not affect other terms, conditions or applications which can be given effect without the invalid term, condition or application To this end, the terms and conditions of this contract are declared severable.

31. Precedence. In the event of inconsistency in this Agreement, unless otherwise provided herein, the inconsistency shall be resolved by giving precedence in the following order:

(a) Applicable federal, state and local statutes, ordinances and regulations;

(b) Scope of Work (Attachment A) and Compensation (Attachment B);

(c) Special Terms and Conditions (Attachment D); and

(d) General Conditions (Attachment C).

32. Waiver. Waiver of any breach or condition of this contract shall not be deemed a waiver of any prior or subsequent breach. No term or condition of this contract shall be held to be waived, modified or deleted except by an instrument, in writing, signed by the parties hereto

33. Attorney Fees. In the event that litigation must be brought to enforce the terms of this agreement, the prevailing party shall be entitled to be paid reasonable attorney fees

34. Construction This agreement has been mutually reviewed and negotiated by the parties and should be given a fair and reasonable interpretation and should not be construed less favorably against either party

35. Survival Without being exclusive, Paragraphs 4, 7, 13-19, 21-22 and 30-35 of these General Conditions shall survive any termination, expiration or determination of invalidity of this Agreement in whole or in part. Any other Paragraphs of this Agreement which, by their sense and context, are intended to survive shall also survive.

36. Entire Agreement This written contract represents the entire Agreement between the parties and supersedes any prior statements, discussions or understandings between the parties except as provided herein.

SPECIAL TERMS AND CONDITIONS AND RETIREMENT STATUS FORM

1. Reporting The Contractor shall submit written progress reports to the County Project Manager as set forth below:

With each request for payment.

Monthly Quarterly Semi-annually Annually Projectcompletion.

Other (specify)

Progress reports shall include, at a minimum, the following: Reports shall include any problems, delays or adverse conditions which will materially affect the Contractor's ability to meet project objectives or time schedules together with a statement of action taken or proposed to resolve the situation Reports shall also include recommendations for changes to the Scope of Work, if any Payments may be withheld if reports are not submitted.

2. Insurance The Contractor shall maintain in full force and effect during the term of this Agreement, and until final acceptance of the work, public liability and property damage insurance with companies or through sources approved by the state insurance commissioner pursuant to RCW Title 48, as now or hereafter amended. The County, its appointed and elected officials, agents and employees, shall be specifically named as additional insureds in a policy with the same company which insures the Contractor or by endorsement to an existing policy or with a separate carrier approved pursuant to RCW Title 48, as now or hereafter amended, and the following coverages shall be provided:

COMPREHENSIVEGENERALLIABILITY: Bodily injury, including death

per occurrence

ERRORS AND OMISSIONS or PROFESSIONAL

with an Extended Reporting Period

(two year tail).

All Contractor’s and Contractor’s subcontractors’ insurance policies and additional named insured endorsements shall provide primary insurance coverage and be non-contributory Any insurance, self-insured retention, deductible, risk retention or insurance pooling maintained or participated in by the County shall be excess and not contributory to such insurance policies. All Contractor’s and Contractor’s subcontractors’ liability insurance policies must be endorsed to show this primary coverage.

Upon request, the Contractor shall provide a full and complete certified copy of all requested insurance policies to the County The County reserves the right, but not the obligation, to revise any insurance requirement, not limited to limits, coverages and endorsements, or to reject any insurance policies which fail to meet the requirements of this Agreement. Additionally, the County reserves the right, but not the obligation, to review and reject any proposed insurer providing coverage based upon the insurer’s financial condition or licensing status in Washington Any deductibles and/or self-insured retentions exceeding $10,000, stop loss provisions, and/or exclusions contained in such policies must be approved by the County in writing For any deductibles or self-insured retentions exceeding $10,000 or any stop-loss provisions, the County shall have the right to request and review the Contractor’s most recent annual financial reports and audited financial statements as a condition of approval

Contractor hereby agrees to a waive subrogation with respect to each insurance policy maintained under this Agreement. When required by an insurer, or if a policy condition does not permit Contractor to enter into a pre-loss agreement to waive subrogation without an endorsement, then Contractor agrees to notify the insurer and obtain such endorsement. This requirement shall not apply to any policy which includes a condition expressly prohibiting waiver of subrogation by the insured or which voids coverage should the Contractor enter into such a waiver of subrogation on a pre-loss basis

The County, its departments, elected and appointed officials, employees, agents and volunteers shall be named as additional insureds on Contractor’s and Contractor’s subcontractors’ insurance policies by way of endorsement for the full available limits of insurance maintained by the Contractor and subcontractor, and all coverage shall be primary and non-contributory A statement or notation of additional insured status on a Certificate of Insurance shall not satisfy these requirements. [This endorsement shall not be required if the Contractor is a governmental entity and is insured through a governmental entity risk pool authorized by the State of Washington.]

The Contractor shall, for each required insurance policy, provide a Certificate of Insurance, with endorsements attached, evidencing all required coverages, limits, deductibles, selfinsured retentions and endorsements and which is conditioned upon the County receiving thirty (30) days prior written notice of reduction in coverages, cancellation or non-renewal Each Certificate of Insurance and all insurance notices shall be provided to: ATTN: Risk Manager, Cowlitz County Administrative Svc., 207 4th Ave. N., Kelso, WA 98626. This Agreement shall be void ab initio if the proof of coverage is not timely supplied

The insurance maintained under this Agreement shall not in any manner limit or qualify the liabilities or obligations of the Contractor under this Agreement. All insurance policy deductibles and self-insured retentions for policies maintained under this Agreement shall be paid by the Contractor.

Compensation and/or payments due to the Contractor under this Agreement are expressly conditioned upon the Contractor’s strict compliance with all insurance requirements. Payment to the Contractor shall be suspended in the event of non-compliance. Upon receipt of evidence of Contractor’s compliance, payments not otherwise subject to withholding or set-off will be released to the Contractor. This Agreement shall be void ab initio if the proof of coverage is not timely supplied

If the Errors and Omissions or Professional Liability insurance obtained is an occurrence policy as opposed to a claims-made policy, the Extended Reporting Period Endorsement is not required.

3. Liquidated Damages For delays in timely completion of the work to be done or missed milestones of the work in progress, the Contractor shall be assessed Dollars ($ ) per day as liquidated damages and not as a penalty because the County finds it impractical to calculate the actual cost of delays Liquidated damages will not be assessed for any days for which an extension of time has been granted. No deduction or payment of liquidated damages will, in any degree, release the Contractor from further obligations and liabilities to complete the entire project.

4. Other (specify)

COUNTY HR DEPARTMENT RETAINS THIS FORM

Individual contractors and service providers must complete and sign

5. WA Department of Retirement Systems: Independent Contractor Verification and State Retirement Status Reporting Form [WAC 415-02-110; DRS Email 13-011; DRS Email 09-001]

SECTION 1: INDIVIDUAL CONTRACTOR COMPLETES THIS SECTION AND SIGNS:

Did you retire from one of the State of Washington Retirement Systems? YES NO

Did you retire before age 65 using the 2008 early retirement factors (ERF)? YES NO

Will you be receiving direct compensation for your services? YES NO

Will you be receiving indirect compensation for your services? YES NO

CONTRACTOR (Full, individual name of contractor):

Signature:

Social Security No. :

SECTION 2: COUNTY COMPLETES THIS SECTION AND RETAINS FOR AUDIT PURPOSES:

[Use Member Reporting Verification (MRV) to verify the past retirement membership]

1. Contractor has been a member of a Washington State Retirement System YES NO If YES, what system and plan?

Date:

System (JRS)

2. Is the contractor a retiree of a Washington State Retirement System? Yes No 3. Did the contractor retire before age 65 using the 2008 ERF? Yes No

I have verified the information above using MRV or by contacting DRS, and I have evaluated the individual Contractor, Independent Contractor or Service Provider under WAC 415-02-110 and/or DRS Form-MS 344 (R 5/09), and the Internal Revenue Service rules governing independent contractor status.

COUNTYOFFICIAL/DEPARTMENTREPRESENTATIVE:

Signature: Date:

COUNTY HR DEPARTMENT RETAINS THIS FORM

EXHIBIT C

Medical Statistics

Cowlitz County Jail 2024

EXHIBIT D

Staffing Plan (Costs) Worksheet

On-Site Staff Cost per the staffing plan as shown below

Costs

Costs

& Other Testing Services

Other Costs (please explain)

Pricing Strategy Option #1

Required #4 (Juvenile)

Staff

Estimate

County anticipates that the operational staffing plan will be used for the monthly maximum cost basis. County will only pay for staff time actually served to meet NCCHC Standard and service levels. Contractor must fully staff the facility to meet Scope of Work requirements. County will only pay for staff hours actually worked on site. Staff hours and billing rates must be included with the monthly invoice. The staffing plan may be modified slightly for operational efficiencies but may not exceed the planned monthly cost.

Exhibit E

Medication Transformation Project

INTERAGENCY AGREEMENT for Reentry Demonstration Initiative Project

HCA Contract Number: K7839

Contractor Contract Number:

THIS AGREEMENT is made by and between Washington State Health Care Authority (HCA) and Cowlitz County Corrections (Contractor), pursuant to the authority granted by Chapter 39.34 RCW.

CONTRACTOR NAME CONTRACTOR DOING BUSINESS AS (DBA)

Cowlitz County Corrections

CONTRACTOR ADDRESS Street City State Zip Code 1935 1st Ave Longview WA 98632

CONTRACTOR CONTRACT MANAGER CONTRACTOR TELEPHONE CONTRACTOR E-MAIL ADDRESS

Marin Fox and Chris Moses (360) 577-3088 foxm@cowlitzwa.gov; mosesc@cowlitzwa.gov

HCA PROGRAM HCA DIVISION/SECTION

Medicaid Reentry Demonstration Initiative Project 1070/OMT

HCA CONTRACT MANAGER NAME AND TITLE

Emma Oppenheim, Medicaid Transformation Project Director

HCA CONTRACT MANAGER TELEPHONE

HCA CONTRACT MANAGER ADDRESS

Health Care Authority 626 8th Avenue SE Olympia, WA 98504

HCA CONTRACT MANAGER E-MAIL ADDRESS (360) 725-0868 emma.oppenheim@hca.wa.gov

PURPOSE OF CONTRACT:

To provide essential services for individuals while in or leaving a carceral facility (i.e., state prison, county/city jail, or youth correctional facility)

The parties signing below warrant that they have read and understand this Contract, have authority to execute this Contract. This Contract will only be binding upon signature by both parties The parties may execute this contract in multiple counterparts, each of which is deemed an original and all of which constitute only one agreement. E-mail (electronic mail) transmission of a signed copy of this contract shall be the same as delivery of an original. CONTRACTOR SIGNATURE

Washington State

Annette Schuffenhauer

Chief Legal Officer

Page 1 of 24 HCA IAA K7839 Health Care Authority

1. DEFINITIONS

"Accountable Community of Health” or “ACH” means a regional coalition consisting of leaders from a variety of different sectors working together to build capacity to work collaboratively, develop regional health improvement plans, jointly implement or advance local health projects, and advise state agencies on how best to address health needs within its region.

“Authorized Representative” means a person to whom signature authority has been delegated in writing acting within the limits of the person’s authority.

“Capacity Building Application” means a formal application for specific capacity building funds and specifications of how these funds will be spent by facilities on IT and non-IT needs. It also includes a detailed plan of how the work will be implemented.

“Centers for Medicare and Medicaid Services” or “CMS” means the federal office under the Secretary of the United States Department of Health and Human Services, responsible for the Medicare and Medicaid programs.

“Confidential Information” means information that may be exempt from disclosure to the public or other unauthorized persons under chapter 42.56 RCW or chapter 70.02 RCW or other state or federal statutes or regulations. Confidential Information includes, but is not limited to, any information identifiable to an individual that relates to a natural person’s health, finances, education, business, use or receipt of governmental services, names, addresses, telephone numbers, social security numbers, driver license numbers, financial profiles, credit card numbers, financial identifiers and any other identifying numbers, law enforcement records, HCA source code or object code, or HCA or State security information.

“Contract” or “Agreement” means the entire written agreement between HCA and the contractor, including any exhibits, documents, or materials incorporated by reference. Contract and Agreement may be used interchangeably.

“Contractor” means Cowlitz County Corrections, its employees and agents. Contractor includes any firm, provider, organization, individual or other entity performing services under this Agreement. It also includes any Subcontractor retained by Contractor as permitted under the terms of this Agreement

“Data” means information disclosed, exchanged or used by Contractor in meeting requirements under this Agreement Data may also include Confidential Information as defined in this Contract.

Financial Executor Portal” or “FE Portal” means the payment portal where incentive funds flow from federal Center for Medicare and Medicaid Services through the Delivery System Reform Incentive Payment program.

“Health Care Authority” or “HCA” means the Washington State Health Care Authority, any division, section, office, unit or other entity of HCA, or any of the officers or other officials lawfully representing HCA.

"Health-Related Social Needs” or “HRSN” means the social and economic needs that individuals experience that affect their ability to maintain their health and well-being. These include needs such as

employment, affordable and stable housing, healthy food, personal safety, transportation, and affordable utilities.

“Implementation Plan” means how the Contractor describes how the facility will support pre-release services, as outlined in the Statement of Work Attachment 1; #3.

“Interim and Final Progress Report” means a report that includes information on both the initial progress and the outcomes of the Reentry Demonstration Initiative Opportunity (Initiative).

“Information and Communication Technology” or “ICT” means information technology and other equipment, systems, technologies, or processes, for which the principal function is the creation, manipulation, storage, display, receipt, or transmission of electronic data and information, as well as any associated content. Examples include computers and peripheral equipment; information kiosks and transaction machines; telecommunications equipment; customer premises equipment; multifunction office machines; software; applications; websites; videos; and electronic documents.

“Letter of Intent” means a document that provides specific facility information and is a commitment to participate in the Initiative.

“Readiness Assessment” means a framework for assessing a Contractor’s ability to go-live or fully participate in the Initiative and will include an attestation that the facility has met all of the requirements.

“Reentry” means a broadly defined demonstration population that includes otherwise eligible, soon-tobe former incarcerated individuals as defined by the Reentry Section 1115 Demonstration Intitiative Opportunity. It can include both pre-release and post-release services.

“Services” means all work performed or provided by Contractor pursuant to this Contract.

“Statement of Work” or “SOW” means a detailed description of the work activities the Contractor is required to perform under the terms and conditions of this Contract, including the deliverables and timeline, and is included as Attachment 1

“Subcontractor” means a person or entity that is not in the employment of the Contractor, who is performing all or part of the business activities under this Agreement under a separate contract with Contractor. The term “Subcontractor” means subcontractor(s) of any tier.

“Subrecipient” shall have the meaning given in 45 C.F.R. 75.2, or any successor or replacement to such definition, for any federal award from HHS; or 2 C.F.R. 200.93, or any successor or replacement to such definition, for any other federal award.

“Third Party Administrator” or “TPA” is an entity that may provide implementation and administrative support to carceral facilities in support of reentry.

2. STATEMENT OF WORK

Contractor will furnish the necessary personnel, equipment, material and/or service(s) and otherwise do all things necessary for or incidental to the performance of work set forth in Attachment 1

Washington State Page 3 of 24

3. PERIOD OF PERFORMANCE

Subject to its other provisions, the period of performance of this Contract will commence on date of last signature, and continue through July 31, 2028, unless terminated sooner or extended upon written agreement between the parties

4. PAYMENT

Compensation for the work provided in accordance with this Agreement has been established under the terms of RCW 39.34.130. Compensation for services will be based in accordance with the following terms set forth in the Statement of Work, Attachment 1

5. PAYMENT PROCESS

5.1. HCA will pay the Contractor for the targeted milestones set forth in Attachment 1: Statement of Work.

5.2. The milestone deliverables must be submitted per the instructions set forth in the Attachment 1: Statement of Work and must describe and document to HCA’s satisfaction the required information. All milestone deliverable submissions will be reviewed and must be approved by the HCA Contract Manager or designee prior to payment

5.3. Once Contractor’s submission of milestone deliverables have been accepted and approved by HCA, payments will distributed by HCA through the Financial Executor (FE) Portal at https://wafinancialexecutor.com/

5.4. FE Portal customer service telephone number is (844) 300-5040 or accessible by email at WA_FE_FinancialServices@pcgus.com.

5.5. Payment will be considered timely if made within thirty (30) calendar days of receipt of properly completed invoices.

5.6. Upon expiration or termination any claims for payment for costs due and payable under this Agreement that are incurred prior to the expiration date must be submitted by Contractor within sixty (60) calendar days after the expiration date. There will be no obligation to pay any claims that are submitted sixty-one (61) or more calendar days after the expiration date (“Belated Claims”). Belated Claims will be paid at HCA’s sole discretion, and any such potential payment is contingent upon the availability of funds.

6. ACCESSIBILITY

6.1. REQUIREMENTS AND STANDARDS. Each information and communication technology (ICT) product or service furnished under this Contract shall be accessible to and usable by individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and other applicable Federal and State laws and policies, including OCIO Policy 188, et seq. For purposes of this clause, Contractor shall be considered in compliance with the ADA and other applicable Federal and State laws if it satisfies the requirements (including exceptions) specified in the

regulations implementing Section 508 of the Rehabilitation Act, including the Web Content Accessibility Guidelines (WCAG) 2.1 Level AA Success Criteria and Conformance Requirements (2008), which are incorporated by reference, and the functional performance criteria.

6.2. DOCUMENTATION. Contractor shall maintain and retain, subject to review by HCA, full documentation of the measures taken to ensure compliance with the applicable requirements and functional performance criteria, including records of any testing or simulations conducted.

6.3. REMEDIATION. If the Contractor claims that its products or services satisfy the applicable requirements and standards specified in this Section and it is later determined by HCA that any furnished product or service is not in compliance with such requirements and standards, HCA will promptly inform Contractor in writing of noncompliance. Contractor shall, at no additional cost to HCA, repair or replace the non-compliant products or services within the period specified by HCA. If the repair or replacement is not completed within the specified time, HCA may cancel the contract, delivery, task order, or work order, or purchase line item without termination liabilities or have any necessary changes made or repairs performed by employees of HCA or by another contractor, and Contractor shall reimburse HCA for any expenses incurred thereby.

6.4. INDEMNIFICATION. Contractor agrees to indemnify and hold harmless HCA from any claim arising out of failure to comply with the aforesaid requirements.

7. AGREEMENT CHANGES, MODIFICATIONS AND AMENDMENTS

This Agreement may be amended by mutual agreement of the parties. Such amendments are not binding unless they are in writing and signed by an Authorized Representative of each party

8. SUBCONTRACTING

Neither the Contractor nor any Subcontractor shall enter into subcontracts for any of the work contemplated under this Agreement without obtaining HCA’s prior written approval. HCA shall have no responsibility for any action of any such Subcontractors.

9. SUBRECIPIENT

If the Contractor is a subrecipient (as defined in 45 C.F.R. 75.2 and 2 C.F.R. 200.93) of federal awards, then the Contractor shall:

9.1. Comply with 2 C.F.R. 200.501 and 45 C.F.R. 75.501; and

9.2. Overpayments: If it is determined by HCA, or during the course of a required audit, that Contractor has been paid unallowable costs under this or any program agreement, Contractor will refund the full amount to HCA. In the event that overpayments or erroneous payments have been made to the Contractor under this Contract, HCA will provide written notice to Contractor and Contractor will refund the full amount to HCA within thirty (30) calendar days of the notice. If the Contractor disagrees with HCA’s actions under this section, then it may invoke the dispute resolution provisions of Section 13, Disputes.

10. ASSIGNMENT

The work to be provided under this Agreement, and any claim arising thereunder, is not assignable or delegable by either party in whole or in part, without the express prior written consent of the other party, which consent will not be unreasonably withheld.

11. CONTRACT MANAGEMENT

The Contract Manager for each of the parties, named on the face of this Contract, will be responsible for and will be the contact person for all communications and billings regarding the performance of this Agreement. Either party must notify the other party within thirty (30) days of change of Contract Management. Changes in Contract Management shall require an amendment.

12. DISALLOWED COSTS

The Contractor is responsible for any audit exceptions or disallowed costs incurred by its own organization or that of its Subcontractors.

13. DISPUTES

In the event that a dispute arises under this Agreement, it will be determined by a dispute board in the following manner: Each party to this Agreement will appoint one member to the dispute board. The members so appointed will jointly appoint an additional member to the dispute board. The dispute board will review the facts, Agreement terms and applicable statutes and rules and make a determination of the dispute. The dispute board will thereafter decide the dispute with the majority prevailing. The determination of the dispute board will be final and binding on the parties hereto. As an alternative to this process, either of the parties may request intervention by the Governor, as provided by RCW 43.17.330, in which event the Governor's process will control.

14. GOVERNANCE

This Agreement is entered into pursuant to and under the authority granted by the laws of the state of Washington and any applicable federal laws. The provisions of this Agreement will be construed to conform to those laws.

In the event of an inconsistency in the terms of this Agreement, or between its terms and any applicable statute or rule, the inconsistency will be resolved by giving precedence in the following order:

A. Applicable Federal and State of Washington statutes and regulations;

B. Attachment 2: Federal Compliance Certifications and Assurances;

C. Attachment 1: Statement of Work;

D. Exhibit A: Centers of Medicare & Medicaid Services, Special Terms and Conditions; and

E. Any other provisions of the agreement, including materials incorporated by reference.

15. INDEPENDENT

The employees or agents of each party who are engaged in the performance of this Agreement will not be considered for any purpose to be employees or agents of the other party.

16. RECORDS MAINTENANCE

16.1. The parties to this Agreement will each maintain books, records, documents and other evidence which sufficiently and properly reflect all direct and indirect costs expended by either party in the performance of the services described herein. These records will be subject to inspection, review or audit by personnel of both parties, other personnel duly authorized by either party, the Office of the State Auditor, and federal officials so authorized by law. All books, records, documents, and other material relevant to this Agreement will be retained for six years after expiration and the Office of the State Auditor, federal auditors, and any persons duly authorized by the parties will have full access and the right to examine any of these materials during this period.

16.2. Records and other documents, in any medium, furnished by one party to this Agreement to the other party, will remain the property of the furnishing party, unless otherwise agreed. The receiving party will not disclose or make available this material to any third parties without first giving notice to the furnishing party and giving it a reasonable opportunity to respond. Each party will use reasonable security procedures and protections to assure that records and documents provided by the other party are not erroneously disclosed to third parties.

17. TREATMENT OF ASSETS

17.1. Ownership

HCA shall retain title to all property furnished by HCA to Contractor under this contract. Title to all property furnished by the Contractor, for the cost of which the Contractor is entitled to reimbursement as a direct item of cost under this contract, excluding intellectual property provided by the Contractor, shall pass to and vest in HCA upon delivery of such property by the Contractor. Title to other property, the cost of which is reimbursable to the Contractor under this Contract, shall pass to and vest in HCA upon (i) issuance for use of such property in the performance of this Contract, (ii) commencement of use of such property in the performance of this Contract, or (iii) reimbursement of the cost thereof by HCA, in whole or in part, whichever occurs first.

17.2. Use of Property

Any property furnished to Contractor shall, unless otherwise provided herein, or approved in writing by the HCA Contract Manager, be used only for the performance of and subject to the terms of this Contract. Contractor's use of the equipment shall be subject to HCA's security, administrative and other requirements.

17.3. Damage to Property

Contractor shall continuously protect and be responsible for any loss, destruction, or damage to property which results from or is caused by Contractor's acts or omissions. Contractor shall be liable to HCA for costs of repair or replacement for property or equipment that has been lost, destroyed or damaged by Contractor or Contractor’s employees, agents or subcontractors. Cost of replacement shall be the current market value of the property and equipment on the date of the loss as determined by HCA.

17.4. Notice of Damage

Upon the loss of, destruction of, or damage to any of the property, Contractor shall notify the HCA Contract Manager thereof within one (1) Business Day and shall take all reasonable steps to protect that property from further damage.

17.5. Surrender of Property

Contractor will ensure that the property will be returned to HCA in like condition to that in which it was furnished to Contractor, reasonable wear and tear excepted. Contractor shall surrender to HCA all property upon the earlier of expiration or termination of this Contract.

18. RIGHTS IN DATA

Unless otherwise provided, data which originates from this Agreement will be "works for hire" as defined by the U.S. Copyright Act of 1976 and will be owned by HCA Data will include, but not be limited to, reports, documents, pamphlets, advertisements, books, magazines, surveys, studies, computer programs, films, tapes and/or sound reproductions. Ownership includes the right to copyright, patent, register and the ability to transfer these rights.

19. CONFIDENTIALITY

Each party agrees not to divulge, publish or otherwise make known to unauthorized persons Confidential Information accessed under this Agreement. Contractor agrees that all materials containing Confidential Information received pursuant to this Agreement, including, but not limited to information derived from or containing patient records, claimant file and medical case management report information, relations with HCA’s clients and its employees, and any other information which may be classified as confidential, shall not be disclosed to other persons without HCA’s written consent except as may be required by law.

20. SEVERABILITY

If any provision of this Agreement or any provision of any document incorporated by reference will be held invalid, such invalidity will not affect the other provisions of this Agreement, which can be given effect without the invalid provision if such remainder conforms to the requirements of applicable law and the fundamental purpose of this agreement, and to this end the provisions of this Agreement are declared to be severable.

21. FUNDING AVAILABILITY

HCA’s ability to make payments is contingent on funding availability. In the event funding from state, federal, or other sources is withdrawn, reduced, or limited in any way after the effective date and prior to completion or expiration date of this Agreement, HCA, at its sole discretion, may elect to terminate the Agreement, in whole or part, or to renegotiate the Agreement subject to new funding limitations and conditions. HCA may also elect to suspend performance of the Agreement until HCA determines the funding insufficiency is resolved. HCA may exercise any of these options with no notification restrictions.

22. TERMINATION

Either party may terminate this Agreement upon 30-days' prior written notification to the other party. If this Agreement is so terminated, the parties will be liable only for performance rendered or costs incurred in accordance with the terms of this Agreement prior to the effective date of termination.

23. TERMINATION FOR CAUSE

If for any cause, either party does not fulfill in a timely and proper manner its obligations under this Agreement, or if either party violates any of these terms and conditions, the aggrieved party will give the other party written notice of such failure or violation. The responsible party will be given the opportunity to correct the violation or failure within 30 days. If failure or violation is not corrected, this Agreement may be terminated immediately by written notice of the aggrieved party to the other.

24. WAIVER

A failure by either party to exercise its rights under this Agreement will not preclude that party from subsequent exercise of such rights and will not constitute a waiver of any other rights under this Agreement unless stated to be such in a writing signed by an Authorized Representative of the party and attached to the original Agreement.

25. ALL WRITINGS CONTAINED HEREIN

This Agreement contains all the terms and conditions agreed upon by the parties. No other understandings, oral or otherwise, regarding the subject matter of this Agreement will be deemed to exist or to bind any of the parties hereto.

26. SURVIVORSHIP

The terms, conditions and warranties contained in this Agreement that by their sense and context are intended to survive the completion of the performance, expiration or termination of this Agreement shall so survive. In addition, the terms of the sections titled Rights in Data, Confidentiality, Disputes and Records Maintenance shall survive the termination of this Agreement

Attachment 1: Statement of Work

Attachments

Attachment 2: Federal Compliance, Certifications and Assurances

Exhibit A: Centers of Medicare & Medicaid Services, special terms and conditions

ATTACHMENT 1: STATEMENT OF WORK

The Contractor will provide the services and staff, and otherwise do all things necessary for, or incidental to, the performance of work, as described in this Schedule.

1. Background

In June 2023, the Health Care Authority (HCA) received federal approval for a Medicaid waiver demonstration that includes the Initiative. This new Initiative under the Medicaid Transformation Project (MTP) renewal known as the MTP 2.0. was approved by the federal Centers for Medicare and Medicaid Services (CMS) to provide essential services for individuals leaving a state prison, county/city jail, or youth correctional facility. The Initiative will support the delivery of targeted pre-release services to Medicaid eligible adults and youth in state prisons, jails, and youth carceral facilities that will be reimbursed by the Medicaid program known as Apple Health in Washington State.

2. Purpose

The purpose of this project is to prepare people for a successful transition and reentry into their community and help them live their healthiest life, improve health outcomes and reducing rates of recidivism (re-offense), emergency department visits, substance use and death. To stabilize and treat common conditions both prior and post release, so the opportunity for a successful reentry is increased.

3. Project Objectives

Targeted Pre-Release Services. The first three services listed below will be mandatory for facilities to implement. The last four services are optional. Contractor must support the implementation of a targeted set of pre-release services, as described in the Special Terms and Conditions (STC) of MTP 2.0 and the Reentry Implementation Plan approved by CMS:

a. Case management

b. Medications for alcohol and opioid use disorder

c. 30-day supply of medications and medical supplies at release

d. Medications during the pre-release period

e. Lab and radiology

f. Services by community health workers with lived experience

g. Physical and behavioral clinical consultations

As appropriate, a third-party administrator (TPA) as well as regional Accountable Communities of Health (ACH) may assist the Contractor in the planning and implementation of these services, including the delivery of appropriate Health Related Social Needs (HRSN), and the milestones in Section 4. Additionally, HCA will collaborate with facilities on solutions for electronic health record (EHR) systems and systems that bill for Medicaid services.

Activities for implementing reentry services must include:

a. Communicating with HCA regarding Initiative implementation

b. Meeting cohort milestones as described below

c. Ensuring that a client receives targeted pre-release services and when feasible, providing HRSN services for clients reentering a community.

d. An ability to support communication with community providers and Medicaid billing

4. Milestones

The Contractor will develop and implement the following deliverables that execute the Project Objectives. The Contractor will provide services and deliverables to perform all activities necessary for or incidental to the performance of work as set forth under this SOW and described in the Waiver to achieve progress on the following milestones

Milestone 1 – Letter of Intent

Following the receipt of a Letter of Intent documentation and approval by HCA, Contractor must meet the specifications outlined in the template provided to the Contractor as determined by HCA for each of the following four milestones in order to receive funding and participate in the next milestone

Milestone 2 - Complete a Capacity Building Application

The Capacity Building Application includes an Implementation Plan and a detailed budget. The Implementation plan must describe how the facility will support pre-release services. The detailed budget will represent a facility’s formal application for capacity building funds and will specify how capacity building funds will be spent by facilities on IT and non-IT needs. Facilities in Cohorts 1 and 2 that identify the need for additional time to complete a Capacity Building Application may implement after the go live date of that cohort or join a subsequent cohort and complete milestones in-line with the deadlines for these cohorts.

Milestone 3 - Complete a Readiness Assessment

The Readiness Assessment report must include a framework for assessing facility readiness to go-live as part of the Initiative and will include an attestation that the facility is ready to go-live. HCA will provide a template for the assessment and will review submitted assessments and determine facility readiness prior to the go-live date for each facility.

Milestone 4 - Submit Interim Progress Report

The Contractor will be required to submit an Interim Progress Report to HCA with information on the initial implementation of the Initiative. HCA will provide a template for the Interim Progress Report and will review and approve submitted progress reports.

Milestone 5 – Submit Final Progress Report

The Contractor will be required to submit a Final Progress Report to HCA with information on the overall implementation progress of the Initiative and outcomes for clients. HCA will provide a template for the Final Progress Report and will review and approve submitted progress reports.

Milestones deadlines will be based upon the cohort a Facility participates in. Milestone deadlines for Cohort 1 are as follows:

HCA will provide IT infrastructure funding through the Capacity Building Program If needed, HCA will collaborate with facilities on solutions for electronic health record (EHR) systems and systems that bill for Medicaid services.

HCA is soliciting for TPA to provide administrative support possibly starting as early as Q1 2025. The administrative support may include but may not be limited to assisting clients with Medicaid eligibility screening and application, supporting providers to become enrolled as a Medicaid provider, and serving as a claim clearinghouse that helps facilities and providers prepare and submit claims.

6. Capacity Building Program Funding

Contractors that complete Milestone 2 – Capacity Building Application, HCA will provide capacity building funding to facilities to support the planning for and implementation of the Demonstration. Eligible uses of the funding are available in Appendix A, and include the following activities:

a. IT infrastructure funding to support systems changes for data exchange, access to virtual health services, and other IT needs.

b. Reentry planning and implementation funding to support planning expenses, such as the development of process changes, protocols, and procedures for implementation and hiring and training of staff

Maximum funding for reentry planning and implementation will vary by facility size, based on their average daily population for the period of time specified in the Contractor’s Letter of Intent response The table below delineates the maximum funding amounts for Tier 2 facilities. The maximum IT infrastructure funding will be $1 million for each participating facility.

7. Milestone Deliverables Compensation Table

HCA will assess Contractor’s progress towards achieving the Initiative goals based on achievement of specific milestones and measured by these milestones. Distribution of Capacity Building funding to Contractor is based on a Contractor’s tier as described below and is contingent upon their completion of the implementation milestones described below.

Milestones will be developed by the State in consultation with stakeholders and members of the public and approved by CMS. Generally, progress milestones will be organized into the following categories:

1) Letter of Intent Submission 10% of total RPP funding upon submission:

Due Date June 1, 2024

Funding Paid: July 2024

2) Capacity Building Application Submission

Tier 2: $125,000

Up to 40% of total RPP funding upon approval:

Tier 2: Up to $500,000

3) Readiness Assessment Submission and Approval

Up to 40% of total RPP funding upon approval:

Tier 2: Up to $500,000

Up to $500,000 upon approval of the Application

Up to $500,000 upon approval of the Readiness Assessment

Implementation Milestones After Go-Live with Pre-Release Services

4) Interim Progress Report Submission

5) Final Progress Report Submission

Up to 5% of total RPP funding upon submission:

Tier 2: Up to $62,500

Up to 5% of total RPP funding upon submission:

Tier 2: Up to $62,500

Participating in the Evaluation

Due Date: October 1, 2024

Funding Paid: December 1, 2024

Due Date: March 1, 2025

Funding Paid: July 1, 2025

N/A Due Date: May 1, 2026

Funding Paid: July 1, 2026

N/A Due Date: November 1, 2026

Funding Paid: January 1, 2027

Contractor will support the Evaluation of the Initiative. HCA contracted with an independent evaluator to evaluate the Waiver. The evaluator will use claims data from pre-release services to assess the effectiveness of this Initiative. The evaluator stores and analyzes the data in a secure environment. Facilities that participate are consenting to the use of this claims data for evaluation. Facility staff may also be asked to participate in qualitative interviews performed by the independent evaluator regarding their experience participating in the Initiative, to inform the evaluation.

Appendix A: Eligible Uses of Capacity Building Funding

Eligible uses of capacity building funds

• Development of protocols and procedures.

 Expenditures to support the preparation/execution of policies and procedures related to enrollment and suspension/unsuspension and preand post-release reentry navigation services.

• Additional activities to promote collaboration.

 Expenditures for additional activities that will advance collaboration among stakeholders. This may include conferences and meetings convened with the agencies, organizations, and stakeholders involved in the initiative.

• Expenditures for planning to focus on developing processes and information sharing protocols to:

 Identify uninsured individuals who are potentially eligible for Medicaid/ Children’s Health Insurance Program (CHIP).

• Assist with the completion of an application.

• Submit an application to the county social services department for coordinating suspension/unsuspension.

• Screen for eligibility for pre-release services and reentry planning in a period for up to 90 days immediately prior to the expected date of release.

• Deliver necessary services to eligible individuals in a period for up to 90 days immediately prior to the expected date of release and care coordination to support reentry.

• Establish ongoing oversight and monitoring process upon implementation.

• Hiring of staff and training to:

 Assist with the coordination of enrollment/suspension/unsuspension.

 Provide reentry navigation services during the 90-day pre-release period, and to support reentry.

 Provide overall guidance on how to work with justice-involved individuals effectively and appropriately.

 Support an environment appropriate for provision of 90-day pre-release services.

 Accommodations for private space, such as correctional facility-grade moveable screen walls, desks, and chairs to conduct assessments and interviews within carceral settings.

Eligible uses of IT infrastructure funding

• Electronic interfaces for prisons, jails, and youth facilities to support enrollment/suspension.

• Enhancements to existing IT systems to create and improve data-exchange to support reentry navigation services in the 90-day pre-release and post-release period.

• Adoption of system upgrades to ensure compatibility with Epic’s data sharing platform. Any additional expenses related to upgrades including the billing module or new platforms not covered by Health Care Management and Coordination System (HCMACS) which will likely not be available until mid2025.

• Installation of audio-visual equipment or other technology to support provision of pre-release services delivered via telehealth in a period for up to 90 days immediately prior to the expected date of release and care coordination to support reentry.

ATTACHMENT 2: FEDERAL COMPLIANCE, CERTIFICATIONS AND ASSURANCES

I. FEDERAL COMPLIANCE - The use of federal funds requires additional compliance and control mechanisms to be in place. The following represents the majority of compliance elements that may apply to any federal funds provided under this contract. For clarification regarding any of these elements or details specific to the federal funds in this contract, contact: HCA DBHR Contract Manager.

a. Source of Funds: This Contract is being funded through Washingtons State’s five-year Medicaid Transformation Project 2.0 approved under section 1115(a) of the federal Social Security Act by the Center for Medicare and Medicaid Service (CMS) on June 30, 2023, No. 11-W-00304/0 and 21-W-00071/0.

b. Period of Availability of Funds: Funds will become available to Contractor or Subrecipient commencing on the date of final signature of the Contract to which is attached and continuing through June 30, 2028.

c. Single Audit Act: This section applies to subrecipients only. Subrecipient (including private, for-profit hospitals and non-profit institutions) shall adhere to the federal Office of Management and Budget (OMB) Super Circular 2 CFR 200.501 and 45 CFR 75.501. A Subrecipient who expends $750,000 or more in federal awards during a given fiscal year shall have a single or program-specific audit for that year in accordance with the provisions of OMB Super Circular 2 CFR 200.501 and 45 CFR 75.501.

d. Modifications: This Contract may not be modified or amended, nor may any term or provision be waived or discharged, including this particular Paragraph, except in writing, signed upon by both parties.

1) Examples of items requiring Health Care Authority prior written approval include, but are not limited to, the following:

i. Deviations from the budget and Project plan.

ii. Change in scope or objective of the Contract.

iii. Change in a key person specified in the Contract.

iv. The absence for more than one (1) months or a 25% reduction in time by the Project Manager/Director.

v. Need for additional funding.

vi. Inclusion of costs that require prior approvals as outlined in the appropriate cost principles.

vii. Any changes in budget line item(s) of greater than twenty percent (20%) of the total budget in this Contract.

2) No changes are to be implemented by the Sub-awardee until a written notice of approval is received from the Health Care Authority.

e. Sub-Contracting: The Contractor or Subrecipient shall not enter into a sub-contract for any of the work performed under this Contract without obtaining the prior written approval of the Health Care Authority. If sub-contractors are approved by the Health Care Authority, the subcontract, shall contain, at a minimum, sections of the Contract pertaining to Debarred and Suspended Vendors, Lobbying certification, Audit requirements, and/or any other project Federal, state, and local requirements.

f. Condition for Receipt of Health Care Authority Funds: Funds provided by Health Care Authority to the Contractor or Subrecipient under this Contract may not be used by the

Contractor or Subrecipient as a match or cost-sharing provision to secure other federal monies without prior written approval by the Health Care Authority.

g. Unallowable Costs: The Contractor or Subrecipient’s expenditures shall be subject to reduction for amounts included in any invoice or prior payment made which determined by HCA not to constitute allowable costs on the basis of audits, reviews, or monitoring of this Contract.

h. Supplanting Compliance: SABG: If SABG funds support this Contract, the Block Grant will not be used to supplant State funding of alcohol and other drug prevention and treatment programs. (45 CFR section 96.123(a)(10)).

i. Federal Compliance: The Contractor or Subrecipient shall comply with all applicable State and Federal statutes, laws, rules, and regulations in the performance of this Contract, whether included specifically in this Contract or not.

j. Civil Rights and Non-Discrimination Obligations: During the performance of this Contract, the Contractor or Subrecipient shall comply with all current and future federal statutes relating to nondiscrimination. These include but are not limited to: Title VI of the Civil Rights Act of 1964 (PL 88-352), Title IX of the Education Amendments of 1972 (20 U.S.C. §§ 1681-1683 and 1685-1686), section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794), the Age Discrimination Act of 1975 (42 U.S.C. §§ 6101- 6107), the Drug Abuse Office and Treatment Act of 1972 (PL 92-255), the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290dd-3 and 290ee-3), Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), and the Americans with Disability Act (42 U.S.C., Section 12101 et seq.) http://www.hhs.gov/ocr/civilrights

HCA Federal Compliance Contact Information

Washington State Health Care Authority Post Office Box 42710

Olympia, Washington 98504-2710

II. CIRCULARS ‘COMPLIANCE MATRIX’

- The following compliance matrix identifies the OMB Circulars that contain the requirements which govern expenditure of federal funds. These requirements apply to the Washington State Health Care Authority (HCA), as the primary recipient of federal funds and then follow the funds to the sub-awardee, Cowlitz County Corrections The federal Circulars which provide the applicable administrative requirements, cost principles and audit requirements are identified by sub-awardee organization type.

OMB CIRCULAR

ENTITY

State. Local and Indian Tribal Governments and Governmental Hospitals

Non-Profit Organizations and NonProfit Hospitals

Colleges or Universities and Affiliated Hospitals

For-Profit Organizations

OMB Super Circular 2 CFR 200.501 and 45 CFR 75.501

III. STANDARD FEDERAL CERTIFICATIONS AND ASSURANCES - Following are the Assurances, Certifications, and Special Conditions that apply to all federally funded (in whole or in part) Contracts administered by the Washington State Health Care Authority.

a. CERTIFICATION REGARDING DEBARMENT AND SUSPENSION : The undersigned (authorized official signing for the contracting organization) certifies to the best of his or her knowledge and belief, that the contractor, defined as the primary participant in accordance with 45 CFR Part 76, and its principals: are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal Department or agency have not within a 3-year period preceding this contract been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; are not presently indicted or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in Section 2 of this certification; and have not within a 3-year period preceding this contract had one or more public transactions (Federal, State, or local) terminated for cause or default.

Should the Contractor or Subrecipient not be able to provide this certification, an explanation as to why should be placed after the assurances page in the contract.

The contractor agrees by signing this contract that it will include, without modification, the clause above certification in all lower tier covered transactions (i.e., transactions with subgrantees and/or contractors) and in all solicitations for lower tier covered transactions in accordance with 45 CFR Part 76.

b. CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS: The undersigned (authorized official signing for the contracting organization) certifies that the contractor will, or will continue to, provide a drug-free workplace in accordance with 45 CFR Part 76 by:

1. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee’s workplace and specifying the actions that will be taken against employees for violation of such prohibition; Establishing an ongoing drug-free awareness program to inform employees about

i. The dangers of drug abuse in the workplace;

ii. The contractor’s policy of maintaining a drug-free workplace;

iii. Any available drug counseling, rehabilitation, and employee assistance programs; and

iv. The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;

2. Making it a requirement that each employee to be engaged in the performance of the contract be given a copy of the statement required by paragraph (I) above;

3. Notifying the employee in the statement required by paragraph (I), above, that, as a condition of employment under the contract, the employee will

i. Abide by the terms of the statement; and

ii. Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five (5) calendar days after such conviction;

4. Notifying the agency in writing within ten calendar days after receiving notice under paragraph (III)(b) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every contract officer or other designee on whose contract activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant;

5. Taking one of the following actions, within thirty (30) calendar days of receiving notice under paragraph (III) (b), with respect to any employee who is so convicted

i. Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or

ii. Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;

6. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (I) through (V).

For purposes of paragraph (V) regarding agency notification of criminal drug convictions, Authority has designated the following central point for receipt of such notices:

Legal Services Manager

WA State Health Care Authority

PO Box 42700

Olympia, WA 98504-2700

c. CERTIFICATION REGARDING LOBBYING: Title 31, United States Code, Section 1352, entitled "Limitation on use of appropriated funds to influence certain Federal contracting and financial transactions," generally prohibits recipients of Federal grants and cooperative Contracts from using Federal (appropriated) funds for lobbying the Executive or Legislative Branches of the Federal Government in connection with a SPECIFIC grant or cooperative Contract. Section 1352 also requires that each person who requests or receives a Federal grant or cooperative Contract must disclose lobbying undertaken with non-Federal (non-appropriated) funds. These requirements apply to grants and cooperative Contracts EXCEEDING $100,000 in total costs (45 CFR Part 93).

The undersigned (authorized official signing for the contracting organization) certifies, to the best of his or her knowledge and belief, that:

1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative Contract, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative Contract.

2. If any funds other than Federally appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative Contract, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. (If needed, Standard Form-LLL, "Disclosure of Lobbying Activities," its instructions, and continuation sheet are included at the end of this application form.)

3. The undersigned shall require that the language of this certification be included in the award documents for all subcontracts at all tiers (including subcontracts, subcontracts, and contracts under grants, loans and cooperative Contracts) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

d. CERTIFICATION REGARDING PROGRAM FRAUD CIVIL REMEDIES ACT (PFCRA)

: The undersigned (authorized official signing for the contracting organization) certifies that the statements herein are true, complete, and accurate to the best of his or her knowledge, and that he or she is aware that any false, fictitious, or fraudulent statements or claims may subject him or her to criminal, civil, or administrative penalties. The undersigned agrees that the contracting organization will comply with the Public Health Service terms and conditions of award if a contract is awarded.

e. CERTIFICATION

REGARDING

ENVIRONMENTAL TOBACCO SMOKE: Public Law 103-227, also known as the Pro-Children Act of 1994 (Act), requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health, day care, early childhood development services, education or library services to children under the age of 18, if the services are funded by Federal programs either directly or through State or local governments, by Federal grant, contract, loan, or loan guarantee. The law also applies to children’s services that are provided in indoor facilities that are constructed, operated, or maintained with such Federal funds. The law does not apply to children’s services provided in private residence, portions of facilities used for inpatient drug or alcohol treatment, service providers whose sole source of applicable Federal funds is Medicare or Medicaid, or facilities where WIC coupons are redeemed.

Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity.

By signing the certification, the undersigned certifies that the contracting organization will comply with the requirements of the Act and will not allow smoking within any portion of any indoor facility used for the provision of services for children as defined by the Act.

The contracting organization agrees that it will require that the language of this certification be included in any subcontracts which contain provisions for children’s services and that all subrecipients shall certify accordingly.

The Public Health Services strongly encourages all recipients to provide a smoke-free workplace and promote the non-use of tobacco products. This is consistent with the PHS mission to protect and advance the physical and mental health of the American people.

f. CERTIFICATION REGARDING OTHER RESPONSIBILITY MATTERS

1. The inability of a person to provide the certification required below will not necessarily result in denial of participation in this covered transaction. The prospective contractor shall submit an explanation of why it cannot provide the certification set out below. The certification or explanation will be considered in connection with the department or agency's determination whether to enter into this transaction. However, failure of the prospective contractor to furnish a certification or an explanation shall disqualify such person from participation in this transaction.

2. The certification in this clause is a material representation of fact upon which reliance was placed when the department or agency determined to enter into this transaction. If it is later determined that the prospective contractor knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause of default.

3. The prospective contractor shall provide immediate written notice to the department or agency to whom this contract is submitted if at any time the prospective contractor learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549. You may contact the person to whom this contract is submitted for assistance in obtaining a copy of those regulations.

5. The prospective contractor agrees by submitting this contract that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by Authority.

6. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

7. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, HCA may terminate this transaction for cause or default.

CONTRACTOR SIGNATURE REQUIRED

SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL: TITLE:

PLEASE ALSO PRINT OR TYPE NAME:

ORGANIZATION NAME: (if applicable)

Corrections Director

DATE:

Cowlitz County Corrections 7/9/2024

Marin Fox

EXHIBIT A: CENTERS OF MEDICARE & MEDICAID SERVICES, SPECIAL TERMS AND CONDITIONS

The Special Terms and Conditions portion of the MTP 2.0 Waiver is an integral part of this Contract and is incorporated herein by this reference and is not attached but is available upon request from the HCA Contract Manager.

EXHIBIT F

Reentry Initiative Policy and Operations

Reentry Initiative Policy and Operations Guide

A guide to prepare carceral facilities for participation in the Reentry Demonstration Initiative.

Medicaid Transformation Project (MTP 2.0)

5.7.2

1. Introduction

On June 30, 2023, the Centers for Medicare & Medicaid Services (CMS) approved Washington State’s request for a Section 1115 Medicaid demonstration waiver, called Medicaid Transformation Project 2.0 (MTP 2.0). This approval makes Washington the second state to receive federal approval to offer a pre-release of Medicaid services to youth and adults in state prisons, county jails, youth facilities (including juvenile rehabilitation and juvenile detention centers), and tribal jails, up to 90 days before their release. The Reentry Demonstration Initiative is the work HCA is implementing with carceral facilities (facilities) to fulfill the MTP 2.0 waiver.

1.1 Reentry Demonstration Initiative overview

What is the start date for the Reentry Demonstration Initiative (the Initiative)?

The first group of participating facilities – Cohort 1 – will launch in Washington State beginning on July 1, 2025 Facilities that have their Readiness Assessment approved by HCA may begin billing Apple Health for the limited Reentry Initiative benefit services as early as July 1, 2025.

There are three cohorts participating in the Initiative; each cohort has a different go-live or start date.

What are the goals of the Initiative?

Through this Initiative, we aim to:

• Prepare people for a successful transition and reentry into their community and help them live their healthiest life.

• Improve health outcomes and reduce recidivism (re-offense), emergency department visits, overdoses, and death.

• Support substance use disorder and recovery and target infectious diseases like Hepatitis C and HIV before a person’s release.

• Stabilize and treat other conditions before a person’s release, so they can reenter their community as healthy as possible.

What services are included and paid for through the Initiative?

The Initiative will support and pay for the delivery of a limited set of Reentry Initiative benefit services for Apple Health-eligible adults and youth in state prisons, jails, and youth facilities. Participating facilities are required to support all mandatory services. The remaining services are optional, and facilities may implement one or more of the services.

Mandatory services:

1. Reentry Targeted Case Management (rTCM)*

2. Reentry SUD: Evaluation of and medication for substance use disorder (SUD), including opioid use disorder and alcohol use disorder

3. Reentry Pharmacy: Medications at release

4. Pre-adjudication CAA-eligible clients: Apple Health benefits*

5. Post-adjudication CAA-eligible clients: Clinical assessment and evaluation*

Optional services:

6. Clinical assessment and evaluation for adults

7. Reentry Pharmacy: Pre-release medications (medications during the pre-release period)

8. Laboratory services

9. Radiology services

10. Services by providers with lived experience

11. Medical equipment and supplies at release

*Per the Consolidated Appropriations Act of 2023 (CAA), additional benefits affect facilities that house youth under age 21 and foster care alumni up to age 26. Those benefits are:

• Provide rTCM and clinical assessment and evaluation services during post-adjudication

• Provide Apple Health benefits during pre-adjudication beyond those listed under the Initiative

By offering a limited set of health care benefit services, the Initiative aims to bridge the gap between facility settings and community reintegration. This ensures that individuals have the necessary support to lead healthy, productive lives after their release.

Which facilities are eligible to participate in the Initiative?

The following types of facilities are eligible to participate after completing the necessary steps (milestones):

• State prisons operated by the Department of Corrections (DOC)

• City, county, and regionally operated adult jails

• Tribal jails

• Juvenile Rehabilitation Centers operated by the Department of Children, Youth and Families (DCYF)

• City, county, and regionally operated youth correctional facilities

• Juvenile detention centers

To be fully eligible, facilities must opt to participate (Milestone 1), complete the Capacity Building Application (Milestone 2), and pass the Readiness Assessment (Milestone 3).

What are the key steps to participating in the Initiative?

Facilities will go live with one of three cohorts, based on their readiness. Facilities must complete the following steps as part of participation:

1. Milestone 1: Submit an Intent to Participate form, which includes the facility’s cohort selection.

2. Milestone 2: Complete a Capacity Building Application (CBA), which includes a set of attestations outlining the requirements of the Initiative and a detailed budget that:

a. Covers planned expenses

b. Requests capacity building funding

3. Milestone 3: Complete a Readiness Assessment describing the facility’s current and/or planned readiness to support Reentry Initiative benefit services.

4. Milestone 4: Submit Interim Progress Report on initial implementation progress.

5. Milestone 5: Submit Final Progress Report on overall implementation progress and outcomes.

Correctional agencies that oversee multiple facilities (e.g., DOC) may complete each milestone at the agency level on behalf of all facilities they oversee; or may opt to submit milestones for individual facilities if not all the facilities they oversee are participating in the Initiative.

Other relevant resources and information are available at:

• Reentry webpage

• Invitation to Participate

• Reentry Initiative overview document

1.2 Purpose of this guide

The Reentry Initiative Policy and Operations Guide outlines the process and provides detailed instructions for implementing the requirements of the Initiative. The guide clarifies the policy design and operational processes for facilities, county behavioral health agencies, providers, community-based organizations (CBOs), local health jurisdictions, Accountable Communities of Health (ACHs), and managed care organizations (MCOs). As the Initiative progresses and as CMS refines its guidance, HCA will update the Reentry Initiative Policy and Operations Guide to reflect new policy decisions and operational requirements.

Key objectives of this guide include:

1. Establish clear policies: Define the eligibility criteria for reimbursable services; clarify the scope of services; and describe the roles and responsibilities of providers involved in the Initiative.

2. Standardize procedures: Develop standardized procedures for the identification, enrollment, and delivery of services to eligible individuals.

3. Promote coordination: Foster collaboration and coordination among facilities, health care providers, CBOs, and other Initiative partners to facilitate seamless transitions.

4. Ensure accountability: Implement monitoring and evaluation mechanisms to assess the effectiveness of the Initiative and ensure compliance with established policies and procedures.

5. Support continuous improvement: Provide ongoing feedback and continuous improvement to enhance the quality and impact of the Reentry Initiative services provided.

The Initiative promotes a holistic approach to health, addressing not just the immediate health and healthrelated needs of clients upon release, but also the longer-term supports necessary for sustained health and wellbeing.

Key components of the Initiative include:

• Medicaid enrollment and eligibility: Ensure individuals have access to essential health care services by facilitating Medicaid enrollment prior to release, thus reducing gaps in care.

• Pre-release Reentry Health Screening: Conduct screenings to identify physical and behavioral health needs, such as substance use disorders (SUD) and other critical health conditions that require ongoing management.

• Reentry Initiative benefits: Implement mandatory and/or optional health care services within facilities to prepare individuals for successful reentry, including the following:

o Reentry Targeted Case Management (rTCM): Provide personalized support through dedicated care managers who coordinate care and connect individuals to community resources.

o Reentry SUD: Administer evidence-based treatments for SUD, including medications for opioid use disorder (MOUD) and medications for alcohol use disorder (MAUD), to support recovery and reduce the risk of relapse.

o Reentry Pharmacy: Medication at release: Ensure individuals leave a facility with necessary medications, enhancing continuity of care and reducing immediate health risks.

o Clinical assessment and evaluation: Offer visits from health care professionals to manage complex physical and behavioral health conditions.

o Providers with lived experience: Leverage the insights and experiences of individuals who have successfully navigated the reentry process to provide peer support and mentorship.

o Lab and radiology: Ensure access to essential diagnostic services to monitor and manage health conditions.

o Medical equipment and supplies: Ensure individuals leave a facility with necessary medical equipment.

1.2.1 About this guide

Information in this guide supersedes earlier guidance from HCA training decks. Unless otherwise specified, the information described in this guide is governed by the rules found in Chapter 182-563 WAC.

HCA is committed to providing equal access to our services. If you need accommodation or require documents in another format, please call 1-800-562-3022. People who have hearing or speech disabilities, please call 711 for relay services.

If a link within this guide is broken notify us at askmedicaid@hca.wa.gov

1.3 Acronyms and abbreviations

Acronym Meaning

ABP Alternative Benefit Plan

ACA Affordable Care Act

ACES Automated Client Eligibility System

AHPDL Apple Health Preferred Drug List

AI/AN American Indian/Alaska Native

APCD All-Payer Claims Database

AREP authorized representative

AUD alcohol use disorder

BH behavioral health

BSP benefits service package

CBH community behavioral health

CBO community-based organization

CHIP Children’s Health Insurance Program

CI correctional industries

CLID Client Identification (ID) Number in ACES

CM care manager

CMS Centers for Medicare & Medicaid Services

CN categorically needy

DCYF Department of Children, Youth and Family Services

DEA Drug Enforcement Administration

DOH Department of Health

DSA data sharing agreement

DSHS Department of Social and Health Services

EA-Z Eligibility A-Z Manual

EFT electronic funds transfer

EHR electronic health record

EPSDT Early and Periodic Screening, Diagnosis, and Treatment Program

FAQ frequently asked questions

FFS fee-for-service

FMAP Federal Medical Assistance Percentage

FPL federal poverty level

FY fiscal year

HCA Health Care Authority

HIE Health Information Exchange

HIPAA Health Insurance Portability and Accountability Act

HPF Washington Healthplanfinder

LEP limited English proficiency

MCO managed care organization

MEDS Medical Eligibility Determination Services

MH mental health

MHW Molina Healthcare of Washington, Inc.

MMIS Medicaid Management Information Systems

MN medically needy

MOUD medication for opioid use disorder

NHOPI Native Hawaiian and other Pacific Islanders

OTA Office of Tribal Affairs (HCA division)

OTC over the counter (medications)

OUD opioid use disorder

PCP primary care provider

PHI protected health information

PMPM per member per month

RAC Recipient Aid Category

RCW Revised Code of Washington

RDA Research and Data Analysis (DSHS administration)

SAMHSA Substance Abuse and Mental Health Services Administration

SUD substance use disorder

TPA third-party administrator

UHC UnitedHealthcare Community Plan

WAC Washington Administrative Code

WAH Washington Apple Health

1.4 Glossary of terms

Term Definition

HCA designee

American Indian/Alaskan Native

ancillary services

Apple Health

Apple Health Preferred Drug List

Apple Health provider

application

authorized representative

benefit package

billing code

Any entity expressly designated by the HCA to act on its behalf.

A person whose lineage is American Indian, Alaska Native, Inuit, or Aleut, or any combination thereof. The term also includes any person who is regarded as an Alaska Native by the Alaska Native Village or group of which he or she claims to be a member and whose father or mother is (or, if deceased, was) regarded as an Alaska Native by an Alaska Native Village or group. The term includes any Alaska Native as so defined, either or both of whose adoptive parents are not Alaska Natives.

Additional services ordered by the provider to support the core treatment provided to the patient. These services may include, but are not limited to, laboratory services, radiology services, drugs.

An umbrella term or “brand name” for all Washington State medical assistance programs, including Medicaid. Apple Health is a shortened name from Washington Apple Health.

A list of medications covered by Apple Health for various acute and chronic conditions.

An institution, organization, agency or person that is licensed, certified, accredited, or registered according to Washington state law, who is enrolled with/participates in Washington Apple Health (WAH), and has:

a) A signed core provider agreement or contract with HCA or their designee, and is authorized to provide health care, goods, and services to WAH clients; or

b) Authorization from a managed care organization (MCO) that contracts with HCA or their designee to provide health care, goods, and services to eligible WAH clients enrolled in the MCO plan.

An application, or application program, is a software program that runs on a computer. Web browsers, email programs, word processors, and specialized business software are examples.

A person may designate an authorized representative (AREP) to act on his or her behalf in eligibility-related interactions with the HCA by completing the HCA's Authorized Representative Designation Form (DSHS 14-532). See the HCA authorized representatives webpage for more information.

The set of health care service categories included in a client's health care program. See WAC 182-501-0060.

A code used by a group health plan or health insurance issuer or its providers to identify health care items or services for the purposes of billing, adjudicating, and paying claims for a covered item or service.

billing provider

Categorically Needy Income Level

Categorically Needy Program

Centers for Medicare & Medicaid Services (CMS)

client

confidentiality

contracted entity

Core Provider Agreement

Billing provider means an institution, agency, or person that is licensed, certified, accredited, or registered according to HCA, and meets the definition below of (a), or (b), or (c):

a) Has a signed core provider agreement or contract with the HCA or the HCA's designee, and is authorized to provide health care, goods, and services to WA State clients, and submit claims and receive payment from the HCA

b) Has an agreement with a managed care organization (MCO) that contracts with the HCA or the HCA's designee to provide health care, goods, and services to eligible WA State clients enrolled in the MCO plan and submit claims and receive payment from the MCO.

c) Has an agreement with a behavioral health administrative services organization (BHASO) that contracts with the HCA or the HCA's designee to provide crisis and behavioral health services and support to WA State residents and submit claims and receive payment from the BHASO

The standard used by the HCA to determine eligibility under a categorically needy program.

The standard used by the HCA to determine eligibility under a categorically needy program.

The branch of the United States Department of Health and Human Services (DHHS) responsible for the federal requirements of the Medicaid and CHIP programs.

The client is an individual who seeks, currently has, or previously had benefits through HCA.

Preserving authorized restrictions on information access and disclosure, including means for protecting personal privacy and proprietary information. [44 U.S.C., SEC. 3542]

A managed care organization, behavioral health administrative services organization, or any other contractor or subcontractor who is paid a capitated rate for providing benefits or services to Apple Health clients.

A written contract that’s terms and conditions bind each provider in the fee-for-service program to applicable federal laws, state laws, and the HCA's rules, provider alerts, billing guides, and other sub regulatory guidance. See WAC 182-502-0005. The core provider agreement is a unilateral contract.

county of residence

covered entity

The county in which a person resides.

A covered entity is a health plan, a health care clearinghouse, or a health care provider who transmits information electronically in connection with a HIPAA transaction (see 45 CFR 160.103).

As defined in 45 CFR 164.103, HCA is a Hybrid Entity that has designated programs as Health Care Components within the

covered services

diagnosis

disclosure

dual-eligible client

electronic health record (EHR)

administrations/divisions as provided on HCA Administrative Policy 10-05. HCA is a Hybrid Entity with only its Health Care Components (including BAOUs) subject to the HIPAA Rules.

A health care service contained within a "service category" that is included in a WAH benefits package described in WAC 182-501-0060. For conditions of payment, see WAC 182-501-0050(5). A noncovered service is a specific health care service (for example, cosmetic surgery), contained within a service category that is included in a WAH benefits package, for which the HCA or the HCA's designee requires an approved exception to rule (ETR) (see WAC 182-501-0160). A noncovered service is not an excluded service (see WAC 182-5010060).

The process of identifying a disease, condition, or injury from its signs and symptoms.

The release, transfer, provision of access to, or divulgence of individually identifiable health information outside HCA.

An eligible Medicaid client who is also a Medicare beneficiary. This does not include a client who is only eligible for a Medicare savings program as described in chapter 182-517 WAC.

An electronic (digital) collection of medical information about a person that is stored on a computer. An electronic health record includes information about a patient’s health history, such as diagnoses, medicines, tests, allergies, immunizations, and treatment plans. Electronic health records can be seen by all health care providers who are taking care of a patient and can be used by them to help make recommendations about the patient’s care. Also called EHR and electronic medical record.

electronic signature

emergency medical condition

facilities

fee-for-service (FFS) program

Health Insurance Portability and Accountability Act (HIPAA)

A signature in electronic form attached to or associated with an electronic record including, but not limited to, a digital signature.

The sudden onset of a medical condition (including labor and delivery) manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in:

a) Placing the patient's health in serious jeopardy;

b) Serious impairment to bodily functions; or

c) Serious dysfunction of any bodily organ or part.

In this guide, facilities refers to carceral facilities that are eligible to participate in the Reentry Initiative.

The program which pays for services furnished to Apple Health clients for services not covered in a managed care plan.

HIPAA is the federal Health Insurance Portability and Accountability Act of 1996 as amended. The term as used in this policy also includes, as applicable, the Health Information Technology for Economic and Clinical Health Act and the Genetic Information Nondiscrimination

managed care organizations (MCO)

managed care program

Act. The term as used in this policy also includes the implementing regulations in parts 160 and 164 of title 45 CFR. All references are to the laws or rules as amended from time to time and as effective at the relevant time.

An organization having a certificate of authority or certificate of registration from the Washington State Office of Insurance Commissioner that contracts with HCA under a comprehensive risk contract to provide prepaid health care services to eligible HCA enrollees under HCA managed care programs.

A comprehensive health care delivery system that includes preventive, primary, specialty, and ancillary services. These services are provided through a managed care organization.

Medicaid The federal medical aid program under Title XIX of the Social Security Act that provides health care to eligible people.

Medicaid Transformation Project (MTP 2.0)

MTP-participating facilities

medical assistance

medical condition

medically necessary

medical record

mental health

The demonstration waiver granted to Washington State by the federal government under section 1115 of the Social Security Act. Under this demonstration, the federal government allows the state to engage in a five-year demonstration to support health care systems, to implement reform, and to provide new targeted Medicaid services to eligible clients with significant needs.

Facilities in Washington State that opted to participate in and successfully passed the readiness assessment for the Reentry Demonstration Initiative.

The term HCA uses to mean all federal or state-funded health care programs, or both, administered by HCA or its designees. Medical assistance programs are referred to as Washington Apple Health.

A term that refers to a person's state of health. For example, a patient's condition in the hospital may be described as good, stable, or serious. Condition may also refer to a normal state regarding one's health, such as pregnancy, or to a disease, disorder, illness, or injury.

A term for describing requested service which is reasonably calculated to prevent, diagnose, correct, cure, alleviate or prevent worsening of conditions in the client that endanger life, or cause suffering or pain, or result in an illness or infirmity, or threaten to cause or aggravate a handicap, or cause physical deformity or malfunction. There is no other equally effective, more conservative or substantially less costly course of treatment available or suitable for the client requesting the service. For the purposes of this section, "course of treatment" may include mere observation or, where appropriate, no medical treatment at all. See WAC 182-501-0050.

The file created by a health care provider for a clinical episode of care. A separate record of each episode of care is combined into a personal medical record.

According to the World Health Organization (WHO), mental health is “a state of well-being in which the individual realizes his or her their

medications for opioid use disorder

medications for alcohol use disorder

non-billing provider

over-the-counter (OTC) drugs

opioid treatment program

patient

prescribing provider

primary care provider

prior authorization

provider

ProviderOne

ProviderOne client ID

provider type

own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to their community.”

Medications specifically used to treat opioid use disorder

Medications specifically used to treat alcohol use disorder

A health care professional enrolled with the HCA only as an ordering, referring, prescribing provider for the Washington Apple Health (Medicaid) program and who is not otherwise enrolled as an Apple Health (Medicaid) provider with the HCA.

Medications available without a prescription

Licensed by the Department of Health (DOH) and use medications for opioid use disorder (OUD) that are approved by the U.S. Food and Drug Administration in combination with counseling and behavioral therapies, to provide a “whole patient” approach to individuals diagnosed with OUD.

An individual who interacts with a clinician either because of real or perceived illness or for health promotion and disease prevention.

A health care professional authorized by law or rule to prescribe drugs to Apple Health clients.

A physician, naturopath, nurse practitioner, physician assistant, or other health professional licensed or certified in Washington State whose clinical practice is in primary care.

The requirement that a provider must request, on behalf of a client and when required by rule or HCA billing instructions, the HCA or the HCA's designee's approval to provide a health care service before the client receives the health care service, prescribed drug, device, or drug-related supply. The HCA or the HCA's designee's approval is based on medical necessity. Receipt of prior authorization does not guarantee payment. Expedited prior authorization (EPA) and limitation extension are types of prior authorization.

An organization or person that is licensed, certified, accredited, or registered to practice health-related services or otherwise practicing health care services according to Washington State law.

Washington States’s Medicaid Management Information Payment Processing System (billing system) used by Apple Health providers for billing and insurance coverage checking by Apple Health

A system assigned number that uniquely identifies an individual client within the ProviderOne system

A category that defines providers who share similar attributes and is contained in the first two positions of the taxonomy code. Provider

Reentry Demonstration Initiative

Reentry Initiative benefits

Reentry Targeted Case Management (rTCM)

referring provider

State Plan

type is an element of specialization in provider enrollment and maintenance.

The work being done under the MTP 2.0 demonstration waiver that serves Apple Health-eligible individuals within facilities prior to release Also referred to as the Reentry Initiative and the Initiative.

The benefit package available to Apple Health clients of any age under the Reentry Demonstrative Initiative.

A person-centered, recovery-focused approach to address the health of justice-involved Apple Health enrollees. Care manager staff play a significant role in supporting those leaving a carceral setting by providing these core elements of service: 1) Reentry Health Assessment when screening identifies an unmet care need 2) Reentry Care Plan developed according to reentry health assessment 3) Coordination according to the reentry care plan. Includes scheduling, linkages to services, monitoring and follow up activities to ensure Reentry Care Plan is effectively being implemented and needs are being addressed. Coordination requires routinely communicating with the enrollee and others, including discussions with the enrollee at a minimum of once per month via face-to-face interaction in person or telemedicine; additional activities may occur throughout the month to support the minimum requirements. 4) Warm handoff required if care manager is changing (e.g., during pre-release period, pre- to post-care manager change such as to MCO care coordinator, health home).

A health care provider (or individual) who directed the client for care to the provider rendering the services being reported. Examples include, but are not limited to, primary care provider referring to a specialist; physician referring to a physical therapist.

An official document describing the nature and scope of a program that uses federal funds and requires a State Plan. Without a State Plan, Washington would not be eligible for federal funding for providing services under those programs. A State Plan is Washington’s agreement that it will conform to federal requirements and DHHS official issuances.

State Plan Amendment (SPA) How the State makes changes to (amends) the State Plan.

Special Terms and Conditions

Title XIX (Title 19)

Title XXI (Title 21)

telemedicine

Specific guidelines and requirements outlined for the services provided

The portion of the federal Social Security Act, 42 U.S.C. 1396 et seq., that authorizes funding to states for health care programs. Title XIX is also called Medicaid.

The portion of the federal Social Security Act, 42 U.S.C. 1397aa et seq., that authorizes funding to states for the children's health insurance program (CHIP).

The delivery of health care services using interactive audio and video technology, permitting real-time communication between the client

Tribal member

at the originating site and the provider, for the purpose of diagnosis, consultation, or treatment. Telemedicine includes audio-only telemedicine, but does not include any of the following services:

• Email and facsimile transmissions,

• Installation or maintenance of any telecommunication devices or systems,

• Purchase, rental, or repair of telemedicine equipment, or

• Incidental services or communications that are not billed separately, such as communicating laboratory results

To receive benefits from a Tribe or the federal government, most American Indians must be enrolled members of one of the 317 federally recognized Tribes. Each Tribe has its own rules for membership, usually outlined in their constitution and approved by the U.S. Bureau of Indian Affairs. Once enrolled, members receive an official tribal ID card or number confirming their status as part of the Tribe.

Washington Administrative Code State agencies’ regulations (rules’) specifying the rights, privileges, benefits, limitations, restrictions, and sanctions of the programs they administer. A WAC carries the legal weight of administrative law.

2. Provider enrollment

This section covers how to meet the following program requirement as mentioned in section 4, question 1 of the Capacity Building Application (CBA):

Carceral facility’s reentry services providers, including pharmacies and in-facility staff, are enrolled with the Health Care Authority (ProviderOne).

Facilities that intend to bill for Reentry Initiative benefits or are considering billing for Reentry Initiative benefits must be enrolled with the Health Care Authority (HCA). Facilities and providers must complete HCA enrollment through Washington’s ProviderOne system.

Facilities are responsible for ensuring that their providers are enrolled with HCA through ProviderOne. All service providers, including pharmacies and in-facility staff, participating in the Initiative must be enrolled as Apple Health providers in order to bill Apple Health for Reentry Initiative benefits. Enrolled providers may include, but are not limited to:

• Facility providers and pharmacies

• Facility contractors that deliver health care within a facility

• Community-based health care providers and pharmacies, including Tribal health providers

• Providers employed by other external entities (e.g., Medicaid managed care organizations (MCOs), third-party administrator)

If a facility will not bill Apple Health for reentry services (e.g., if their health care vendor/contractor will provide all reentry services), the facility does not need to enroll as an Apple Health provider.

2.1 ProviderOne

ProviderOne or “P1” is the Medicaid Management Information System (MMIS) used by HCA to pay providers (including facilities) for Apple Health (Medicaid)-covered services. ProviderOne is the system facilities and providers will use to submit reimbursable Reentry Initiative services claims. ProviderOne also allows facilities to track their Apple Health payments and confirm an individual’s Apple Health eligibility. Every facility that intends to bill for Reentry Initiative services must complete the provider enrollment process through ProviderOne.

2.2 National Provider Identifier (NPI)

Before enrolling in ProviderOne, facilities and providers must have a National Provider Identifier (NPI). An NPI is a unique 10-digit number issued by CMS to identify health care providers in Medicaid claims transactions. CMS requires all Medicaid providers to have an NPI to ensure accurate processing of claims and secure electronic submissions. HCA links your NPI to your ProviderOne enrollment profile to accurately track payments and services.

There are two types of NPIs through CMS:

• Type 1: Individual health care providers (e.g., physicians, nurses)

• Type 2: Facilities/Organizations/Agencies/Institutions (e.g., carceral facilities, clinics, pharmacies)

In order to obtain an NPI, facilities and providers must submit an application online through the National Plan and Provider Enumeration System (NPPES) website It can take approximately 2-3 weeks to receive an NPI.

• For providers who wish to submit their application by mail or via an electronic file interchange organization, please visit CMS’s website on how to apply for an NPI for detailed instructions.

Facilities and providers can check to see if they already have an NPI using the NPPES NPI Registry

2.3 Apple Health (Medicaid) provider enrollment

To bill for Reentry Initiative benefits, facilities and/or their providers must also be enrolled as an Apple Health provider. To enroll as an Apple Health provider, facilities and/or their providers must submit an application in ProviderOne.

2.3.1 Check providers’ current Apple Health enrollment status

The first step is for facilities to contact their health care providers and confirm they are enrolled in Apple Health. Providers already enrolled in Apple Health do not need to take further action to bill for Reentry Initiative services. Providers not enrolled in Apple Health who plan to bill for Reentry Initiative services must submit an application in ProviderOne.

To check whether a provider is enrolled as an Apple Health provider, contact HCA at 1-800-562-3022, ext. 16137, Tuesday and Thursday, 7:30 a.m. to noon and 1:00 p.m. to 4:30 p.m. Be sure to have the facility or provider’s NPI number ready when calling.

2.3.2 Enroll as an Apple Health provider

If a facility or provider is not currently enrolled in Apple Health, they must complete the following steps:

• Step 1: Determine the appropriate provider type for Apple Health enrollment.

• Step 2: Complete the supplemental paperwork.

• Step 3: Complete the enrollment application in ProviderOne.

Step 1: Determine provider type

Prior to starting the Apple Health provider enrollment application in ProviderOne, facilities and providers should determine their appropriate provider type. Facilities and providers of Reentry Initiative services will fall into one of two provider types:

• Billing provider: This provider type application process is for facilities.

• Health care professional practicing under a group or facility: This provider type application process is for in-staff providers practicing under a facility. When selecting this enrollment type, the group or facility under which a provider practices must be enrolled with HCA as a billing provider

Step 2: Supplemental documentation

To complete the Apple Health provider enrollment application in ProviderOne, facilities and providers must submit the required documents listed below.

Required Information:

• Federal Employer Identification Number (EIN) or Social Security Number (SSN)

• UBI (Unified Business Identifier)

• Business License (dates, license number)

• Banking information (routing number & account number) for direct deposit

Required documents:

• Core Provider Agreement (signature required)

• Debarment Statement (signature required)

• Copy of Internal Revenue Services (IRS) Form W-9 (signature required)

• Practice-specific supporting documents

Step 3: Complete enrollment application in ProviderOne

Once a facility or provider has determined their provider type, they can then start an application in ProviderOne. In ProviderOne, a provider will need to match their provider type with an enrollment type.

Use this chart to match the provider type with the enrollment type options in ProviderOne.

Provider type Select the following enrollment type option in ProviderOne Example

Billing provider (general facilities)

Billing provider (Tribal facilities)

Health care professional practicing under a group or facility (In-Staff providers)

Facility/Agency/Organization/Ins titution

Tribal Health

Individual

All facilities will enroll as a billing provider under the Facility/Agency/ Organization/Institution enrollment type.

All facilities will enroll as a billing provider under the Facility/Agency/ Organization/Institution enrollment type.

A licensed provider (e.g., RN, MD) employed by a facility enrolls under the health care professional practicing under a group or facility enrollment type.

2.4 Step-by-step ProviderOne enrollment process

This section provides a walk-through of the Facility/Agency/Organization/Institution Provider One enrollment process.

• Start a new ProviderOne application.

• Select Fac/Agncy/Orgn/Inst.

• Click submit.

Step 1: Basic Information

• Select HCA from the available agencies then the Billing type will default to BL-Billing.

o See Instructions for adding Billing Type and Available Agencies

• Under Provider Name (Organization Name): Enter the legal name that is registered with the Internal Revenue Service (IRS).

• Enter your FEIN and your business name (this will display at the top of your domain and application).

• Select Yes for required to have an NPI, enter NPI number. Select relevant W-9 entity type.

• For other organizational information select Government.

• Use an email that is monitored frequently. (HCA will use this to contact your facility. Your application ID number is also sent here.)

• Do not enter enrollment effective date and click next.

• You will then receive your application ID number.

o Important: Ensure you save your Application ID (provided on-screen and sent via email). HCA cannot provide your Application ID number if it is lost.

Step 2: Locations

• Click the add button, then a screen will show a locations list starting with physical location. Select NPI base location under location type.

• Under physical location, enter the address of your facility.

• Add information to the mailing address and the pay-to sections of the locations list. If they are the same as your physical location, you can check the box: same as location address.

• Click the Ok button to save. If no additional location addresses are needed, click close.

Step 3: Add specializations

• For location select All.

• For Administration, select Health Care Authority.

• For provider type select 19-Group.

• For specialty, select 32-multi-specialty.

• You can leave the end date blank

• This will open the Available Taxonomy Codes loaded in ProviderOne.

• Use the arrows to move the taxonomy code, 26 Ambulatory Heath Care Facilities, 1Q Clinic/Center, P2400X Prison Health from the Available Taxonomy Codes box to the Associated Taxonomy Codes box

• Click the Ok button to save the information and close the window

Step 4: Add Ownership & Managing/Controlling Interest Disclosures

• To add a new record, click add

• Under disclosure category, select owner

• Under disclosure type, select organization

• Enter the facilities FEIN (no dashes).

• Fill out the disclosure start date (first day of ownership); ownership percentage and the facilities address.

• Click Ok, then add a new record.

• Under disclosure category, select Managing employee.

• Under disclosure type, select Individual.

• Enter the managing employee SSN (no dashes)

• Under first name, last name, DOB, add the information of a managing employee

• Fill out the disclosure start date; ownership percentage and the address section can be filled out using the facility’s address.

• Click Ok and then close

Step 5: Add licenses and certifications

• All facilities must enter a business license. Use the Location dropdown to add a license or certification to a specific provider location. Only select All if the license pertains to every location.

• Using the dropdowns, select the License/Certification Type, the License/Certification #, State of Licensure, and enter the Effective Date and the End Date.

• Click Ok to save the information and close the window or cancel to close the window without saving.

• ProviderOne validates the information entered and saves and returns to the License/Certification List.

Steps 6–8: Optional

Step 9: ProviderOne will display already-entered information

• Review and confirm

Steps 10-14: Optional

Step 15: Add Payment Details and Remittance Advice Information

• To add a new record, click add.

• If using electronic funds transfer, select EFT.

• Input relevant banking information

• Under account type, select corporate

• If using paper check, select paper check and input relevant information.

• After making your changes, click Ok to save.

Step 16: Complete Provider Checklist questions

• Answer relevant questions, specifically focus on any federal or state actions taken against the facility.

• If you answer yes to any questions, add detail in the comment section and upload relevant documents during step 17.

Step 17: Final enrollment instructions

• Prior to the final submission of the enrollment application, facilities must submit the required documentation by using the Upload Attachments button.

o See How to upload attachments in ProviderOne

• These documents include: the Core Provider Agreement, Debarment Statement, W-9, and Trading partner agreement (if a third party is doing billing for the entity).

• When naming the file, do not use punctuation or characters.

• The system only allows one document to be uploaded at a time.

• Ensure that the above forms are completed using the same information as listed in steps 1-16.

• Once all documents are uploaded, click close.

• Click Submit Enrollment. (Changes cannot be made once the application is “In Review” status)

2.4.1 Apple Health enrollment approval

HCA strives to process ProviderOne enrollment applications within 30 days from when they are received. HCA recommends that applications are submitted proactively to allow time for processing and for the resolution of any issues.

Once an application is approved, HCA will mail a welcome letter to both the facility and health care professional practicing under a group or facility. Facilities will receive a separate letter with instructions to gain access to ProviderOne.

2.5 Provider enrollment resources

2.5.1 General Resources

Website: Visit the HCA Learn ProviderOne webpage.

Email: Facilities may e-mail the Reentry Initiative Inbox for individual technical assistance.

Phone: Facilities may call HCA at 1-800-562-3022, ext. 16137

• Tuesdays and Thursdays from 7:30 a.m. to 4:30 p.m. (Closed from noon to 1 p.m.)

• Phones are closed: Mondays, Wednesdays, and Fridays.

Video: A recording of the Reentry Initiative: Provider enrollment learning series webinar held on January 8, 2025, is available on the MTP YouTube playlist and the Reentry Initiative webpage.

2.5.2

ProviderOne links

Link to start a new provider enrollment application: https://www.waproviderone.org/ecams/jsp/common/pgNewPrvdrEnrollment.jsp

Link to resume or track an enrollment application: https://www.waproviderone.org/ecams/jsp/common/pgTrackPrvdrApplctn.jsp

2.5.3

Enrollment manuals

The following manuals provide step-by-step instructions for completing a ProviderOne application:

• Facility/Agency/Organization/Institution

• Tribe

• Attending/servicing provider

3. Client eligibility and enrollment

Coming soon.

4. Billing and claiming

4.1 General provider requirements

Facilities can use in-house correctional health care providers (referred to as facility-based providers) or community-based health care providers to provide care as part of the Reentry Initiative. A facility may opt to provide and bill for the covered Reentry Initiative benefit services once it has met the requirements as an Apple Health provider as listed below. (Also, please refer to 2 Provider enrollment for more information.)

To be reimbursed for Reentry Initiative benefit services, providers are required to:

• Meet the general provider requirements in Chapter 182-502 WAC

• Be enrolled with ProviderOne, which includes: 1) possession of an individual National Provider Identifier (NPI), 2) submission of a signed core provider agreement with HCA, and 3) approval from HCA’s Provider Enrollment team

• Be certified, licensed, and/or bonded, if required, to perform the services billed to HCA

• Have the ability to provide all the core elements of each specific service

• Furnish – upon HCA or MCO request – documentation of proof of service

• Bill HCA or the applicable MCO using only the allowed procedure codes published within the billing guide or related documentation. Providers are responsible for identifying the appropriate information for billing, including their NPI, taxonomy (e.g., 261QP2400X = Ambulatory Health Care Facilities –Clinic/Center – Prison Health), etc.

• Ensure appropriate clinical oversight is applied, when required, by the scope of practice for the licensure type and when a service is delegated to another

4.2 Conditions for HCA to pay for covered reentry-related services

HCA pays for Reentry Initiative benefits when the services are:

• Included in the eligible client’s Washington Apple Health program as a benefit

• Medically necessary as defined in WAC 182-500-0070

• Listed as covered in this guide with the specific code listed in the Reentry Initiative Procedure Code List. See the Apple Health (Medicaid) Reentry Initiative Covered Procedure Code List on HCA’s Provider Billing Guide and Fee Schedule page. In addition, use the appropriate program documents (e.g., billing guide, fee schedule) for coverage details (e.g., any coverage limitations such as age, quantity) and HCA’s payment rates.

• Authorized by the Apple Health payer (a client’s managed care organization or the HCA if the client or service is covered Fee-For-Service), if any identified for the service to be provided (e.g., prior authorization)

• Documented in the client’s record per Chapter 182-502 WAC and meet the Department of Health’s (DOH) requirements in WAC 246-817-305 and WAC 246-817-310

• Within accepted health care practice standards

• Consistent with one or more of the client’s documented diagnoses

• Reasonable in amount and duration of care, treatment, or service

• Consistent with coverage limitations, if any identified for a specific service

• Not duplicated with another Apple Health paid service (e.g., Community Health Workers billed within the Reentry Initiative may not also bill for the service within the Community Care Hubs health-related social needs services.)

• Documented with the appropriate place-of-service code, where the place of service code on the submitted claim form matches the setting where the service is performed. The following additional placeof-service code is covered for providers participating in the Reentry Initiative to support care occurring

within the carceral setting (see the table below). Care delivered outside a carceral setting to incarcerated clients (e.g., provider office) should be billed using the corresponding place-of-service code. HCA may audit claims with an incorrect place-of-service code and payment may be recouped.

Place-of-service code for care in carceral facilities

Place-of-service code Setting 09 Carceral facility

HCA follows the National Correct Coding Initiative (NCCI) policy. For more information about the HCA’s policy to follow NCCI rules, see the National correct coding initiative section of the Physician-related services/health care professional services billing guide.

4.3 Check client eligibility and enrollment status

As further described in section 3 of this guide, clients must be enrolled in Apple Health for providers to receive Apple Health payment for Reentry Initiative services (e.g., 90 days pre-release). To submit billing to the appropriate payer, providers must first check an individual’s Apple Health eligibility and enrollment status. This allows providers to know if a client is 1) enrolled in Apple Health and 2) enrolled with a managed care organization (MCO) or is served through Apple Health without a managed care plan, called fee-for-service (FFS). For more information, refer to HCA’s ProviderOne Billing and Resource Guide

4.3.1 Third-party liability (TPL)

Third-party liability (TPL) is a term used in billing to describe when another entity (a third party) pays for health care services (e.g., private health insurance). Medicaid is required to be the payer of last resort, which means it pays for medical costs only after other sources of payment have been used.

If the client has other health coverage, follow their rules for any required authorization. For more information on TPL, refer to HCA’s Coordination of benefits page and ProviderOne Billing and Resource Guide.

4.4 Filing claims and understanding rates for covered reentryrelated services

After a provider completes a service, the provider files the claim, which may be with the assistance of a thirdparty administrator (TPA), as needed.

HCA procured a TPA to support facilities and providers with the billing process (with the exception for pharmacy billing, which must be claimed at point-of-sale). This TPA service, called a claims clearinghouse, is optional and covered free of charge to participating Reentry Initiative facilities. A claims clearinghouse is defined as a service or platform that acts as an intermediary between health care providers and payers to facilitate the processing of claims. It helps streamline claims submissions by improving the efficiency of the health care billing process and support providers in receiving timely payments for their services.

If a facility chooses not to work with the TPA, claims are required to be filed with the appropriate Apple Health payer directly, either to the assigned MCO for an MCO-enrolled client or to HCA through the ProviderOne portal if the client or service is covered FFS.

For FFS clients or services: Use the ProviderOne Billing and Resource Guide to walk through the claims process.

For MCO enrollees: Contact the MCO for questions about billing an MCO directly or for MCO billing requirements.

Facilities can contact the TPA, free of charge, for billing questions regardless of Apple Health payer.

Reentry Initiative Policy and Operations Guide

5. Reentry Initiative benefit services delivery

Under the Reentry Initiative, participating carceral facilities must ensure access to benefits identified as mandatory Apple Health Reentry Initiative benefits and may elect to provide access to additional, optional Reentry Initiative benefits that may be reimbursed by Apple Health. Reentry Initiative benefits are in addition to the existing Apple Health benefit covering inpatient hospitalization stays for incarcerated individuals who are admitted for 24 hours or more. While facilities are required to provide access to the benefits, clients have the right to choose whether to engage in health care services. All regulations governing privacy and security that typically apply to reentry services also apply to Reentry Initiative services delivered in the carceral setting (e.g., HIPAA, 42 CFR Part 2).

Under the Consolidated Appropriations Act (CAA) of 2023, Apple Health clients who are CAA-eligible may receive certain services pre-adjudication, post-adjudication, and post-release. CAA-eligible clients are eligible Apple Health (Medicaid) beneficiaries ages 20 and younger or individuals aged 21 up to age 26 years who aged out of foster care on or after their 18th birthday (alumni) CAA services can be found in the following sections below: Reentry Targeted Case Management (rTCM), Clinical Assessment & Evaluation for CAA-Eligible Clients, Reentry Pharmacy (vaccinations), and Apple Health Benefits for CAA-Eligible Clients. MTP-participating facilities must ensure access to CAA services.

This section includes a summary of the Reentry Initiative package benefit, screening requirements, details about mandatory and optional benefits, existing benefit information, timeframe guidelines on how to apply the benefits for short- and long-term incarcerations, and additional policy and context for two areas: pharmacy and substance use disorder (SUD). A list of resources is available for relevant benefit information existing in other documents.

5.1 Apple Health Reentry Initiative benefits summary

The tables below detail the Reentry Initiative benefit package that may be paid by Apple Health when the care is medically necessary as defined in WAC 182-500-0070 and the service is identified within this document. The following subsections provide further details on each service The tables note that Apple Health benefits are available for eligible clients post-release, upon notification that the individual has been released from custody.

Mandatory Reentry Initiative benefits and service delivery timing

Key: = Mandatory Benefit

Reentry Targeted Case Management (rTCM)

Reentry SUD: Evaluation and medications

(90 days prior to release)

(90 days prior to release)

(at least 30 days)

N/A

Apple Health benefits for CAA-eligible clients pre-adjudication

Clinical assessment and evaluation for CAAeligible clients post-adjudication

preadjudication

(during preadjudication period only)

90 days prerelease At release

(30 days prior to release)

Optional Reentry Initiative benefits and service delivery timing

Key:  = Optional Benefit (recommended)

(no later than 7 days postrelease) Optional benefits

preadjudication

adults

Apple Health Eligibility: If an individual does not have active Apple Health coverage, a facility is required to support the individual in applying. See more information in section 3. Mandatory benefits

5.2 Facility’s role in eligibility and health screening

Carceral facilities participating in the MTP 2.0 Reentry Initiative are required to perform an eligibility check and conduct a reentry health screening as early as possible upon intake in a facility. In addition, facilities must provide a handout upon release with contact information for Apple Health, emergency, and crisis services, such as HCA’s Reentry Resources for Apple Health (Medicaid) After Release from Incarceration

Reentry Initiative Policy and Operations Guide

Reentry Health Screening: Reentry Health Screenings should be used to identify client needs, inform the development of the Reentry Care Plan, and connect the client to the benefits described below. Screening includes the identification of unmet care needs in medical, mental health, and SUD domains of care and client interest in rTCM. Facilities must conduct the Reentry Health Screening for all Apple Health individuals entering their facility within 24 hours of intake and prior to the 90-day pre-release time frame (e.g., for longer incarceration). Facilities are encouraged but not required to screen individuals if they are in a facility for less than 24 hours. Reentry Health Screening should be provided to a client who previously refused screening and then indicates interest, or when health needs arise.

Reentry Health Screenings can be completed by non-clinical staff. If the client screens positive, a facility is required to offer rTCM services. rTCM is voluntary for the client. Any refusal of services must be documented in the patient health record. If the client is released before rTCM occurs, then rTCM services may start post-release. Facilities may utilize a data collection tool of their choosing, but it must cover all required elements. The completed Reentry Health Screening should be shared with the Reentry Care Manager for improved coordination and outcomes. The Reentry Health Screening is not a rTCM billable service as the function is separate and distinct from rTCM. The following tools may be used to meet these requirements:

• The Intake Screening Form produced by Washington Association of Sheriffs & Police Chiefs (WASPC) meets the intent of the Reentry Health Screening when the client’s interest in rTCM is also documented

• HCA form 05-0005 called Reentry Health Screening Form

• HCA form 13-0141 called Authorization and Information Sharing Consent Form - Reentry Targeted Case Management

5.3 Mandatory Reentry Initiative benefits: Descriptions and resources

The following sections provide information on the definitions for each mandatory benefit, along with the relevant Apple Health Billing Guide and related documentation which describes the scope of each service. See the Reentry Initiative Covered Procedure Code List (within the Reentry Services section) for the list of covered codes and the related resources listed in the tables below. The covered Reentry Initiative codes are procedure codes called Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT), which are used with the corresponding International Classification of Diseases (ICD-10) code. Services may be delivered in-person or via telehealth according to the Apple Health telemedicine policy.

5.3.1 Reentry Targeted Case Management (rTCM)

rTCM is a mandatory service for facilities to support access to care and is a person-centered, recovery-focused approach to address the health of justice-involved Apple Health clients. The intent of rTCM is to prevent morbidity and mortality post-release by identifying health needs, supporting client engagement in health care services to address identified needs, and facilitating services that assess and meet an individual’s health needs. Chronic conditions and infectious diseases are of focus for rTCM, such as:

• Substance Use Disorders (SUD), to include Opioid Use Disorder (OUD) and Alcohol Use Disorder (AUD)

• Mental Health conditions

• Hepatitis C

• HIV

• Syphilis

rTCM services are to be provided by rTCM care managers during the pre-release period (90 days prior to release) and the post-release period (at least 30 days post-release and longer as medically necessary). CAA-eligible clients are eligible to receive rTCM pre-adjudication and for 30-days pre- and post-release; this requirement is met by delivering rTCM services under the Reentry Initiative for participating facilities. Qualified providers for rTCM can be identified in the Apple Health rTCM Billing Guide

Scope of rTCM mandatory benefits

Pre-Release rTCM

Facilities must ensure access to the minimum requirements for rTCM services in the 90 days prior to release. Facilities are responsible for ensuring clients have access to pre-release rTCM as clinically appropriate. Pre-release rTCM must be initiated by the timeframes listed unless it would be clinically inappropriate to do so (e.g., no identified release address when needed for post-release care connection, high probability release date will be at least 90 days from booking, estimated release date (ERD) likely to be delayed).

Minimum requirements for the rTCM service are described in the Apple Health rTCM Billing Guide and include:

• Reentry Health Assessment (RHA) to assess the pre- and postrelease health care needs of the individual and inform the development of a reentry person-centered care plan. The RHA is required if an individual has an unmet care need identified by the Reentry Health Screening. RHA tools must meet the minimum requirements under the Reentry Initiative, as defined in the Apple Health rTCM Provider Billing Guide, such as a comprehensive assessment covering physical, mental health, SUD, and healthrelated social needs.

• Reentry Care Plan developed with the individual and informed by the RHA. Reentry Care Plans may be created in one or multiple client interactions and must address the minimum required components, as defined in the Apple Health rTCM Provider Billing Guide, such as presenting diagnoses, action plans, and management of barriers.

• Reentry Coordination according to the Reentry Care Plan, including scheduling, linkages to pre- and post-release services, and monitoring and follow-up activities to ensure the Reentry Care Plan is effectively implemented and needs are being addressed. Reentry Coordination requires routinely communicating with the client and others, including discussion with client at minimum of once per month; additional activities may occur throughout the month to support the minimum requirements.

• Warm Handoff is required if the Reentry Care Manager changes (e.g., if the individual transitions to post-release care manager that is different from the pre-release care manager). The Apple Health rTCM Provider Billing Guide defines minimum requirements for a warm handoff, such as convening a meeting with the individual and both care managers and sharing the reentry care plan and appropriate documents with the care manager who is new to the client. The warm handoff should occur at least 14 days prior to release or no later than 7 days postrelease.

Apple Health (Medicaid) Reentry

Initiative Covered Procedure Code List

Apple Health

Reentry Targeted Case Management

Provider Billing Guide

Post-Release rTCM

Post-release services are available at least 30 days post-release and longer when medically necessary as described in the Apple Health rTCM Billing Guide and must include:

• Reentry Health Assessment (RHA), if not completed previously

• Reentry Care Plan, if not completed previously

• Reentry Coordination, including scheduling, linkages to services, monitoring, and follow-up activities to ensure Reentry Care Plan is effectively implemented and needs are being addressed. Coordination requires routinely communicating with the client and others

• Warm Handoff, if the Reentry Care Manager changes

Providers may bill for rTCM services post-release regardless of whether pre-release rTCM was initiated while the client was incarcerated. rTCM must be available to CAA-eligible clients at least 30 days post-release.

MCOs are responsible to ensure MCO enrollees have access to postrelease rTCM. The HCA’s contracted Third Party-Administrator is responsible to ensure clients without a managed care organization (referred to as Fee-for-Service or FFS) have access to post-release rTCM.

5.3.2 Reentry substance use disorder (SUD)

Apple Health (Medicaid) Reentry Initiative Covered Procedure Code List

Apple Health Reentry Targeted Case Management Provider Billing Guide

The Reentry SUD benefit is a mandatory service that all participating facilities must ensure access to and includes: 1) evaluations and clinical assessment for SUD 1; and 2) medications for SUD including medications for opioid use disorder (MOUD) and medications for alcohol use disorder (MAUD). Reentry SUD requirements apply for all carceral setting types and align with specific requirements within the agency’s MOUD in Jails program; see MOUD & MAUD in Jails: Standard of Care Guidelines See the Reentry Pharmacy Policy Requirements and the Reentry SUD Policy Requirements sections of this document for more information.

Scope of Reentry SUD mandatory benefits

Mandatory

Benefit

SUD Evaluation & Assessment Facilities must provide access to qualified providers who can evaluate, assess, diagnose, and prescribe treatment for SUD (e.g., correctional health care provider, primary care provider), also referred to as clinical assessment and evaluation. For clients who have verbalized recent use of substances or show symptoms of withdrawal, clinical screening and evaluation should be prioritized to support timely and safe access to treatment

These services are intended to support the access to medications for SUD treatment, including MOUD and MAUD. The clinician should give priority to prescribing the medications available within the Reentry Pharmacy benefits (e.g., MOUD medications covered). As soon as

Apple Health (Medicaid) Reentry Initiative Covered Procedure Code List

Substance Use Disorder Billing Guide

Service Encounter Reporting Instructions (SERI)

1This benefit is distinct from the mandatory CAA Clinical Assessment & Evaluation for CAA-eligible clients benefit described in 5.3.4 and the optional Clinical Assessment & Evaluation for Adults benefit described in 5.4.1.

Reentry Initiative Policy and Operations Guide Updated April 2025

Reentry SUD Medications

possible, begin medication dosing (daily dosing or more frequently as prescribed, or weekly or monthly for long acting injectables).

SUD Evaluation and Assessment services include Screening, Evaluation, and Diagnosis

• Screening, assessment, and evaluation of health conditions, including needs identification, engagement in care, recoveryfocused motivational interviewing, and choice counseling.

• Diagnosis or provisional diagnosis with recommendation for additional evaluation to support diagnosis.

• Provision of treatment, as appropriate to treat the identified issue (e.g., medication administration).

• Recommendations for pre-release treatment and services, including referrals to other providers for additional evaluation or treatment services (e.g., specialty provider).

• Recommendations for post-release treatment and services, including identifying potential areas for further assessment or diagnosis in support of post-release treatment plan development (e.g., residential level of care).

Services may be delivered by a client’s established treating provider (e.g., primary care provider, specialist) or may be an initial consultation with a new provider (e.g., who may determine further visits are required with a specialist for follow-up).

Facilities must provide access to appropriate SUD medications 90 days pre-release as medically necessary, according to the Apple Health Preferred Drug List (AHPDL) and related Clinical Policies.

Reentry SUD Medications include:

• All formulations of buprenorphine;

• An opioid antagonist for those requesting it, including long acting naltrexone;

• Other opioid agonists (e.g., methadone) for MOUD;

• At least two MAUD medications (e.g., naltrexone oral, acamprosate);

• Naloxone (available in the facility to administer); and

• At least two medications, where multiple medications are listed below, should be available to treat each of the following withdrawal-associated symptoms:

o Pain (e.g., acetaminophen, ibuprofen, ketorolac, gabapentin)

o Nausea (e.g., ondansetron, prochlorperazine, metoclopramide)

o Agitation or anxiety (e.g., hydroxyzine, lorazepam, olanzapine, ziprasidone, haloperidol)

o Abdominal cramping (i.e., dicyclomine)

o Hypertension/tachycardia (i.e., clonidine)

Professional Administered Drugs (e.g., medication injections). Providers may submit professional claims for administration of the

Physician-Related Services/Health Care Professional Services Billing Guide

Mental Health Services Billing Guide

Early and Periodic Screening, Diagnosis, and Treatment WellChild Program Billing Guide

Outpatient Hospital Services Billing Guide

Apple Health (Medicaid) Reentry Initiative Covered Procedure Code List

Prescription Drug Program Billing Guide

Professional Administered Drug Apple Health Preferred Drug List

Apple Health (Medicaid) Drug Coverage Criteria

Initiative Policy and Operations Guide

medication/drug and for the medication/drug itself; or submit claims separately for the administration of the medication/drug by the facility and the cost of the medication/drug by the pharmacy

Prescribers must follow Apple Health rules regarding prior authorization and prescription of medications that are listed as nonpreferred on the AHPDL.

During incarceration and during release planning, educate individuals on treatment choices and the process for continuation of access to treatment (e.g., MOUD).

Continuity of Care for SUD Medications

Timely (same or next day) continuation of all FDA-approved medications for the treatment of SUD the individual was previously taking (i.e., prior to incarceration for shorter incarcerations, prior to 90-day period for longer incarcerations), including any agonist medication prescribed in the community (including full-agonists, such as methadone, and partial-agonists, such as buprenorphine).

Provision of existing medication therapy for continuity of care should occur for the 90-day pre-release period as clinically appropriate. If a transition to a covered medication is necessary, any prior authorization is addressed for Apple Health coverage. Facilities are required to ensure the client receives the next scheduled dose, unless otherwise ordered by a prescriber.

5.3.3 Reentry Pharmacy: Medications at Release

Reentry Pharmacy: Medications at Release is a mandatory service for all participating facilities, including at least a 30-day supply when appropriate Reentry Pharmacy: Medications At Release includes:

• AHDPL prescriptions, over-the-counter drugs, and supplies; and,

• Professional Administered Drugs, including vaccinations and medication administration.

See the Reentry Pharmacy Policy Requirements section for more information. See the Medical Equipment and Supplies section for medical supplies services covered outside the pharmacy point-of-sale (POS) system (e.g., adult incontinence supplies).

Scope of Reentry Pharmacy: Medications at Release mandatory benefit

Description

Facilities must ensure access to a supply of medications at release, for clients who are incarcerated two business days or longer. The Reentry Initiative: Medications at Release requirement includes at least a 30-day supply in hand when appropriate, except as described below (e.g., one-time injection). This benefit includes:

• Apple Health Preferred Drug List (AHPDL) covered prescriptions, overthe-counters drugs (OTC) and pharmacy-supplied medical supplies covered at the pharmacy point of sale, and

• Vaccines, and other professional administered drugs, administered at release. This refers to medication administration required to be performed by a clinical provider (e.g., injectables, vaccines) with coverage of the medication administration and the medication/drug

Related Resources

Apple Health (Medicaid)

Reentry Initiative Covered Procedure Code List

Prescription Drug Program Billing Guide

Pharmacy Special Services, Vaccine Administration, and Compliance packaging

Professional Administered Drug

itself. Providers may submit professional claims for administration of the drug and for the drug itself; or submit claims separately for the administration of the drug by the facility and the cost of the drug by the pharmacy.

Prescribers must follow Apple Health rules regarding prior authorization and prescription of medications that are listed as non-preferred on the AHPDL.

A 30-day supply is the mandatory length of fill for all medications at release, except the following:

• Where directed by HCA policy (e.g., oral contraceptives);

• Prohibited by law (e.g., more than 28 days of methadone for OUD); or,

• Clinically inappropriate (e.g., one-time fill of 14 days of antibiotics, vaccination, injection schedule).

5.3.4 Apple Health benefits for CAA-eligible clients pre-adjudication

Apple Health benefits, beyond those described in this document, are mandatory for all facilities that house CAAeligible clients who are pre-adjudication, meaning clients who are awaiting disposition of charges.

Scope of Apple Health benefit for CAA-eligible clients pre-adjudication mandatory benefit Description

Facilities are required to provide access to needed Apple Health benefits beyond those described in this document for CAA-eligible clients who are preadjudication. Apple Health benefits are defined by a client’s program benefit package according to the client’s Apple Health eligibility (see WAC 182-5010060). While the Apple Health program benefit package is available, facilities are required to support access to those services that are:

• Medically necessary

• Appropriate for incarcerated clients.

Not all benefits in the Apple Health benefit package will be appropriate to provide while incarcerated. Prioritization of services should address screening for conditions, immediate care needs (such as SUD or mental health), and engagement in care and recovery.

Provider Billing Guides and Fee Schedules

Service Encounter Reporting Instructions (SERI)

5.3.5 Clinical assessment & evaluation for CAA-eligible clients postadjudication

Clinical assessment and evaluation are mandatory for all facilities that house CAA-eligible clients who are postadjudication. See the Reentry SUD section for Clinical Evaluation and Assessment related to SUD and the Clinical Assessment and Evaluation for Adults section for additional, optional services available.

Scope of clinical assessments & evaluations for CAA-eligible clients mandatory benefit

Description Related Resources

Facilities that house CAA-eligible clients must provide access to clinical assessment and evaluation services in the 30 days prior to release and no later than 7 calendar days post-release. These services may be provided as early as 90 days pre-release for MTP-participating facilities. For clients ages 20 and

younger, services must be delivered in accordance with Early and Periodic Screening, Diagnosis, and Treatment (EPSDT). Further, the next wellness exam and immunizations for clients ages 20 and younger must occur prior to release or, be scheduled within 7 calendar days of release or as soon as practicable. These services are intended to support the creation of a comprehensive and successful Reentry Care Plan, including diagnosis, stabilization, and treatment in preparation for release; providing recommendations or orders for needed medications, medical equipment, and supplies that will be needed upon release; and consulting with the care manager.

Clinical assessment and evaluation services include Assessment, Evaluation, and Diagnosis

• Age-appropriate screening (to include well-child checkups; vaccinations; physical, behavioral, and dental screenings), assessment, and evaluation of health conditions, including needs identification, engagement in care, recovery-focused motivational interviewing, and choice counseling.

• Diagnosis or provisional diagnosis with recommendation for additional evaluation to support diagnosis.

• Provide treatment, as appropriate, to ensure stability and control chronic conditions (e.g. to suggest medication changes or to prescribe appropriate medical supplies, equipment, or appliances for post-release).

• Recommendations for referrals to other pre-release providers for additional evaluation or treatment services (e.g., specialty provider).

• Recommendations for post-release treatment and services, identifying potential areas for further assessment or diagnosis in support of post-release treatment plan development (e.g., residential level of care).

Services may be delivered by a client’s established treating provider (e.g., primary care provider, specialist) or may be an initial consultation with a new provider (e.g., who may determine further visits are required with a specialist for follow-up).

Substance Use Disorder Billing Guide

Service Encounter Reporting Instructions (SERI)

Physician-Related Services/Health Care

Professional Services Billing Guide

Mental Health Services Billing Guide

Early and Periodic Screening, Diagnosis, and Treatment WellChild Program Billing Guide

Outpatient Hospital Services Billing Guide

5.4 Optional Reentry Initiative benefits: Descriptions and resources

Participating facilities may opt to select one or more optional services to implement in addition to the mandatory services that are required under the Reentry Initiative. Facilities choosing to provide the optional benefits may provide access to these services throughout the 90-day pre-release period as clinically appropriate, except for medical equipment and supplies which are available at release. Facilities may support access to optional services upon approval of the facility’s Reentry Initiative Readiness Assessment.

The following sub-sections provide further information on the definitions for each optional service, along with the relevant Apple Health Provider Billing Guide and related documentation further describing the scope of each benefit. See the Reentry Initiative Covered Procedure Code List for the list of covered HCPCS and CPT codes and the related resources listed in the tables below. Services may be delivered in-person or via telehealth according to the Apple Health telemedicine policy.

5.4.1 Clinical assessment & evaluation for adults 2

The clinical assessment and evaluation benefit is optional to provide during the 90-day pre-release period for adults who are incarcerated in participating facilities. However, as noted in this document, it is mandatory for all facilities to offer clinical assessments and evaluations for SUD 90 days pre-release (see Reentry SUD section) and to CAA-eligible clients during the 30 days prior to release (see Clinical Assessment & Evaluation for CAA-Eligible Clients section).

Scope of clinical assessment & evaluation for adults optional benefit

Description

Facilities may opt to provide access to clinical assessment and evaluation services for adults during the 90-day pre-release period. These services are intended to support the creation of a comprehensive and successful Reentry Care Plan, including diagnosis, stabilization, and treatment in preparation for release; providing recommendations or orders for needed medications, medical equipment, and supplies that will be needed upon release; and consulting with the care manager.

Clinical assessment and evaluation services include Assessment, Evaluation, and Diagnosis

• Screening, assessment, and evaluation of health conditions, including vaccination, needs identification, engagement in care, recoveryfocused motivational interviewing, and choice counseling.

• Diagnosis or provisional diagnosis with recommendation for additional evaluation to support diagnosis (e.g., psychological evaluation post-release).

• Provision of treatment as appropriate to ensure stability and control chronic conditions (e.g., medication administration).

• Recommendations for pre-release treatment and services, including referrals to other providers for additional evaluation or treatment services (e.g., specialty provider).

• Recommendations for post-release treatment and services, including identifying potential areas for further assessment or diagnosis in support of post-release treatment plan development (e.g., residential level of care).

Services may be delivered by a client’s established treating provider (e.g., primary care provider, specialist) or may be an initial consultation with a new provider (e.g., who may determine further visits are required with a specialist for follow-up).

5.4.2 Reentry Pharmacy: Pre-release medications

Related Resources

Apple Health (Medicaid)

Reentry Initiative Covered Procedure Code List

Substance Use Disorder Billing Guide

Service Encounter Reporting Instructions (SERI)

Physician-Related Services/Health Care

Professional Services Billing Guide

Mental Health Services Billing Guide

Early and Periodic Screening, Diagnosis, and Treatment WellChild Program Billing Guide

Outpatient Hospital Services Billing Guide

Pre-release medications are an optional benefit, in addition to the mandatory benefits for SUD medications (see Reentry SUD section) and a 30-day supply of medications at release (see Reentry Pharmacy: Medications at Release section). Reentry Pharmacy pre-release medications include:

• AHDPL prescriptions, over-the-counter drugs, and supplies; and,

• Professional Administered Drugs, including vaccinations and medication administration.

2 Adults in this benefit are defined as individuals not eligible for CAA (meaning they are 21 years and older or 26 years and older when foster care alumni).

See the Reentry Pharmacy Policy Requirements section for more information. See the Medical Equipment and Supplies section for medical supplies services covered outside the pharmacy point-of-sale (POS) system (e.g., adult incontinence supplies).

Scope of Reentry Pharmacy: Pre-release medications optional benefit

Description Related Resources

Facilities may opt to provide access to pre-release medications during the 90day pre-release period, in addition to the mandatory SUD medications and 30day supply of medications at release.

Reentry Pharmacy benefits include:

• AHPDL prescriptions and over-the-counters drugs (OTC), including pharmacy-supplied medical supplies covered at the pharmacy point of sale.

Prescribers must follow Apple Health rules regarding prior authorization and prescription of medications that are listed as nonpreferred on the AHPDL list.

• Professional Administered Drugs (e.g., vaccines, family planning medications).

Providers may submit professional claims for administration of the medication/drug and for the medication/drug itself; or submit claims separately for the administration of the medication/drug by the facility and the cost of the medication/drug by the pharmacy.

Continuity of Care for Pre-release Medications

Facilities that opt to provide pre-release medications are required to ensure timely (same or next day) continuation of all FDA-approved medications that the individual was previously taking (i.e., prior to incarceration for shorter incarcerations, prior to 90-day period for longer incarcerations). Provision of existing medication therapy for continuity of care should occur for the 90-day pre-release period as clinically appropriate or transitioned to a covered medication, including with prior authorization verified or obtained for Apple Health coverage. Facilities are required to ensure the client receives the next scheduled dose, unless otherwise ordered by a prescriber.

5.4.3 Laboratory services

The laboratory benefit is optional for participating facilities

Scope of laboratory services optional benefit

Description

Facilities may opt to provide access to medically necessary laboratory services during the 90-day pre-release period.

Examples include:

• COVID-19 testing

• Drug testing for SUD

• Immunology testing (e.g., HIV and Hepatitis C screening, syphilis)

• Organ and disease-oriented panels

Apple Health (Medicaid)

Reentry Initiative Covered Procedure Code List

Prescription Drug Program

Pharmacy Special Services, Vaccine Administration, and Compliance packaging

Professional Administered Drugs

Apple Health (Medicaid)

Reentry Initiative Covered Procedure Code List

Physician-Related Services/Health Care

Professional Services Billing Guide

5.4.4 Radiology services

The radiology benefit is optional for participating facilities.

Scope of radiology services optional benefit

Description Related Resources

Facilities may opt to provide access to medically necessary radiology services during the 90-day pre-release period.

Examples include:

• Mammography

• Diagnostic imaging (e.g., CT scans, MRIs)

• Portable X-rays

• Ultrasounds

5.4.5 Services from providers with lived experience

Apple Health (Medicaid)

Reentry Initiative Covered Procedure Code List

Physician-Related

Services/Health Care

Professional Services Billing Guide

Providers with lived experience are an optional benefit for participating facilities and are intended to support engagement in health care services by qualified providers with lived experience, such as: peers, community health workers, and doulas.

Scope of providers with lived experience optional benefit

Description Related Resources

Facilities may opt to provide access to services from providers with lived experience during the 90-day pre-release period. These providers have first-hand knowledge and insight gained from navigating challenges similar to those faced by the population served or self-identify as having a similar condition. They are trusted members of the community served and have a unique understanding of life circumstances experienced. This trusting relationship enables the provider to serve as a liaison or linkage between health and social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery.

Providers covered within this service are:

• Community health workers (CHW) who are frontline public health workers who serve as an intermediary between health care and the community. The CHW benefit includes services from tribal-serving Community Health Representatives (CHR).

• Birth doulas who are trained non-medical persons who provide emotional, physical, psychosocial, and informational support to pregnant, birthing, post-pregnancy people, and their families.

• Certified peer counselors are certified to serve in this role and either selfidentify as a person with lived experience with mental health or substance use services or are a parent or legal guardian of a minor child with lived experience with mental health or substance use services. Certified Peer Counselors draw upon their experiences to help their peers find hope and make progress toward recovery and wellness goals.

Apple Health (Medicaid)

Reentry Initiative Covered Procedure Code List

Birth Doula Services Provider Billing Guide

Community Health Worker

Provider Billing Guide

Service Encounter Reporting Instructions (SERI)

5.4.6 Medical equipment and supplies at release

Providing access to medical equipment and supplies is optional for participating facilities, in addition to the mandatory 30-day supply of pharmacy-supplied medical supplies at release (See the Reentry Pharmacy: Medications at Release section).

Scope of medical equipment and supplies at release optional benefit

Description

Facilities may opt to provide access to medical equipment and supplies at release, which includes medically necessary equipment and supplies.

Examples include:

• Medical equipment (e.g., wheelchairs) and supplies (e.g., adult incontinence supplies)

• Vision and hearing hardware (e.g., eyeglasses for clients ages 20 and younger)

• Prosthetics and orthotic devices (e.g., orthopedic footwear)

• Sleep and respiratory devices (e.g., continuous positive airway pressure or CPAP devices)

See the Reentry Pharmacy section for other medical supplies, which are covered within the pharmacy point-of-sale (POS) system (e.g., syringes, diabetes test strips). National Drug Codes (NDCs) which are considered as medical supplies submitted through the POS system are reimbursed at the medical equipment and supplies fee schedule associated with their HCPCS code.

Apple Health (Medicaid) Reentry Initiative Covered Procedure Code List

Medical Equipment and Supplies Provider Billing Guide

Vision Hardware Provider Billing Guide

Hearing Hardware Provider Billing Guide

Complex Rehabilitation Technology Billing Guide

Prosthetic and Orthotic Devices Provider Billing Guide

Respiratory Care Provider Billing Guide

Sleep Centers Provider Billing Guide

Home Infusion/Therapy Provider Billing Guide

5.5 Existing benefit: Inpatient hospitalization

Inpatient hospitalization benefits are available to incarcerated Apple Health clients without regard to the Reentry Initiative and continue to be covered by Apple Health when inpatient hospital admissions last 24 hours or more.

Scope of inpatient hospitalization benefit

Description

Apple Health covers inpatient hospitalization services for incarcerated individuals when hospital admissions last 24 hours or more, including inpatient care and any associated professional or outpatient claims during the hospitalization.

Related Resources

Inpatient Hospital Provider Billing Guide

5.6 Service delivery guidelines for short and long stays

Justice-involved individuals experience a wide variety of lengths of incarceration, ranging from long sentences (e.g., state prison) to short incarcerations (e.g., 59% of individuals in jails are released within 7 days). To accommodate these varying lengths of incarceration, the following service delivery expectations for facilities were developed. See the tables below to support understanding how Reentry Initiative benefit requirements align with timeframe of a client’s incarceration. Check marks below indicate the benefit is required to be available for clients no later than on a particular day and yellow indicates the best practice timeframe recommended to offer the service.

5.6.1 Short-term incarceration expectations

For clients with stays expected to be less than 90 days, reentry benefits should begin as soon as possible once enrollment in Apple Health has been confirmed.

Service delivery expectations for short-term incarcerations

(Key:  = recommended timeframe; = HCA required;  = HCA required latest possible timing)

Business days since Apple Health enrollment confirmed (except as indicated in hours) 

Apple Health Reentry Initiative

Screening processes

Apple Health eligibility and application 4  Day 1: Should occur as close to intake as possible and within 24 hours

Reentry Health Screening  Day 1: Should occur as close to intake as possible and within 24 hours

Mandatory benefits

Reentry SUD: Continuity of existing medications

Reentry SUD: Evaluation and initiation of new medications

rTCM: Care manager assignment

rTCM: Reentry Health Assessment

rTCM: Reentry care plan and coordination

rTCM: Warm handoff

Warm handoff can occur at any point before release and no later than 7 days post-release

Reentry Pharmacy: Medications at release At release, at minimum to individuals with incarcerations lasting two business days or longer

Clinical assessment and evaluation for CAA-eligible clients post-adjudication 30 days prior to release at minimum

Apple Health benefits for CAA-eligible clients pre-adjudication

Optional benefits

Clinical assessment and evaluation for adults

Pre-Adjudication, of any length of time

3 Reentry Initiative benefits do not replace carceral health services and responsibilities, and facilities must continue to provide all necessary health care services.

4 Includes verifying eligibility, support for completing an application, and sharing of the Reentry Resources handout. If applicable, managed care enrollment occurs as soon as Apple Health eligible and release date that is within 90 days is shared with HCA.

Reentry Initiative Policy and Operations

Business days since Apple Health enrollment confirmed (except as indicated in hours) 

 Apple Health Reentry Initiative benefits 3

Reentry Pharmacy: Continuity of existing medications

Reentry Pharmacy: Initiation of new medications

Laboratory services

Radiology services

Services from providers with lived experience

Begin the optional benefits when clinically appropriate and as early as possible, e.g., immediately upon intake for short-term incarcerations.

Medical equipment and supplies at release Planning recommended ahead

5.6.2 Long-term stay expectations

For clients with stays longer than 90 days, reentry benefits should begin 90 days prior to the individual’s expected release date. Facilities should confirm the individual’s enrollment in Apple Health before 90 days prior to release, including supporting the individual in submitting an Apple Health application, if appropriate.

Service delivery expectations for adults with long-term stays

(Key:  = recommended best practice timeframe; = HCA required;  = HCA required latest possible timing) Calendar days prior to release   Apple Health Reentry Initiative Benefits 5

Screening processes Apple Health eligibility and application

Reentry Health Screening

Mandatory benefits

SUD: Continuity of existing medications

5 Reentry benefits do not replace carceral health services and responsibilities, and facilities must continue to provide all necessary health care services.

6 Includes verifying eligibility, support for completing an application, and sharing of the Reentry Resources handout. If applicable, managed care enrollment occurs as soon as Apple Health eligible and release date that is within 90 days is shared with HCA.

SUD: Evaluation and initiation of new medications Scheduling recommended  Day 90

rTCM: Care manager assignment

rTCM: Reentry Health Assessment

rTCM: Reentry care plan and coordination

rTCM: Warm handoff  Must occur 14 days prior to release and no later than 7 days week postrelease

Reentry Pharmacy: Medications at release Planning recommended  At release

Clinical assessment and evaluation for CAA-eligible clients post-adjudication  30 days prior to release at minimum

Apple Health benefits for CAA-eligible clients pre-adjudication

Optional benefits

Clinical assessment and evaluation for adults

Reentry Pharmacy: Continuity of existing medication 7

Reentry Pharmacy: Initiation of new medications

Laboratory services

Radiology services

Services from providers with lived experience

Medical equipment and supplies at release

Pre-adjudication, of any length of time

Begin the optional benefits when clinically appropriate and as early as possible, e.g., at 90 days before release for long-term incarcerations.

5.7 Reentry SUD policy requirements

Facilities must provide access to a qualified provider who can evaluate, assess, diagnose, and prescribe SUD treatment As some SUD medications are highly regulated (i.e., methadone), this section was created to support understanding and facilitate access to SUD medications for Apple Health clients. Each facility is responsible for knowing and being compliant with current, applicable state and federal regulations; if a conflict arises between

7 Required if Reentry Pharmacy Pre-release benefit implemented.

regulations and this document, the more restrictive requirement applies. See the Resources section for additional SUD-related information.

Pathways for Ensuring Access: Four pathways exist to support access to methadone within a carceral setting, one of which may be used rarely. These pathways are as follows and are further detailed below:

• Accredited as Opioid Treatment Program (OTP): Facilities that are accredited as an OTP and operate the OTP within the facility.

• Contracted with OTP: Facilities that are contracted with an external community OTP.

• Registered with Drug Enforcement Administration (DEA): Facilities that are registered with the DEA using a hospital/clinic registration type can continue or initiate methadone for individuals with opioid use disorder (OUD) in certain circumstances.

• Brief Periods of incarceration for people receiving methadone from an OTP in a distant jurisdiction: For people who were receiving methadone from an OTP in another jurisdiction prior to their incarceration, a 72-hour supply can be dispensed to bridge their stay and a day of release to allow them to re-establish with their home OTP.

The following Apple Health requirements apply to all pathways. Other requirements are specific to each pathway as detailed below.

• Methadone may not be tapered, replaced, or discontinued for convenience without the individual’s informed consent and must be directed by the treating provider.

• For transition to the community, it is the responsibility of the treating prescriber to ensure the individual’s release planning addresses access to doses of methadone upon reentry (e.g., coordinated transition with the accepting community OTP, records of dosing regimen shared with the accepting provider, last dose administered or dispensed was shared with the accepting provider and the individual). The care manager may support this planning when the client opts into the rTCM service.

Additional information to support Reentry SUD:

• If a licensed OTP is available, the OTP provider should complete a SUD assessment to initiate treatment when it can be completed without delay of treatment. If a licensed OTP is not available to initiate treatment in a timely manner, an assessment by a health care provider (e.g., primary care provider) may be appropriate to determine treatment for timely initiation.

• Telehealth may be appropriate when aligned with the HCA Apple Health Telemedicine policy.

• Methadone medication for the treatment of OUD must be billed on a medical/professional claim and may not be billed on a pharmacy POS claim. Methadone medication on a pharmacy POS claim is for the management of pain only.

5.7.1 Accredited as OTP

Carceral settings that are accredited as an OTP, and operate the OTP within the facility, must follow all existing state and federal rules. The carceral facility-operated OTP is the provider responsible for providing medication in this scenario.

• The OTP provider can initiate methadone for individuals who require it, including those with a primary diagnosis of OUD diagnosis.

• The full SUD intake assessment is completed by the OTP provider and may be completed after initiation when clinically appropriate

• The provider may dispense doses according to the 2024 SAMHSA OTP guidelines and 21 CFR 8.12(i) as unsupervised or “take home” medication.

5.7.2 Contracted with OTP

Carceral settings may contract with a DOH-licensed, external, community OTP provider. The OTP provider is the party responsible for providing medication in this scenario. The OTP provider is responsible for the same requirements listed in the Licensed as OTP section.

5.7.3 Registered with DEA

For facilities that can’t meet the above circumstances, facilities may opt to register with the DEA as a hospital/clinic (not to be confused with a provider who is DEA-registered). See DEA Registration Forms, Form #224a. Providers who would like support or guidance for methadone prescribing may consult with the University of Washington’s Psychiatry Consultation Line (PCL) by calling 877-WA-PSYCH (877-927-7924).

Methadone initiation

Methadone can be initiated for individuals with OUD when one of the two scenarios below applies:

• For clients with a primary diagnosis other than OUD: Requirements for initiation is a primary medical diagnosis other than addiction and an OUD diagnosis. There should be clear documentation in the medical records identifying what primary diagnosis the patient has.

• For clients with a primary diagnosis of OUD: Can initiate methadone for individuals with OUD as a primary diagnosis under the 72-hour rule for individuals as clinically appropriate (e.g., when clients who will be incarcerated for less than 72 hours require treatment) (See 21 CFR 1306.07(b)).

Methadone maintenance

Methadone can be continued for individuals with OUD in the following scenario:

• As an “incidental adjunct” to the medical treatment of a condition other than addiction. Clear documentation is required in the medical record identifying what diagnoses the patient has (See 42 CFR Part 8).

Community transition

Methadone may be dispensed for up to 72 hours upon release, in compliance with the 72-hour rule for individuals who were initiated on methadone during incarceration (See 21 CFR 1306.07(b))

5.7.4 Unique methadone administration circumstances

Under a circumstance in which an individual is experiencing a brief period of incarceration and is receiving OTP treatment in a distant jurisdiction, methadone administration is allowable only in rare circumstances when none of the above categories apply, and the following applies:

1. The facility has access to a health care prescriber (e.g., primary care provider) who is not licensed as an OTP, and

2. The facility cannot locate a licensed OTP nearby (as defined by no licensed OTP within a reasonable driving distance from the facility), and

3. The length of incarceration is expected to be brief. For example, 72 hours of methadone can be dispensed to people who are already receiving methadone from an OTP in a distant jurisdiction. The first day of dosing should occur within 24 hours after incarceration (rarely up to 48 hours) to minimize any loss of tolerance. Consideration should be given to the dosing hours of the person’s home OTP, to bridge the transition from release to re-connection with their home OTP.

Requirements include:

1. The provider can initiate or continue methadone for 72 hours for individuals who require it, including those with a primary diagnosis of OUD diagnosis, but cannot continue methadone beyond the 72 hours

outlined under 21 CFR 1306.07(b). Initiation should be used when clinically appropriate (i.e., a plan to continue the medication past 72 hours is in place prior to initiating) and a rapid release is anticipated.

2. For continuation, the provider receives confirmation of the pre-incarceration dose with the home OTP.

3. If the client continues to be incarcerated past the 72-hour period, one of the first three options should be available. In rare circumstances when none of the above three options are available, the provider should consult the University of Washington’s Psychiatry Consultation Line (PCL) by calling 877-WAPSYCH (877-927-7924) to safely transition the individual from methadone to buprenorphine over an appropriate period.

5.8 Reentry Pharmacy policy requirements

5.8.1 Facility policy requirements for

Individual medications

Reentry Pharmacy services

Apple Health can only be billed for medications that are individually prescribed and labeled. The outpatient pharmacy Apple Health benefit and federal regulations require that all billed medications be dispensed from the pharmacy in a patient-specific manner, rather than using shared stock for medications purchased in bulk.

MOUD & MAUD standards of care

The MOUD & MAUD in Jails: Standard of Care Guidelines are relevant to and required for the Reentry Pharmacy services regardless of facility type in order to support timely response and care.

Timing of release

The Medications at Release benefit requires a 30-day medication fill. The client’s timing of release may impact the facility’s ability to comply with the 30-day fill requirement due to pharmacy access.

Pharmacy hours

The 30-day fill requirement applies whenever feasible for pharmacy access, such as if the client’s release occurs during the following timeframes:

• During the pharmacy’s business hours (whether the release is planned or unexpected) or

• After hours, it is an expected release so that the facility has time to support coordination of access to and fill of medications.

Client choice when medication is not available

If the client is releasing when the medication is not available (i.e., release is unexpected and occurs after pharmacy business hours), the facility must offer a choice to the individual. Clients may choose to:

• Come to the facility the next pharmacy business day to pick up medications, or

• Identify a community pharmacy to access the 30-day medication supply. The facility is then required to coordinate with the prescriber and pharmacy of choice to support transfer of the 30-day supply prescriptions, so the script is on hold awaiting fill (referred to as “on file”).

Early pharmacy interaction

When release is anticipated in the near term, the facility is required to coordinate the 30-day supply with the pharmacy early to ensure sufficient time for the pharmacy to fill the script (including consideration that the pharmacy may need to order the medication if not immediately on stock). If the pharmacy cannot fill the order in a timely manner (e.g., due to immediate release and must order the medication), the Client Choice When Medication is Not Available rule applies. Care managers can support this coordination when the client opts into the rTCM service.

Refills

If the client has any refill available on active prescriptions, the facility is required to support transition of the prescription to the client’s community pharmacy of choice, so it is on hold (on file) for the client to refill. Care managers can support this coordination when the client opts into the rTCM service.

Prevention for medication wastage

The facility must have mechanisms to prevent medication wastage via all the following procedures, at a minimum:

• Verify the client is present in the facility (i.e., has not been released) before the medication is delivered, meaning the medication is no longer in possession of the pharmacy or a pharmacy staff member and can no longer be returned to the pharmacy

• Bring the client to the location where medications are stored to ensure pick up of filled medications prior to release.

• Allow client to choose whether to return to the facility after release to pick up any filled medications (e.g., when the client is released directly from court, when medications are not immediately available at release).

• When filled medications are not picked up or the medication is delivered after the client’s release, deliver filled medicine to client, unless the pharmacy can take back the dispensed medication. This does not apply to controlled substances that cannot be mailed securely

Medication reconciliation

It is standard medical practice to confirm existing medications prescribed when considering prescription of medications. This is required within the Reentry Initiative, with documentation of any unsuccessful attempts. Prior to continuing medication, staff should attempt to verify the prescription. However, if staff are unable to verify the prescription prior to the next scheduled dose of the medication, a provider must be notified. The provider should determine whether the medication should be continued pending verification. Care managers can support this coordination when the client opts into the rTCM service.

Pharmacy storage and dispensing medication

Medications may have additional requirements for storage and dispensing beyond the usual safety requirements in a carceral facility. Some require refrigerator storage with specific temperature controls (e.g., vaccines) or additional protections for controlled substances. The facility is required to ensure pharmacy supplies are stored and dispensed securely and appropriately for the type of medication delivered. See Reentry SUD Policy Requirements section for more information. State law may apply to distributing medications in facilities; see RCW 70.48.490 Delivery and administration of medications and medication assistance by nonpractitioner jail personnel.

5.8.2 Additional information for Reentry Pharmacy

Medication access

To improve medication access, prescribers should consider writing a quantity for 90 days where clinically appropriate (e.g., maintenance medications). Pharmacies may fill a 90-day supply when a 30-day fill is prescribed with appropriate refills are on the script and this policy is allowable within the pharmacy’s own policy.

Prescribers should send refills electronically to the client’s community pharmacy to be placed on file. Care managers can support this coordination when the client opts into rTCM.

Pharmacy policy allows a refill if 75% of the medication was used (e.g., within one week of a monthly fill); a refill request will be rejected when attempting to fill prior to this time (called a refill-too-soon edit). Coordination

between the facility, client, prescriber, pharmacist, and/or community pharmacy may be needed to fill a medication when appropriate (e.g., existing medication not on person when incarcerated); care managers can support this coordination when the client opts into rTCM.

Medication access pre-release

Facilities and prescribers are encouraged to consider providing medications to individuals as keep-on-person (KOP) to the maximum extent possible. This supports individuals to be able to be released with existing medications in the event of an early or unexpected release. Evaluate the following safety considerations in this decision-making, at a minimum:

• Prescriber discretion based on client’s condition (e.g., suicidal ideation),

• Safety in the specific facility setting (e.g., shared cells),

• Safety of packaging (e.g., ability to use as a weapon), and

• Type of medication and likelihood of being diverted (e.g., controlled substances).

Prior authorization (PA)

Apple Health may require prior authorization via HCA (e.g., for Fee-For-Service clients) or MCOs (and any MCOcontracted Pharmacy Benefit Managers or PBMs). The AHPDL is available online and identifies which drugs require PA for Apple Health clients. HCA resources are available: See the general PA form online. Any drugspecific PA forms are available by coordination with the pharmacy, who then is responsible for coordinating with the prescriber.

Vaccine Access

Vaccines are covered per Apple Health policy via both point-of-sale (POS) (e.g., influenza vaccine) and medical claims (e.g., vaccine administration). Note: Accessing via POS or medical claim may vary for specific vaccines by FFS and MCO delivery systems.

Release after dose

Client releases should occur after completed administration of the next dose when clinically appropriate (e.g., provide today’s dose, appropriate clinician available to provide injection).

5.9 Benefit-related resources

Benefit resources and associated links

Benefits

Provider Billing Guides and Fee Schedules

HCA Forms & Publications

ProviderOne Billing and Resource Guide

Apple Health Pharmacy resources, including Apple Health Preferred Drug List

Washington Administrative Code (WAC)

Resource

• Provider Billing Guides and Fee Schedules for documents listed above, including Reentry Initiative Procedure Code List in the Reentry Services section

• https://www.hca.wa.gov/free-or-low-cost-health-care/forms-andpublications

• ProviderOne Billing and Resource Guide

• Apple Health Pharmacy resources on HCA website

• Apple Health (Medicaid) drug coverage criteria

• WAC 182-501-0060 Health care coverage Program benefit packages Scope of service categories.

Reentry Initiative Policy and Operations Guide Updated April 2025

Reentry SUD resources

• WAC 182-500-0070 Medical Definitions - Definitions M. See Medically Necessary.

• SAMHSA: Substance Abuse and Mental Health Services Administration

• 2024 published version of Federal Guidelines for Opioid Treatment Programs| SAMHSA

• 21 CFR 1306.07(b) Administering or dispensing of narcotic drugs.

• Brief FAQ on Methadone Use to Treat Opioid Use Disorder in Carceral Settings with DEA Registration as a Hospital/Clinic

• Directory of Opioid Treatment Programs in WA State

• Opioid treatment programs (OTPs) Resource | Washington State Health Care Authority

• Health Care Authority Methadone for Pain Policy

Reentry Initiative Policy and Operations Guide

April 2025

6. Roles and responsibilities of implementation partners

Many different partners will assist in implementing the Reentry Initiative. The following table provides a high-level overview of responsibilities for key partners implementing the Reentry Initiative. This table corresponds to sections in Milestone 3: Readiness Assessment that facilities must submit and have approved by HCA prior to going live with Reentry Initiative benefit services. Facilities should refer to the Readiness Assessment and Policy & Operations Guide for detailed requirements.

Roles and responsibilities of implementation partners by Readiness Assessment section Readiness

1.1: No cost to individuals

1.2: Staffing and governance structure

• Ensure Reentry Initiative benefit services are provided at no cost to the individual, including not allowing balance billing for Apple Health eligible clients.

• Establish a staffing structure to support all mandatory activities, including sharing the structure with HCA.

• Establish a governance structure for coordinating among partners,

• Ensure Reentry Initiative benefit services are provided at no cost to the individual, including not allowing balance billing for Apple Health eligible clients.

• Upon request of facility, participate in governance structures.

• Ensure Reentry Initiative benefit services are provided at no cost to the individual, including not allowing balance billing for Apple Health eligible clients.

• Upon request of facility, participate in governance structures.

• Ensure Reentry Initiative benefit services are provided at no cost to the individual, including not allowing balance billing for Apple Health eligible clients.

• Upon request of facility, participate in governance structures.

• Upon request of facility, participate in governance structures.

1.3: Apple Health eligibility; application support; incarceration and release date notification

including sharing the structure with HCA.

• Ensure appropriate space, technology, and privacy for all appointments, whether in-person or virtual, or infacility or out of facility.

• Screen individuals to verify if they are enrolled in Apple Health or if they require an Apple Health application (unless delegated to a provider or navigator), including during intake within 24 hours or as soon as possible for individuals with short incarcerations, jails, and juvenile detention facilities.

• Upon request of facility, provide Apple Health application support.

• Follow standard Apple Health processes for providing newly enrolled individuals with relevant MCO documentation (e.g., member handbook for new enrollees) mailed to the client’s address.

• Provide technical assistance on client Apple Health eligibility and enrollment support to facilities.

• Support completion and submission of Apple Health applications (using in-house or community-based navigators/ assisters).

• Update postrelease address and contact information in the individual’s eligibility file, as needed.

• Share mailed Apple Health information with incarcerated clients, including documentation from MCOs (e.g., renewal packets, benefits card), when received.

• Provide contact information for Apple Health support to clients upon their release.

1.4: Apple Health provider enrollment and billing

• Provide information on Medicaid applications in other states, as needed.

• Input booking and release date information into jail management system/OMNI, or work with HCA to establish processes for sharing booking and release information.

• If facility is providing Apple Health services, the facility must enroll in ProviderOne to be a billing provider. Facilities should also credential and contract with MCOs

• Complete ProviderOne enrollment for all providers who will deliver reentry services, if not already completed.

• Contract with MCOs and complete credentialing processes for all enrolled providers who will deliver reentry services, if

• Support facility, community-based providers, and TPA in contracting and credentialing.

• Accept, process, and pay claims for reentry services, submitted by the TPA claims clearinghouse and providers.

• Work with TPA to address questions

• Support completion of Apple Health provider enrollment process for all reentry service providers not already enrolled.

• Provide technical assistance to reentry providers on the general

N/A

Readiness

Assessment section

Carceral facility

either as an out-ofnetwork or non-par provider (for up to 12 months) or complete the full credentialing and contracting process with MCOs or become an innetwork provider.

• If the facility is opting to use community-based providers who will directly bill for services, the facility should enter into an MOU with MCOs to solidify a working relationship and process for sharing of information. The

Community health care provider

not already completed.

• Ensure all participating providers can bill Apple Health FFS and each MCO for eligible services.

Apple Health MCO

Third-party administrator

and/or issues with submitted claims for managed care enrollees. process for MCO contracting and credentialing.

• For facility-based providers, support participating facilities and providers in submission of claims or claims data.

• Receive, review, and process claims or claims data from facility-based providers for reentry services.

Community Care Hubs and Native Hubs

facility should also ensure that the community-based providers are enrolled with ProviderOne and contracted with MCOs.

• If the facility is operating pharmacy services, ensure ability to dispense and bill Apple Health at an individual client level.

• If the facility is operating an Apple Health service as a health care provider, ensure the facility can submit claims to the TPA claims clearinghouse for processing and/or directly bill Apple Health FFS and each MCO for

1.5: Reentry Targeted Case Management (rTCM)

eligible services, as needed.

• Establish a staffing model that meets the Reentry Initiative rTCM requirements.

• Provide Reentry Health Screening to identify clients needing rTCM and provide screening to the rTCM team, as needed.

• If using in-house care managers, ensure the care manager is a qualified health care provider according to the Apple Health rTCM Billing Guide and complies with the minimum requirements (i.e., reentry health assessment, reentry care plan,

• If facility is not using an in-house rTCM model, coordinate with the facility to provide in-reach rTCM (including assessment, care plan, coordinating pre-release care needs, establishing post-release appointments and connections, informationsharing with postrelease MCO/providers, and as-needed warm handoffs).

• Coordinate with the facility for care manager assignment and receive information shared by the facility (e.g.,

• When notified that facility is not using an in-house or inreach communitybased rTCM model pre-release, coordinate with the facility to provide in-reach rTCM using MCO providers for the MCO’s enrollees (including assessment, care plan, coordinating pre-release care needs, establishing post-release appointments/conn ections, informationsharing with postrelease MCO/providers, and as-needed warm handoffs).

• Receive information shared

• Support facilities in establishing an adequate prerelease rTCM network, including providing support or identifying partners for provision of inreach rTCM.

• When notified that the facility is not using an in-house or in-reach community-based rTCM model prerelease, provide rTCM as requested.

• Receive information shared by the facility or community-based provider, as appropriate.

• Upon outreach from the pre- and post-release care managers and in coordination with a client’s MCO, identify community-based providers and facilitate referrals for and coordinate post-release HRSN services.

Readiness

Assessment section

Carceral facility Community health care provider

Community Care Hubs and Native Hubs coordination, and warm handoff).

• Ensure a process for assigning a care manager to each eligible individual and support scheduling of initial rTCM appointment.

• Ensure information sharing process is available to share information with the rTCM care manager(s), both pre- and postrelease as needed, post-release providers, and other entities, as needed.

• Document and track any individuals’ refusals to participate in rTCM and reoffer rTCM.

• Provide hearing and/or language

Reentry Health Screening form, available health information), as appropriate. by the facility for assigned members, as appropriate.

• Provide or coordinate community provider support for MCO enrollee rTCM post-release.

Readiness

Assessment section

1.6: Support for medications

Carceral facility

Care Hubs and Native Hubs interpretation services (as needed and when requested).

• Have an on-site pharmacy or contract with offsite pharmacies (including mailorder pharmacies) to dispense medications in individual-specific packaging.

• Ensure process for medication reconciliation.

• Screen individuals for SUD, including MOUD and MAUD.

• Provide access to the required Reentry SUD medications, when clinically appropriate.

• Provide training to staff on SUD, use of SUD medications,

• Provide Reentry SUD evaluation and medications.

• Share known information about an individual’s medication needs with the rTCM care manager and postrelease providers (as appropriate), if obtained during the course of service delivery.

Readiness Assessment

1.7: Services for CAA-eligible clients

and SUD emergency response.

• Provide an appropriate supply of SUD medication upon release and transfer any refills to a community pharmacy of choice.

• In compliance with Section 5121 of the CAA, ensure access to clinical assessment and evaluation services and rTCM for CAAeligible clients in post-adjudication status.

• In compliance with Section 5122 of the CAA, ensure access to appropriate and medically necessary benefits from the client’s Apple Health benefit

• Coordinate with the facility to provide access to services for CAA-eligible clients, as requested by the facility.

Readiness

Assessment section

Additional optional services

Carceral facility

package for CAAeligible client in pre-adjudication status.

• Ensure provision of any optional services:

o Clinical assessment and evaluation for adults

o Reentry Pharmacy: PreRelease Medications

o Laboratory services

o Radiology

o Medical equipment and supplies at release

o Providers with lived experience

Community health care provider Apple Health MCO

Third-party administrator

Community Care Hubs and Native Hubs

• Coordinate with the facility to participate in provision of any optional services as in-reach providers, in coordination with the facility.

EXHIBIT G

MOUD in Jails Services HCA Contract

Richard R. Dahl - excused absent

Signed by Arne Mortensen - Vice Chairman

6/4/2024

EXHIBIT H

Pharmacy Services

A. Ordering and Delivery

a) The Contractor shall package, dispense, and deliver pharmaceuticals as approved or ordered and in the specified quantities as prescribed by Healthcare Provider, in compliance with all applicable federal and State laws and regulations.

b) All medication provided by the Contractor shall meet or exceed standard pharmaceutical quality specifications for prescription drugs and medications. Any brands specified in this bid are solely for the purpose of indicating the standard of quality and performance for the intended use.

c) Medication provided by the Contractor must be individually packaged blister packs.

d) Generic medication must be substituted for brand name unless otherwise indicated by physician. Generic brands that are supplied must be recognized within the industry as standard.

e) Contractor must provide service for essential medications 24 hours per day, 7 days per week. This shall include weekends, holidays, and after hours.

f) Contractor shall have an electronic, web-based ordering system in place for submission of orders with the ability to interface with the current Electronic Medical Records System. Contractor shall bear any costs associated with building such interface if none is currently available.

g) Orders placed prior to 1700 EST must be ready for delivery and available the following morning. Contractor will deliver or arrange delivery of all medications to the Cowlitz County Jail.

B. Returning Medication

a) Contractor shall provide a method for return and monthly credit for any unused medications that are unit dose packaged.

b) The Contractor shall provide written documentation via a monthly report of all medications returned for credit and disposal, document the credit by medication type and quantity, and include a justification if credit is not given.

C. On-Call/Emergency

a) On-Call/Emergency response shall be provided for serious, unanticipated and immediate needs 24 hours per day, 7 days per week, including holidays.

b) A licensed pharmacist shall be made available, through the use of a notification mechanism and shall respond within sixty (60) minutes to either the Jail or the Medical Department. If no response is received, a secondary contact mechanism (i.e. answering service) shall be provided as a contingency.

c) Contractor must maintain a relationship or contractual agreement with an emergency service facility within the boundaries of Cowlitz County with the ability to fill and deliver emergency orders within a three (3) hour time period.

D. Equipment

a) The County is currently equipped with a locking pharmaceutical refrigerator and two (2) medication carts. One cart is equipped with four (4) drawers, keyless entry and a narcotic lock box. The second cart is equipped with three (3) drawers and keyless entry.

b) The County is currently equipped with a locking refrigerator and medication carts. In the event that any or all of the equipment becomes unavailable for use, the Contractor will be responsible for repairs and/or replacement in order to maintain current equipment inventory. Equipment provided by the Contractor must be purchased new.

E. Reporting

a) Contractor will perform bi-annual pharmaceutical inspection at the Cowlitz County Jail, and complete a written inspection review form.

b) The areas of inspection shall include at minimum; appropriate storage of medications, including controlled medications and supplies, appropriate records to insure adequate control and accountability for medications, the presence or absence of outdated, discontinued or recalled medication, periodic reviews/stop dates of DEA-controlled or abusable drugs, review and appropriate use of a formulary, and the existence of appropriate policies and procedures for medications which are adequately followed. The inspection review form will be forwarded to, and retained by, the Administrative Captain.

c) Contractor must provide on an “as needed” basis an accurate and comprehensive listing of each patient serviced, all medications prescribed and received, all charges in detail, including, but not limited to, total medications, over-the-counter medications, jail medications, the prescribing physician and the dates the services were provided.

F. Compliance

a) Contractor must be licensed/registered with Federal and all Washington State authorities applicable and in good standing to provide prescription service by the Washington State Pharmacy Board.

b) All pharmaceuticals, chemicals and drugs provided as a result of a contract must conform to the

standards set by the Federal Food and Drug Administration and the latest editions of the US Pharmacopoeia, the National Formulary, or the American Medical Association’s publication.

c) Contractor will label all medications in accordance with Washington State labeling laws, and in such a manner as to make clear exactly the method and manner in which the medication is to be administered. This may necessitate including both generic and brand names on medication labels.

d) Contractor must be judged by the County to have adequate experience, legal status, finance and credit, staff, and facility to be able to service the account satisfactorily. Cowlitz County will be the sole judge of whether or not a bidder meets these prequalification conditions.

G. Work Plan

Proposer shall include concise information to demonstrate the knowledge and ability to address all portions of the requirements The plan description should include discussion regarding the following:

1. Proposer’s understanding of the County’s requirements

2. The approach and/or methodology to be employed

3. Work plan for accomplishing the proposed results

4. Detailed information pertaining, but not limited to the following components:

a. Procedure for addressing customer service issues

b. Clear description of the process to order, fill, and deliver prescription and OTC medications

c. Type of blister packing utilized, including examples

d. List of available reports, including examples

e. Implementation plan for converting pharmaceutical product distribution from current vendor to your organization’s processes, if current vendor is not selected.

f. Procedures for handling:

i. Emergency prescription fills

ii. Out of stock items

iii. Partial prescription fills

iv. Medication errors

v. Credit for vendor medication errors

vi. Emergency delivery of medication in the event normal transportation is disrupted

vii. Non-formulary prescription orders

viii. Disaster recovery contingencies

g. Quality assurance program

H. Cost Proposal

The evaluation process is designed to award this procurement not necessarily to the Consultant of least cost, but rather to the Consultant whose proposal best meets the requirements outlined Steps in the evaluation process includes:

1. Identification of Costs

The drugs listed in section I (Medication Costs) represents medications commonly prescribed to Cowlitz County Jail inmates. Bidders shall provide prescription pricing for each item listed based on pricing as of May 1, 2025. Bidders shall also include the total proposed fee to the County for each drug listed. The fee shall be full compensation for the service provided including all labor, packaging, delivery, tax, overhead, profit margin, and any costs related to providing service to the County.

Prescription fees quoted as a part of the Bidder’s proposal shall remain unchanged through December 31, 2026

2. Evaluation

For comparison and evaluation purposes, please adopt a quantity of 30 per prescription. Items not included in the proposal will be penalized by adding 10% to the highest bid on like item, to be included in proposer’s final total.

I. Medication Costs

Medication

ACETAMINOPHEN 500MG TAB -

ACYCLOVIR 400MG TAB -

ALVESCO 160MCG AER -

AMANTADINE 100MG CAP -

AMITRIPTYLINE 25MG TAB -

AMLODIPINE 10MG TAB -

AMOXICILLIN 500MG CAP -

ARIPIPRAZOLE 5 MG TAB -

ASPIRIN LOW DOSE 81MG EC TAB -

ATENOLOL 25MG TAB -

ATORVASTATIN 20MG TAB -

AZITHROMYCIN 250MG TAB -

BENZTROPINE 0.5MG TAB -

BIKTARVY UD 50-200-25 MG TAB -

BUMETANIDE 2MG TAB -

BUPROPION XL 150 MG TAB -

BUSPIRONE 10MG TAB -

CARBAMAZEPINE 200MG TAB -

CARVEDILOL 12.5MG TAB -

CEFDINIR 300MG CAP -

CEPHALEXIN 500MG CAP -

CHLORPROMAZINE HCL 25MG TAB -

CIPROFLOXACIN 500MG TAB -

CITALOPRAM 20MG TAB -

CITALOPRAM HYDROBROMIDE 10MG TAB -

CLINDAMYCIN 150MG CAP -

CLOBAZAM 10 MG TAB -

CLONIDINE 0.2MG TAB -

CLOPIDOGREL BISULFATE 75MG TAB -

CLOZAPINE 100MG TAB -

COLCHICINE 0.6MG TAB -

DAPAGLIFLOZIN 5MG TAB -

DESCOVY 200-25 MG TAB -

DESVENLAFAXINE SUCCINATE ER 100MG TAB -

DIAZEPAM 5MG TAB -

DICYCLOMINE 20MG TAB -

DIPHENHYDRAMINE 50MG CAP -

DIVALPROEX 250 MG TAB -

DOCUSATE 100MG CAP -

DOXEPIN 10MG CAP -

DULOXETINE HCL 30 MG CAP -

ELIQUIS 2.5MG TAB -

EMTRICITABINE-TENOFOVIR DF 200-300 MG TAB -

ENTRESTO 49 -51 MG TAB -

ESCITALOPRAM 10MG TAB -

ESCITALOPRAM OXALATE 20MG TAB -

EZETIMIBE 10MG TAB -

FAMOTIDINE 20MG TAB -

FINASTERIDE 5MG TAB -

FISH OIL 1000MG CAP -

FLUCONAZOLE 100MG TAB -

FLUDROCORTISONE ACETATE 0.1 MG TAB -

FLUOXETINE 20 MG CAP -

FLUPHENAZINE HCL 2.5MG TAB -

FLUTICASONE-SALMETEROL 100-50MCG/ACT INHO -

FLUVOXAMINE MALEATE 100MG TAB -

FOLIC ACID 1MG TAB -

FUROSEMIDE 40MG TAB -

GABAPENTIN 100MG CAP -

GERI-LANTA 200-200-20MG/5ML SUS -

GLIMEPIRIDE 4 MG TAB -

GLIPIZIDE 5MG TAB -

GUANFACINE HCL ER 3 MG TAB -

HALOPERIDOL 1MG TAB -

HALOPERIDOL DECANOATE 100 MG/ML SOL -

HYDRALAZINE 10MG TAB -

HYDROCHLOROTHIAZIDE 12.5 MG CAP -

HYDROXYZINE PAMOATE 25MG CAP -

INSULIN GLARGINE-YFGN 100 UNIT/ML SOL -

ISONIAZID 300MG TAB -

LACTULOSE 10GM/15 SOL -

LAMOTRIGINE 100MG TAB -

LEVETIRACETAM 750MG TAB -

LEVOFLOXACIN 500 MG TAB -

LEVOTHYROXINE 125MCG TAB -

LIOTHYRONINE SODIUM 5MCG TAB -

LISINOPRIL 10MG TAB -

LITHIUM CARBONATE 150MG CAP -

LOPERAMIDE HCL 2 MG CAP -

LORAZEPAM 2 MG/ML SOL -

LOSARTAN 100MG TAB -

LURASIDONE HCL 80 MG TAB -

MAGNESIUM OXIDE 400MG TAB -

MECLIZINE HCL 25 MG TAB -

MELOXICAM 7.5MG TAB -

METFORMIN 850MG TAB -

METHOCARBAMOL 500MG TAB -

METOPROLOL ER 100MG TAB -

METRONIDAZOLE 500MG TAB -

MIRTAZAPINE 30MG TAB -

MONTELUKAST SODIUM 10MG TAB -

NALTREXONE 50MG TAB -

NAPROXEN 500MG TAB -

NIFEDIPINE ER 30MG ER TAB -

NIKKI 3-0.02MG TAB -

NITROFURANTOIN MONOHYD MACRO 100 MG CAP -

OLANZAPINE 7.5MG TAB -

OMEPRAZOLE 20MG CAP -

ONDANSETRON HCL 4MG TAB -

OXCARBAZEPINE 150MG TAB -

OXYBUTYNIN CHLORIDE 5 MG TAB -

PALIPERIDONE ER 9MG TAB -

PANTOPRAZOLE 40MG TAB -

PAROXETINE HCL 20MG TAB -

PENICILLIN V POTASSIUM 500MG TAB -

PERPHENAZINE 16 MG TAB -

PHENAZOPYRIDINE HCL 200 MG TAB -

POTASSIUM CHLORIDE ER 10 MEQ TAB -

PRAZOSIN 5MG CAP -

PREDNISONE 10 MG TAB -

PREGABALIN 50 MG CAP -

PROMETHAZINE HCL 25 MG TAB -

PROPRANOLOL HCL 40 MG TAB -

PYRIDOXINE HCL 25MG TAB -

QUETIAPINE FUMARATE 50MG TAB -

RIFAMPIN 300MG CAP -

RISPERDAL 25MG INJ -

RISPERIDONE 0.25MG TAB -

SERTRALINE 25MG TAB -

SILDENAFIL CITRATE 20 MG TAB -

SODIUM CHLORIDE 1GM TAB -

SPIRONOLACTONE 25 MG TAB -

SUMATRIPTAN SUCCINATE 100MG TAB -

TAMSULOSIN HCL 0.4MG CAP -

TERAZOSIN HCL 10MG CAP -

TIVICAY 50 MG TAB -

TOPIRAMATE 100MG TAB -

TRAZODONE 100MG TAB -

TRAZODONE HCL 50MG TAB -

TRULANCE 3MG TAB -

VALACYCLOVIR HCL 500MG TAB -

VENLAFAXINE HCL ER 75MG ER CAP -

VERAPAMIL HCL ER 120MG TAB -

WARFARIN 1MG TAB -

XARELTO 10MG TAB -

ZIPRASIDONE HCL 80MG CAP -

Exhibit I Electronic Health Records

INTRODUCTION

The Cowlitz County Corrections Department is seeking proposals from qualified contractors to provide, implement and maintain a comprehensive Electronic Health Record (EHR) customizable to meet the needs of the department These services, full or in part, can be incorporated into the Inmate Health Care contract as a proposed total cost or they can be proposed as a stand-alone service provided separately and/or in complete separation from the services listed in 1.22 a. In concept there could be separate vendors selected for the cost proposal and services offered in 1.22 a and those offered in 1.22 b. The proposal should address the full Scope of Services to be provided. In addition, please also provide a breakdown of proposed total cost and an estimate of ongoing costs up to five total years (Inmate Health Care RFP #08-2025 Exibit D)

It is the intent of Cowlitz County to select the Proposer that provides the best solution for the Cowlitz County Corrections Department

SCOPE OF WORK

Clinical Interface Criteria

• Vendor to provide a user-friendly windows-based program that allows multiple users to access records simultaneously with absolutely no delay. Ability to access multiple screens simultaneously by individual caregivers is essential.

• Product must allow for migration from individual components of the software program within one second. Information must be uploaded in no more than 2 seconds.

• Product must include preset and customizable prompts and provide limited free-texting requirements for repetitive and routine tasks and treatments.

• Product must automatically populate County prescribed data lists, reporting mechanisms and caregiver reports such as problem lists, medication reconciliation forms, PMD reports, etc.

• Product must provide opportunity for auto fax with populated reports to other entities outside the facility.

• Product must provide clinical decision support for caregivers including hyperlinks to external clinical databases.

• Product must provide a user-friendly "dashboard" with pre-determined data and easy navigational access from the dashboard to all components. Product must provide clinical activities lists that are individualized for clinicians as well as viewable in aggregate by supervisory and management staff

Integration Criteria

• Relevant demographic and medical data obtained in intake/booking must be incorporated into the EHR seamlessly and automatically.

• Product must provide appropriate interfaces, firewalls, passwords and levels of security as prescribed by the County to avoid contamination of data by unauthorized staff.

• Inmate letters, grievances, sick call slips, consents, requests and correspondence must enter the EHR Current housing area tablets are to be evaluated for

integration.

• Laboratory, Radiology, Emergency Care reports and discharge summaries should enter the EHR seamlessly and automatically. Vendor must integrate with providers of these services to determine mechanism to facilitate this service.

• Product must provide OR interface with a pre-determined Computer Physician Order Entry (CPOE) system that seamlessly and automatically integrates with pharmacy management services, mental health services, dietary services, nursing services, dental services, laboratory and radiology services, security services, and emergency services with hyperlinks to clinical resources, as well as formulary lists, allergies, pharmacy inventory control, etc.

• Product must provide OR must interface with a pre-determined portable electronic Medication Administration Record that seamlessly and automatically integrates with CPOE, pharmacy management services, mental health services and nursing services providing pre-populated prompts such as vital signs.

• Product must provide easily customizable embedded forms as required by the County, regulatory and credentialing bodies that can be printed as needed for reporting and documentation in an easily recognizable and readable format.

Logging. Tracking and Reporting Criteria

• Product must provide robust appointment, transport and housing location services that seamlessly and automatically integrates with jail management system (Spillman). Prompts identifying duplication of appointments and alerts for conflicting events as prescribed by the County must be provided.

• Product must provide a robust Chronic Disease documentation, tracking and monitoring process that can simultaneously monitor multiple diseases and conditions seamlessly and automatically that meets or exceeds NCCHC accreditation criteria.

• Product must provide robust and customizable reporting system that can access aggregate and individualized data for the management of care, peer review, infectious disease surveillance, reporting to regulatory bodies, and quality assurance programs, including interval studies.

• Product must provide time stamp for all documentation and reporting for risk management, quality assurance and security.

• Product must provide robust alert system that integrates portable devices for prescribed alerts such as abnormal values, clinical task challenges, and availability of medications, supplies and equipment. Product that is consistent with paper medical records in structure and content.

Costs and Billing

• Vendor to propose and detail costs associated with delivery, installation, design, development and configuration of proposed software products, including all optionalfeatures.

• Vendor to propose all service-related costs related to the design, development and/or modifications required to meet the requirements of County-specific reports, queries, interfaces and integrations of proposed applications.

• Vendor to propose all costs, related to testing and implementation of software including on-site or remote staff training and software implementation.

• Vendor to propose and detail all costs associated with on-call, remote and on-site repair, technical maintenance and staff assistance.

• Vendor to propose and detail costs associated with any hyperlink access to external clinical databases.

• Vendor to propose and detail all costs associated with Project Management including material costs, travel, housing and other associated costs.

• Vendor to propose and detail all licensing fees, software maintenance, service fees and costs, as well as urgent response services for the contract period.

• Vendor is responsible for any integration costs associated with the County’s JMS (Spillman)

EXHIBIT J

Optional Services Scoring

Each response listed under 1.22 .b (COST PROPOSAL) shall be evaluated to determine if the respondent meets the qualification criteria of the solicitation and if the technical specifications in the response meet the requirements Cowlitz County reserves the right to contact respondents to clarify any technical specification in the response.

The responses will be evaluated for content based on the vendor’s qualifications (i.e. organization’s history and background), the vendor’s financial capability to perform the requirements outlined and the merits of its proposed program of services and proposed personnel related to the delivery of services and the cost considerations associated with their response.

The evaluation Committee will evaluate proposals based on the following criteria. A maximum score of 100 points will be used to evaluate proposers. Each of the following elements shall have the stated maximum point value.

Description

1. 30 Cost of Proposed contract and financial structure.

2. 25 References of present contracts

3. 20 Contractor experience, ability to meet the needs of the County, management skills, off-site services, and other attributes of the contractor

4. 20 The experience, financial stability, responsibility and work record of the Contractor

5. 5 Any other relevant factors listed in the RFP

COWLITZ COUNTY REQUEST FOR PROPOSALS #08-2025

INMATE HEALTH CARE PROVIDER

The Cowlitz County Corrections Department is seeking proposals from qualified providers of health care services for individuals confined to the Cowlitz County Jail and Juvenile Detention Center Proposals must arrive prior to 11:00 A.M. PST on August 4, 2025 at the following location.

Cowlitz County

Attn: Ashley Claussen

Inmate Health Care Services #08-2025 1600 13th Ave S Kelso WA 98626

The request is being made available electronically. If accepted by such means, the Proposer acknowledges and accepts full responsibility to ensure that no changes are made to the Request for Proposal documents. In the event of a conflict between a version of the Request in the Proposer’s possession and the version maintained by the County, the version maintained by the County shall govern.

A copy of the Request is also on file with the Clerk of the Board and may be viewed on the Cowlitz County website at: http://www.co.cowlitz.wa.us/bids.aspx

The Board reserves the right to reject any and all proposals, to waive any informalities in the proposals received, and to accept other than the low bid if it appears to be in the best interest of the County.

All documents received in response to this invitation to bid will become a matter of public record and subject to the Washington public disclosure act under chapter 42.56 RCW.

DATED this 3rd day of June, 2025.

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

PUBLISHED:

PUBLICATION REQUIREMENT: To be published in one issue.

BILLING INFORMATION:

1) AFFIDAVIT TO: Cowlitz County Commissioners Attn: Clerk of the Board

2) BILL TO: Cowlitz County Corrections 1935 1st Ave

Longview, WA 98632

BOCC Agenda

Meeting Date: 06/03/2025

Interlocal Agreement between City of Longview and Cowlitz County relating to Building code administration, Plans Examination and Building Inspection Services

Submitted For: Traci Jackson

Department: Building & Planning

Subject and Summary Statement

Submitted By: Traci Jackson

Information

Interlocal Agreement between City of Longview and Cowlitz County relating to Building Code Administration, Plans Examination and Building Inspection Services.

Will Staff Attend - NAME OF STAFF

Traci Jackson

Department Recommendation

The Department recommends the Board enter into the Interlocal Agreement with the City of Longview.

Attachments

Interlocal

Form Started By: Traci Jackson

Form Review

Started On: 05/21/2025 10:52 AM

Interlocal Agreement Between the City of Longview and Cowlitz County Relating to Building Code Administration, Plans Examination, and Building Inspection Services

This Interlocal Agreement, hereinafter" Agreement" is entered into between the City of Longview City") and Cowlitz County, Washington (" County") on the effective date set forth herein.

WHEREAS, City and County are public agencies as defined by RCW 39. 34, the Interlocal Cooperation Act, and are authorized thereunder to enter interlocal agreements based on mutual advantage and thereby to provide services and facilities in the manner and pursuant to forms of governmental organization that will accord best with geographic, economic, population, and other factors influencing the needs of local communities; and

WHEREAS, the Cowlitz County Building& Planning Department maintains building and planning divisions that regularly enforces and administers the building code requirements, reviews building permit applications, planning actions, and conducts building inspections; and

WHEREAS, the City desires to utilize the resources of Cowlitz County to assist the City in performing Longview building and development code administration through plan reviews and building inspections; and

WHEREAS, City has agreed to compensate County for performing these administrative services; and NOW THEREFORE, in consideration of the terms and provisions contained herein, it is agreed between City and County as follows:

1. Purpose. It is the purpose of this Agreement to establish the framework, roles, and responsibilities to have County provide staffing and resources to perform building code administration through plan reviews and inspection services on behalf of the City. County resources and staffing will be provided to the City upon request, except when the provision of staffing and resources harms or impairs the County in performance of County' s statutory and regulatory duties and responsibilities. The County Director of Building and Planning ( County Director) will be the sole determinant of such harm and impairment.

2. Cowlitz County Building and Development Code Review Services. Upon request by the City, and in a timely manner, the County Building and Planning Director County Director) will provide its Department of Building and Planning staff( County staff) to review residential and commercial building plans for compliance with the current Washington and City building and land use development codes. All such services provided by County staff will be performed as agents of the City, for the limited purpose of enforcing State and City laws, ordinances, and regulations relating to application of said building and development codes. Direction, oversight, interpretation, and application of said building and development codes, and performance of procedures therewith, shall be at the direction of the City Community Development Director( City Director), as assisted by the City Building Official or City Building and Planning staff( City staff), and the City Attorney.

3. County Building Official Services. The City Director shall perform the duties of the City Building Official to enforce and administer the provisions of the City building and development codes in accordance with Washington state adopted building and development codes, as amended by the City.

a. Unless County services are requested in accordance with section 2, above, City staff will perform permit intake, application administration and monitoring, and permit issuance for the City, prior to building code inspection.

b. Upon request by the City, County will provide Building Official services to City to assist the City Building Official in accordance with the application of current building and development codes and standards as adopted and amended by the State of Washington and the City.

c. All such services provided by the County Building Official or designee, will be performed as an agent of the City, for the limited purpose of applying State and City laws, ordinances, and regulations in the performance of services regarding said building and development codes and standards.

d. When County services are requested, in accordance with section 2, above, the County Building Official or designee shall rely on the interpretations of the City of State laws, ordinances, and regulations relating to application of said building and development codes and standards, as provided to the County by the City Director or designee, and by the City Attorney.

e. City retains responsibility for all hearings, appeals, and administrative enforcement activities arising from building inspection services, regardless of which party performed the services, provided the County will provide available staff as additional resources to assist with these proceedings when requested by the City.

4. Building and Development Plan Review Services.

a. Pursuant to Section 2, above, and upon request by City, County staff will review plans for code compliance and in accordance with the current development and construction codes as adopted and amended by the State of Washington and the City.

b. The City shall timely submit requests for any plan review services to the County Building Director, or his/ her designee. Plans shall be reviewed and returned to the applicant within the timeframes established for such review in accordance with processing procedures established between the County and the City. Such procedures shall be established and agreed upon by both parties for 1.) notification and submission of plans by the City to County for reviews to be completed, and 2.) the notification and involvement of City staff of plan on review issues, with status updates and review completion and return of materials.

c. If plans are deemed incomplete for purposes of review for code compliance, County staff will timely notify the applicant and the City Director. If plans are accepted for review and deemed compliant after review by County staff, it will indicate in writing that the drawings have been reviewed for code compliance. Sets of plans deemed compliant shall be returned to the City for issuance of final approvals and permitting.

d. Pursuant to Section 2, above, and upon request by City, the County Director will assign available County staff to attend pre- application meetings and pre-submission meetings in accordance with the provision of building and development plan reviews.

e. When County services are requested by the City, then in accordance with section 2, above, the County staff shall rely on the interpretations of City development and construction codes, in accordance with State and City laws, ordinances, and regulations, as provided by the City Director or designee and by the City Attorney.

5. Provision of Building Inspection Services. Pursuant to Section 3, above, and upon request by the City, County staff shall perform building inspections, including building, plumbing, and mechanical inspections. The governing codes used for inspection shall be those adopted by the City within Chapter 16.02 of the Longview Municipal Code, as amended. Inspections will be performed according to an inspection schedule set by the County Director in consultation with the City Director and City Attorney. Procedures shall be established and agreed upon by both parties for 1) notification of county designated staff of inspections waiting to be scheduled, 2) the regular conduct and completion of building inspections, and 3) the notification of City staff of inspection status and disposition.

6. Terms of Agreement. This agreement shall become effective immediately upon ratification by both legislative bodies of the City of Longview and Cowlitz County and shall continue indefinitely unless terminated by either party upon providing the other party with sixty( 60) days advance written notice of such termination.

7. Payment to County. In consideration of this Agreement and the services provided, City shall pay County an hourly rate for all services provided by County under this Agreement, as listed in Exhibit A. Payments for services rendered shall be made by City within thirty( 30) days of receipt of the billing statement from County, subject to the dispute resolution provision set forth at Section 7( b).

a. Billing statement. County shall submit a monthly statement to City that shall contain the following:

i. Date of service

ii. Hours of work

b. Billing statement dispute. If there is a dispute regarding the amount of money owed by City to the County, staff shall make every effort to resolve such a dispute. In the event that there is no resolution to the dispute, the disputed amount shall be placed into this registry of the Cowlitz County Superior Court until the dispute is resolved by agreement of the parties or in a court with jurisdiction over the subject matter of the dispute, City shall be required to pay County regardless of whether City is paid or collects fees for the services that involve the work of County. Payments for services rendered shall be made by City each month within thirty (30) days of receipt of the billing statement from County.

8. Ownership of Property and Records.

a. Real and Personal Property. The parties to this Agreement do not contemplate the acquisition or financing of any property to carry out the purposes of this Agreement. Any property owned or acquired by City shall remain the property of City, and the property owned or acquired by County shall remain the property of County.

b. Equipment and Supplies for Performance. The County shall furnish all equipment and supplies for its staff to perform the services under the provisions of sections 2 through 5, above.

9. Independent Contractor. The Parties understand and agree that County is acting hereunder as an independent contractor and shall maintain control of all County employees, including by not limited to hiring, firing, discipline, evaluation, and establishment of standards of performance thereof. All County personnel rendering service hereunder shall be employees of the County, although they may from time-to-time act as agents and officers of the City, as set forth herein. County staff shall consult with the City on questions and for guidance in the interpretation and application of City building and development code necessary to carry out the provisions of this Agreement. The City retains authority to make all discretionary decisions required by City code and, if necessary, to reverse or modify any discretionary decisions made by County staff in performance of this Agreement. County staff shall follow the reasonable instructions of the City Director, or his or her designee, provided such instructions are in the furtherance of the performance of services by County to the City pursuant to the terms of this Agreement.

10. Termination.

a. Termination by Notice. This Agreement may be terminated by either party upon it providing the other party with sixty ( 60) days advance written notice of such termination.

b. Termination by Mutual Written Agreement. This Agreement may be terminated at any time by mutual written agreement of the parties.

c. Termination for Breach. County may terminate this Agreement with fourteen ( 14) days advance written notice upon the failure of City to make payments as required by this agreement. City may terminate this Agreement upon fourteen ( 14) days advance written notice in the event County fails to provide services as required in this Agreement except disputes handled per Section 7. 2.

d. Provisions 11 ( Indemnification) and 12( c) ( Insurance) shall survive the termination of this Agreement to any claim or liability arising out of any event occurring prior to the effective date of termination.

11. Indemnification and Hold Harmless. County agreed to defend, indemnify, and hold harmless City and each of its employees, officials, agents, and volunteers, from all losses, claims, liabilities, lawsuits, or legal judgements arising out of any negligent or tortious actions or inactions by County or any of its employees, officials, agents, or volunteers, while acting within the scope of the duties required by this agreement. All costs, including but not limited to attorneys' fees, court fees, mediation fees, arbitration fees, settlements, awards of compensation, awards of damages of every kind, etc., shall be paid by the County or its insurer. This provision shall survive

the expiration of this Agreement. This provision shall also survive and remain in effect if a court or other entity with jurisdiction determines that this Interlocal Agreement is not enforceable.

City agrees to defend, indemnify, and hold harmless County and each of its employees, officials, agents, and volunteers from all losses, damages, claims, liabilities, lawsuits, or legal judgments arising out of any negligent or tortious actions or inactions by City or any of its employees, officials, agents, or volunteers, while acting within the scope of the duties required by this Agreement. All costs, including but not limited to attorneys' fees, court fees, mediation fees, arbitration fees, settlements, awards of compensation, awards of damages of every kind, etc., shall be paid by City or its insurer. This provision shall survive the expiration or earlier termination of this Agreement. This provision shall also survive and remain in effect if a court or other entity with jurisdiction determines that this Interlocal Agreement is not enforceable.

In executing this Agreement, the County does not assume liability or responsibility for or in any way release the City from any liability or responsibility which arises in whole or in part from the existence or effect of City ordinances, rules, regulations, policies, interpretations, or directives. If any clause, claim, suit, action, or administrative proceeding is commenced in which the enforceability and/ or validity of any such City ordinance, rule, regulation, policy, interpretation or directive is at issue, the City shall defend the same at its sole expense and if judgement is entered or damages are awarded against the City, the County, or both, the City shall satisfy the same, including all chargeable costs and attorneys' fees.

It is further specifically and expressly understood that the indemnification provided herein constitutes each party' s waiver of immunity under industrial insurance, Title 51 RCW, solely to carry out the purposes of this indemnification clause. The parties further acknowledge that they have mutually negotiated this waiver.

The rights, duties and obligations set forth in this section ( indemnification and hold harmless) survive termination or expiration of this agreement.

12. Miscellaneous.

a. Administration. This Agreement shall be jointly administered by the County Building and Planning Director and the City Community Development Director as contract managers.

b. Non- Exclusive Agreement. Nothing in this Agreement obligates the City to request the services from the County set forth hereunder and the City is free to obtain such services from another source at any time.

c. Non-Waiver of Breach. The failure of either party to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one of more instances, shall not be construed to be a waiver or relinquishment of those covenants, agreements, or options, and the same shall be and remain in full force and effect.

d. Resolution of disputes and governing law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of

this Agreement, the exclusive means of resolving that dispute, difference, or claim, shall be by filling suit exclusively under the venue, rules and jurisdiction of the Cowlitz County Superior Court, Cowlitz County, Washington, unless the parties agree in writing to an alternative dispute resolution process. Except as otherwise stated herein, in any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney' s fees incurred in defending or bringing such claim or lawsuit, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the parties' right to indemnification under this Agreement.

f. Assignment. Any assignment of this Agreement by either party without the prior written consent of the non- assigning party shall be void. If the non- assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent.

g. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of each party and subject to ratification by the legislative body of each entity.

h. Compliance with Laws. Each party agrees to comply with all local, federal, and state laws, rules and regulations that are now effective or in the future become applicable to this Agreement.

i. Entire Agreement. The written terms and provisions of this Agreement, together with any exhibits attached hereto, shall supersede all prior communications, negotiations, representations, or agreements, either verbal or written of any officer or other representative of each party, and such statements shall not be effective or be construed as entering or forming a part of or altering in any manner this Agreement. All the exhibits are hereby made part of this Agreement. Should any of the language of any exhibits to this Agreement conflict with any language contained in this Agreement, the language of this document shall prevail.

j. Severability. If any section of this Agreement is adjudicated to be invalid, such action shall not affect the validity of any section not so adjudicated.

k. Interpretation. The legal presumption that an ambiguous term of this Agreement should be interpreted against the party who prepared the Agreement shall not apply.

I. Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective upon personal service or three ( 3) business days after the date of mailing by registered or certified mail and shall be deemed sufficiently given if sent to the addresses at the address stated in this Agreement or such other address as may be hereafter specified in writing.

REMAINDER OF PAGE LEFT INTENTIONALLY BLANK]

In Witness, the parties below execute this Agreement, which shall become effective on the last date entered below.

Dated: MCCLj 2025

Dated: 2025 CITY OF LONGVIEW,JJWASHSHINGTON

BOARD OF COMMISSIONERS COWLITZ COUNTY, WASHINGTON

1e er Wi s, ity Manager

Richard R. Dahl, Chair

Steve Rader, Commissioner

Attest:

City Clerk V

Approved as to form:

Steven L. Ferrell, Commissioner

Attest:

Kelly Grayson, Clerk of the Board

Approved as to form: Longview City Attorney Chief Civil Deputy Prosecutor

EXHIBIT A

Building department services fees: $ 90. 00/ per hour

8IPage — Interlocal Agreement - Cowlitz County and City of Longview

BOCC Agenda

Meeting Date: 06/03/2025

FERC Notice 5/22/25 Notice of Availability of Environmental Assessment

Submitted For: Kelly Grayson, Clerk of the Board

Submitted By: Kelly Grayson, Clerk of the Board

Department: Commissioners Office

Subject and Summary Statement

Information

Federal Energy Regulatory Commission (FERC) Notice dated 5/22/2025 regarding the Notice of Availability of Environmental Assessment.

Will Staff Attend - NAME OF STAFF

Department Recommendation

Notice

Form Started By: Kelly Grayson

Final Approval Date: 05/28/2025

Attachments

Form Review

Started On: 05/28/2025 08:02 AM

BOCC Agenda

Meeting Date: 06/03/2025

Letter 5/8/25 US Dept of Interior Bureau of Indian Affairs Notice of Non-Gaming Land Acquisition Application

Submitted For: Kelly Grayson, Clerk of the Board

Submitted By: Kelly Grayson, Clerk of the Board Department: Commissioners Office

Information

Subject and Summary Statement

Letter dated 5/8/2025 from Kurt Fredenberg, Regional Director, United States Department of Interior Bureau of Indian Affairs, regarding a Notice of Non-Gaming Land Acquisition Application.

Will Staff Attend - NAME OF STAFF

Department Recommendation

Letter

Form Started By: Kelly Grayson

Attachments

Form Review

Started On: 05/28/2025 08:04 AM Final Approval Date: 05/28/2025

BOCC Agenda

Meeting Date: 06/03/2025

Letter dated 6/3/25 Appointing Elisa White Homeless Housing Taskforce

Submitted For: Kelly Grayson, Clerk of the Board

Submitted By: Kelly Grayson, Clerk of the Board

Department: Commissioners Office

Subject and Summary Statement

Information

Letter dated 6/3/2025 to Elisa White appointing her to the Homeless Housing Task Force. This is a 2-year term that expires 6/30/2027.

Will Staff Attend - NAME OF STAFF

Department Recommendation

Letter

Form Started By: Kelly Grayson

Final Approval Date: 05/28/2025

Attachments

Form Review

Started On: 05/28/2025 08:21 AM

Board of Cowlitz County Commissioners

Richard R. Dahl, Chairman District 3

Steve Rader, Commissioner District 1

Steven L. Ferrell, Commissioner District 2

Kelly Grayson, Clerk of the Board

June 3, 2025

Ms. Elisa White

Dear Ms. White ,

The Cowlitz County Board of Commissioners is pleased to appoint you to the Homeless Housing Task Force for a 2-year term, expiring on June 30, 2027.

We sincerely appreciate your willingness to serve in this important role and are delighted by your commitment. The Homeless Housing Task Force meets the 4th Thursday of the month at 2:00 p.m. in the Conference Room A of the Health & Human Services Building, 1952 9th Ave., Longview. If you have any questions, please don't hesitate to contact us at 360-577-3020.

Please also return a signed copy of the Code of Ethics and the Completion Certificate for the Open Public Meetings Act (OPMA) and Public Records Act (PRA) Training, either by mail or via email at cowlitz@cowlitzwa.gov. Additionally, as part of your new role, any records created or maintained in relation to your government duties, including through personal email or phone, are subject to the Public Records Act. Should you have any questions regarding this, feel free to contact our Public Records Department at 360-577-3020.

Sincerely,

Board of County Commissioners of Cowlitz County, Washington

Richard R. Dahl, Chairman

Steve Rader, Commissioner

Steven L. Ferrell, Commissioner

cc: Commissioner’s Record Health & Human Services

Cowlitz County Board of Commissioners (360)577-3020 Fax (360) 423-9987

207 North 4th Avenue

cowlitz@cowlitzwa.gov

Kelso, WA 98626

www.co.cowlitz.wa.us

BOCC Agenda

Meeting Date: 06/03/2025

BID AWARD - S. Cloverdale Rd Improvements and S. Cloverdale Rd/Confer Rd Intersection Improvements - Project Nos. 1235 and 1301 - Jeffries Construction, LLC

Submitted For: Susan Eugenis, Public Works

Department: Public Works

Subject and Summary Statement

Submitted By: Emilie Cochrane, Public Works

Information

The South Cloverdale Road Improvement Project and the South Coverdale Road-Confer Road Intersection Improvement Project will improve sight distance at the intersection, install wider paved shoulders and replace culverts along with other work on South Cloverdale Road between milepost 0.13 and milepost 0.87. The project is funded by FHWA through the Surface Transportation Block Grant Program, the County Road Administration Board through the Rural Arterial Program, American Rescue Plan Act (ARPA) and County Road Funds.  Bids were received and opened on May 12, 2025. There were 6 bids submitted.  Jeffries Construction, LLC  is the lowest responsive bidder. A copy of the bid tabulation is attached.

Will Staff Attend - NAME OF STAFF or No

Yes

Department Recommendation

It is the recommendation of the Department of Public Works that the Board move to award the South Cloverdale Road Improvement Project and the South Coverdale Road-Confer Road Intersection Improvement Project  to the lowest responsible bidder, Jeffries Construction LLC at a cost of $7,256,372.86.

Approved this 3rd day of June, 2025

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Richard R. Dahl, Chairman

Steve Rader, Commissioner

Steven L. Ferrell, Commissioner

ATTEST:

Kelly Grayson, Clerk of the Board

Fiscal Impact

Expenditure Required $: 7,256,373

Budget Sufficient Y-N: Y

Amendment Required Y-N: N

Source of Funds - What Dept ? : Roads

Grant Y-N: Y

Bid Tabulation

Inbox

Chris Andrews

Susan Eugenis

Mike Moss, Public Works

Form Started By: Emilie Cochrane

Attachments

Form Review

Reviewed By Date

Chris Andrews 05/27/2025 01:25 PM

Started On: 05/27/2025 01:14 PM

Schedule B - South Cloverdale Road and Confer Road Intersection Improvements

Schedule C - South Cloverdale Road MP 0.13 to 0.76 Kalama Water System Relocation

BY : Tiffany Nelson DATE: 5/13/2025 PRINTED NAME: Tiffany

Nelson

TITLE: Accounting Specialist III

Schedule D - South Cloverdale Rd - Confer Rd Intersection Kalama Water System Relocation

Schedule A - South Cloverdale Road MP 0.13 to MP 0.76

Schedule D - South Cloverdale Rd - Confer Rd Intersection Kalama Water System Relocation

Subtotal

Subtotal

Subtotal Schedule D

979,826.00 379,475.00 29,219.58 408,694.58 397,425.00 30,601.73 428,026.73 10,046,417.30

Schedule D - South Cloverdale Rd - Confer Rd Intersection Kalama Water System Relocation

BOCC Agenda

Meeting Date: 06/03/2025

Contract Award and Execution: Administration Building Roof Replacement #2025-0028-01

Submitted For: Ashley Claussen

Department: Facilities Maintenance

Subject and Summary Statement

Submitted By: Ashley Claussen

Information

On April 15, 2025, the Board of County Commissioners approved an invitation for bids to replace the roof of the Cowlitz County Administration Building (AS-14107). Purchasing Services received seven bids as outlined in the attached bid tabulation.

Will Staff Attend - NAME OF STAFF

Yes - Savannah Clement

Department Recommendation

Staff recommends that the Board move to award and execute the attached agreement for the Administration Building Roof Replacement project to the lowest responsive bidder, Weatherguard, at a total amount not to exceed $423,752.00 including tax.

Fiscal Impact

Expenditure Required $: 423,752.00

Budget Sufficient Y-N: Y

Amendment Required Y-N: N

Source of Funds - What Dept ? : CIP

Grant Y-N: N

Attachments

Bid Tabulation  Agreement

Inbox

Mike Moss, Public Works

Form Review

Reviewed By Date

Mike Moss 05/26/2025 09:54 AM

Form Started By: Ashley Claussen Started On: 05/22/2025 04:10 PM

Project #2025-0028-01

BOCC Agenda

Meeting Date: 06/03/2025

Public Hearing agenda item Music Festival chapter 5.10

Submitted For: Shelley Pierce, Risk Manager

Submitted By: Shelley Pierce, Risk Manager Department: Risk Management

Information

Subject and Summary Statement

Risk Mgmt is recommending Music Festival county code 5.10 is requiring an amendment due to insurance and other language updates to comply with state regulations and mandates. Amending, adding and repealing sections of Chapter 5.10 Music Festivals of the Cowlitz Code.

Will Staff Attend - NAME OF STAFF

Shelley Pierce-Risk Manager

Department Recommendation

Recommend approval of Music Festival county code 5.10-amending, adding and repealing sections of Chapter 5.10 Music Festival of Cowlitz Code.

Attachments

Clean Copy Musica Festival 5.10

Track Changes Music Festival 5.10

Form Started By: Shelley Pierce

Form Review

Started On: 05/19/2025 01:42 PM

BEFORE THE BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Amending, adding and repealing sections of ) Chapter 5.10 Music Festivals of Cowlitz Code) ORDINANCE NO._________________

WHEREAS, the Board of County Commissioners (Board), pursuant to RCW 36.32.120 and RCW 70.108.170 had previously adopted Ch 5.10 of the Cowlitz County Code (“CCC”), currently named “Music Festivals”, with procedures and processes thereto; and

WHEREAS, the Cowlitz County Office of Risk Management and Admirative Services attended a regular Board workshop for these proposed amendments to Chapter 5.10 CCC on _______________, 2025, whereupon the Board considered the proposed amendments to reflect current legal and liability trends, and changes in state and federal legislation and law; and

WHEREAS, the Board held a public hearing on________________, 2025 to hear public comment on these proposed amendments to the Code; and

WHEREAS, the Board now finds that it is in the best interests of the public to adopt the amendments Chapter 5.10 CCC, Music Festivals, as set forth below;

NOW THEREFORE, BE IT ORDAINED by the Board of County Commissioners that:

Section 1. CCC 5.10.080 Condition 1– Health standards, is hereby amended as set forth below:

No music festival permit shall be granted herein unless the Board has received the written approval of the Cowlitz County Health Officer or designee indicating that the applicant has complied with the applicable health requirements of the state and County, and said approval shall include any public health requirements and how the applicant has complied therewith.

Section 2. CCC 5.10.090 Condition 2–Fire prevention standards, is hereby amended as set forth below:

No music festival permit shall be granted herein unless the Board has received the written approval of the fire protection district in which the proposed music festival is to be located, indicating that the applicant has complied with the applicable fire prevention requirements and said approval shall include what fire prevention requirements are and how the applicant has complied therewith.

Section 3. CCC 5.10.100 Condition 3–Bond–Liability insurance, is hereby amended as set forth below:

The event organizer must obtain and maintain general liability insurance, including coverage for bodily injury, property damage, and personal injury, with limits that meet or exceed the minimum requirements set forth by [State Name] and [County Name] regulations. The required coverage limits shall be as follows or as otherwise updated to align with applicable state and local standards:

1. General Liability Insurance: Minimum coverage of $1,000,000 per occurrence and $2,000,000 aggregate.

2. Liquor Liability Insurance (if alcohol is served): Minimum coverage of $1,000,000 per occurrence and $2,000,000 aggregate.

3. Workers’ Compensation Insurance: As required by Washington State law for all festival employees and volunteers.

4. Automobile Liability Insurance (if applicable): Minimum coverage of $1,000,000 per accident for bodily injury and property damage.

The County reserves the right to adjust insurance requirements in accordance with changes to state and local regulations. Organizers must provide a valid Certificate of Insurance (COI) listing Cowlitz County and Washington State as additional insureds at least 60 days before the event. Failure to comply may result in permit denial or event cancellation.

No permit shall be granted herein unless the applicant has on deposit with the Cowlitz County Treasurer, cash or surety bond in the amount applicable as hereinbelow stated, to save and protect the county from any and all expense and/or damage arising out of the operation of the applicant’s music festival or caused by vehicles, employees, participants and/or patrons of or at such music festival. The bond shall be used to: (1) pay all charges and losses of the county for damage to the streets, pavements, bridges, road signs and other county property; (2) pay all expenses incurred by the county in restoring the land upon which such music festival is held to a safe and sanitary condition; and (3) pay any extraordinary law enforcement costs incurred by the county which result from or arise out of the operation of such music festival. The amount of such bond shall be determined on the basis of the number of persons in attendance or reasonably expected by the Board to be in attendance at any music festival, as follows:

0 to 10,000 persons

$5,000

10,000 to 20,000 persons 7,500

20,000 to 30,000 persons 10,000 each additional 10,000 persons +2,500

The bond deposited shall be returned to the applicant as hereinafter provided when the Cowlitz County Auditor certifies to the Cowlitz County Treasurer that no charge for damage or loss may be made against said deposit, or that such charge is less than the cash amount of said deposit and the balance thereof should be returned. Further, the applicant shall be

required to furnish evidence of a liability insurance policy providing for a minimum of $1,000,000 bodily injury coverage per person; $2,000,000 bodily injury coverage per occurrence; $1.000,000 property damage coverage; and naming Cowlitz County as an additional insured.

Section4. CCC5.10.110Condition4–Publicsafety–Expensesofenforcement,isherebyamended as set forth below:

No permit shall be granted herein unless the applicant complies with and agrees to abide by the following conditions:

A. Written contracts for the employment of peace officers acceptable to the Cowlitz County Sheriff during the hours of operation of such music festival shall be submitted not less than 10 days prior to the first day such music festival is to be in operation, and each contract shall be signed by the applicant and the peace officer so to be employed.

B. One such peace officer shall be employed primarily for the purpose of crowd control for every 200 persons expected or reasonably expected by the Board to be in attendance at any time during the music festival and one such peace officer shall be employed primarily for the purpose of traffic control for every 400 such persons.

C. The peace officers herein stated shall be employed to enforce the provisions of this chapter and of the laws of the State of Washington and to protect and preserve the public peace, health, safety, morals and welfare at such music festival, and if in the opinion of the Board it is necessary to secure the services of additional peace officers for such enforcement, all expenses for such services shall be borne by the applicant.

Section 5. CCC 5.10.130 Condition 6–Consent to access by government officials, is hereby amended as set forth below:

All peace officers of the State of Washington, all public health and fire control officers of Cowlitz County, and any member or employee of any other governmental or quasigovernmental body, the approval of which body is required herein, shall have free access at all times to come upon the premises for which a music festival permit has been or may be granted for the purpose of inspection and supervision to enforce the rules, regulations and conditions under which said permit is or may be granted and no such permit shall be granted unless the applicant therefor shall so consent in writing upon the application for such permit.

Section 6. CCC 5.10.160 Hours of operation, is hereby amended as set forth below:

No music festival for which a permit has been granted herein shall be conducted between the hours of midnight and 10:00 a.m., and no person or persons shall be allowed to remain upon the premises of such music festival between the hours of 2:00 a.m. and 8:00 a.m. other than those persons hereinbefore mentioned in sections CCC 5.10.020, 5.10.110 and 5.10.130.

Section 7. CCC 5.10.100 Grounds for revocation, is hereby amended as set forth below:

AnypermitgrantedhereintoconductamusicfestivalshallbesummarilyrevokedbytheBoard when they find that by reason of disaster, public calamity or other emergency the public peace, health, safety, morals or welfare can only be preserved and protected by such revocation, and notice of any meeting of the Board for such purpose shall be given to the applicant in the same mannerasthemembersoftheBoardarenotified.Anypermitgrantedhereintoconductamusic festival may otherwise be revoked by the Board for any violation of this chapter or the laws of the State of Washington after a hearing held upon not less than three days’ notice served upon the applicant personally or by certified mail. Every permit issued under this chapter is issued as a measure to protect and preserve the public peace, health, safety, morals and welfare, and that the right of the Board to revoke such permit as set forth hereunder is a consideration of its issuance.

Section 8. A new section CCC 5.10.235 Controlled substances and paraphernalia prohibited, is hereby adopted and added to this chapter, as set forth below

No person, persons, partnership, corporation, association, society, fraternal, or social organizationtowhomamusicfestivalpermithasbeengrantedshall,duringthetimeanoutdoor music festival is in operation, shall knowingly permit or allow any person to bring upon the premises of said music festival site any controlled substances or paraphernalia prohibited or restricted under Ch. 69.50 RCW, except for prescription controlled substances, for use, possession, sale or distribution.

Section 9. A new section CCC 5.10.236 Firearms and dangerous weapons prohibited, is hereby adopted and added to this chapter, as set forth below:

No firearms, pursuant to RCW 70.108.150, and no dangerous weapons, as defined by RCW 9.41.280 (a-f), shall be on any person at an outdoor music festival site, in their vehicle, or in their campsite. Under RCW 70.108.150, it is unlawful for any individual, except law enforcement officers, to carry, transport, or possess a firearm while on the site of an outdoor music festival. A person violating this section shall be guilty of a misdemeanor, punishable by a fine of not less than $100 and not more than $200, or by imprisonment in the county jail for not less than ten days and not more than ninety days, or by both such fine and imprisonment.

Section 10. CCC 5.10.240 Distance from habitation, is hereby amended as set forth below:

No music festival shall be operated in a location which is closer than 1,000 yards from any schoolhouse or church, or 500 yards from any house, residence or other place of human habitation, unless waived by the affected property owner. This restriction does not apply to festivals permitted on the grounds of any school or church, or to festivals permitted at a residence or other place of human habitation.

Section 11. CCC 5.10.260 Penalties, is hereby amended as set forth below:

(1)Except as separately and specifically addressed under CCC 5.10.236, (A)any person who shall violate any provision of this chapter, or who shall, having obtained a permit herein, willfully fail to comply with the rules, regulations and conditions herein, or who shall aid or abet such a violation or failure to comply, shall be deemed guilty of a misdemeanor, and upon conviction thereof shall be punished by a fine of not more than $250.00, or be imprisoned in the Cowlitz County Jail for not more than 90 days.

(2)(a) Except as provided in (b) of this subsection, violation of such a rule, regulation, or condition relating to traffic including parking, standing, stopping, and pedestrian offenses is a traffic infraction.

(b) Violation of such a rule, regulation, or condition equivalent to those provisions of Title 46 RCW set forth in RCW 46.63.020 is a misdemeanor.

Section 12. CCC 5.10.900 Severability, is hereby repealed in its entirety.

Section 13. Codification. Only Sections 1 through 11, above, of this Ordinance shall be codified.

Section 14. Severability. The provisions of this ordinance are declared separate and severable. If any section, paragraph, clause, or phrase of this ordinance is for any reason held to be unconstitutional or invalid, such decision shall not affect the validity of the remaining portions of this ordinance. The Board of Commissioners hereby declares that it would have passed this ordinance and each section, paragraph subsection, clause or phrase thereof irrespective of the fact that any one or more sections, paragraph subsections, clauses or phrases may subsequently be found to be unconstitutional or invalid.

Section 15. Savings clause. Chapter 5.10 CCC and Ordinance No. 2000 (04/21/70) are hereby amended and repealed as set forth above. Such amendment and repeal shall not be construed as affecting any currently existing agreement, license, right or registration acquired under ordinance or resolution, or portions thereof, nor as affecting any ongoing proceeding or enforcement instituted upon any rule, regulation, or order promulgated thereunder, nor as to any administrative action taken thereunder. Further, it is not the intention of these actions to reenact any ordinance or portions or sections of ordinances or resolutions previously replaced, repealed or amended, unless this ordinance specifically states such intent to reenact such replaced, repealed or amended ordinances and resolutions.

Section 16. Effective Date. These regulations are in the public interest and shall take effect immediately upon adoption by the Board.

PASSED IN REGULAR SESSION THIS ___ day of____________, 2025, after a public hearing was held on _________________, 2025, pursuant to Notice published in the Longview Daily News on ______________, 2025.

APPROVED AS TO FORM:BOARD OF COUNTY COMMISSIONERS RYAN JURVAKAINEN, Prosecuting AttorneyCOWLITZ COUNTY, WASHINGTON

Douglas Jensen, Chief Civil DeputyRichard Dahl, Chairman

ATTEST:Steven

L. Ferrell, Commissioner

Kelly Grayson, Clerk of the BoardSteve Rader, Commissioner

BEFORE THE BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Amending, adding and repealing sections of ) Chapter 5.10 Music Festivals of Cowlitz Code) ORDINANCE NO._________________

WHEREAS, the Board of County Commissioners (Board), pursuant to RCW 36.32.120 and RCW 70.108.170 had previously adopted Ch 5.10 of the Cowlitz County Code (“CCC”), currently named “Music Festivals”, with procedures and processes thereto; and

WHEREAS, the Cowlitz County Office of Risk Management and Admirative Services attended a regular Board workshop for these proposed amendments to Chapter 5.10 CCC on _______________, 2025, whereupon the Board considered the proposed amendments to reflect current legal and liability trends, and changes in state and federal legislation and law; and

WHEREAS, the Board held a public hearing on________________, 2025 to hear public comment on these proposed amendments to the Code; and

WHEREAS, the Board now finds that it is in the best interests of the public to adopt the amendments Chapter 5.10 CCC, Music Festivals, as set forth below;

NOW THEREFORE, BE IT ORDAINED by the Board of County Commissioners that:

Section 1. CCC 5.10.080 Condition 1– Health standards, is hereby amended as set forth below:

No music festival permit shall be granted herein unless the Board has received the written approval of the Cowlitz (-Wahkiakum Health District) Board of Health or Health Officer indicating that the applicant has complied with the applicable health requirements of (said district) the state and County, and said approval shall (state) include (what the said) any public health requirements (are) and how the applicant has complied therewith.

Section 2. CCC 5.10.090 Condition 2–Fire prevention standards, is hereby amended as set forth below:

No music festival permit shall be granted herein unless the Board has received the written approval of the fire protection district in which the proposed music festival is to be located, indicating that the applicant has complied with the applicable fire prevention requirements and said approval shall (state) include what (said) fire prevention requirements are and how the applicant has complied therewith.

Section 3. CCC 5.10.100 Condition 3–Bond–Liability insurance, is hereby amended as set forth below:

The event organizer must obtain and maintain general liability insurance, including coverage for bodily injury, property damage, and personal injury, with limits that meet or exceed the minimum requirements set forth by [State Name] and [County Name] regulations. The required coverage limits shall be as follows or as otherwise updated to align with applicable state and local standards:

1. General Liability Insurance: Minimum coverage of $1,000,000 per occurrence and $2,000,000 aggregate.

2. Liquor Liability Insurance (if alcohol is served): Minimum coverage of $1,000,000 per occurrence and $2,000,000 aggregate.

3. Workers’ Compensation Insurance: As required by Washington State law for all festival employees and volunteers.

4. Automobile Liability Insurance (if applicable): Minimum coverage of $1,000,000 per accident for bodily injury and property damage.

The County reserves the right to adjust insurance requirements in accordance with changes to state and local regulations. Organizers must provide a valid Certificate of Insurance (COI) listing Cowlitz County and Washington State as additional insureds at least 60 days before the event. Failure to comply may result in permit denial or event cancellation.

No permit shall be granted herein unless the applicant has on deposit with the Cowlitz County Treasurer, cash or surety bond in the amount applicable as hereinbelow stated, to save and protect the county from any and all expense and/or damage arising out of the operation of the applicant’s music festival or caused by vehicles, employees, participants and/or patrons of or at such music festival. The bond shall be used to: (1) pay all charges and losses of the county for damage to the streets, pavements, bridges, road signs and other county property; (2) pay all expenses incurred by the county in restoring the land upon which such music festival is held to a safe and sanitary condition; and (3) pay any extraordinary law enforcement costs incurred by the county which result from or arise out of the operation of such music festival. The amount of such bond shall be determined on the basis of the number of persons in attendance or reasonably expected by the Board to be in attendance at any music festival, as follows:

0 to 10,000 persons $5,000 10,000 to 20,000 persons 7,500 20,000 to 30,000 persons 10,000 each additional 10,000 persons +2,500

The bond deposited shall be returned to the applicant as hereinafter provided when the Cowlitz County Auditor certifies to the Cowlitz County Treasurer that no charge for damage or loss may be made against said deposit, or that such charge is less than the cash amount of said deposit and the balance thereof should be returned. Further, the applicant shall be required to furnish evidence of a liability insurance policy providing for a minimum of ($100,000) $1,000,000 bodily injury coverage per person; ($300,000) $2,000,000 bodily injury coverage per occurrence; ($100,000) $1.000,000 property damage coverage; and naming Cowlitz County as an additional insured.

Section4. CCC5.10.110Condition4–Publicsafety–Expensesofenforcement,isherebyamended as set forth below:

No permit shall be granted herein unless the applicant complies with and agrees to abide by the following conditions:

A. Written contracts for the employment of peace officers (of the State of Washington) acceptable to the Cowlitz County Sheriff during the hours of operation of such music festival shall be submitted not less than 10 days prior to the first day such music festival is to be in operation, and each contract shall be signed by the applicant and the peace officer so to be employed.

B. One such peace officer shall be employed primarily for the purpose of crowd control for every 200 persons expected or reasonably expected by the Board to be in attendance at any time during the music festival and one such peace officer shall be employed primarily for the purpose of traffic control for every 400 such persons.

C. The peace officers herein stated shall be employed to enforce the provisions of this chapter and of the laws of the State of Washington and to protect and preserve the public peace, health, safety, morals and welfare at such music festival, and if in the opinion of the Board it is necessary to secure the services of additional peace officers for such enforcement, all expenses for such services shall be borne by the applicant.

Section 5. CCC 5.10.130 Condition 6–Consent to access by government officials, is hereby amended as set forth below:

All peace officers of the State of Washington, all public health and fire control officers of Cowlitz County, (each member of the Board, the Prosecuting Attorney, and each member of his staff,) and any member or employee of any other governmental or quasi-governmental body, the approval of which body is required herein, shall have free access at all times to come upon the premises for which a music festival permit has been or may be granted for the purpose of inspection and supervision to enforce the rules, regulations and conditions under which said permit is or may be granted and no such permit shall be granted unless the applicant therefor shall so consent in writing upon the application for such permit.

Section 6. CCC 5.10.160 Hours of operation, is hereby amended as set forth below:

No music festival for which a permit has been granted herein shall be conducted between the hours of midnight and 10:00 a.m., and no person or persons shall be allowed to remain upon the premises of such music festival between the hours of 2:00 a.m. and 8:00 a.m. other than thosepersonshereinbeforementionedin(Section2(6)*and)sectionsCCC5.10.020,5.10.110 and 5.10.130.

Section 7. CCC 5.10.100 Grounds for revocation, is hereby amended as set forth below:

AnypermitgrantedhereintoconductamusicfestivalshallbesummarilyrevokedbytheBoard when they find that by reason of disaster, public calamity or other emergency the public peace, health, safety, morals or welfare can only be preserved and protected by such revocation, and notice of any meeting of the Board for such purpose shall be given to the applicant in the same mannerasthemembersoftheBoardarenotified.Anypermitgrantedhereintoconductamusic festival may otherwise be revoked by the Board for any violation of this chapter or the laws of the State of Washington after a hearing held upon not less than three days’ notice served upon the applicant personally or by certified mail. (The action of the Board in revoking any permit herein shall be final and conclusive.) Every permit issued under this chapter is issued as a measure to protect and preserve the public peace, health, safety, morals and welfare, and that the right of the Board to revoke such permit as set forth hereunder is a consideration of its issuance.

Section 8. A new section CCC 5.10.235 Controlled substances and paraphernalia prohibited, is hereby adopted and added to this chapter, as set forth below

No person, persons, partnership, corporation, association, society, fraternal, or social organizationtowhomamusicfestivalpermithasbeengrantedshall,duringthetimeanoutdoor music festival is in operation, shall knowingly permit or allow any person to bring upon the premises of said music festival site any controlled substances or paraphernalia prohibited or restricted under Ch. 69.50 RCW, except for prescription controlled substances, for use, possession, sale or distribution.

Section 9. A new section CCC 5.10.236 Firearms and dangerous weapons prohibited, is hereby adopted and added to this chapter, as set forth below:

No firearms, pursuant to RCW 70.108.150, and no dangerous weapons, as defined by RCW 9.41.280 (a-f), shall be on any person at an outdoor music festival site, in their vehicle, or in their campsite. Under RCW 70.108.150, it is unlawful for any individual, except law enforcement officers, to carry, transport, or possess a firearm while on the site of an outdoor music festival. A person violating this section shall be guilty of a misdemeanor, punishable by a fines of not less than $100 and not more than $200, or by imprisonment in the county jail for not less than ten days and not more than ninety days, or by both such fine and imprisonment.

Section 10. CCC 5.10.240 Distance from habitation, is hereby amended as set forth below:

No music festival shall be operated in a location which is closer than 1,000 yards from any schoolhouse or church, or 500 yards from any house, residence or other place of human habitation, unless waived by the affected property owner This restriction does not apply to festivals permitted on the grounds of any school or church, or to festivals permitted at a residence or other place of human habitation.

Section 11. CCC 5.10.260 Penalties, is hereby amended as set forth below:

(1)Except as separately and specifically addressed under CCC 5.10.236, (A)any person who shall violate any provision of this chapter, or who shall, having obtained a permit herein, willfully fail to comply with the rules, regulations and conditions herein, or who shall aid or abet such a violation or failure to comply, shall be deemed guilty of a misdemeanor, and upon conviction thereof shall be punished by a fine of not more than $250.00, or be imprisoned in the Cowlitz County Jail for not more than 90 days.

(2)(a) Except as provided in (b) of this subsection, violation of such a rule, regulation, or condition relating to traffic including parking, standing, stopping, and pedestrian offenses is a traffic infraction.

(b) Violation of such a rule, regulation, or condition equivalent to those provisions of Title 46 RCW set forth in RCW 46.63.020 is a misdemeanor.

Section 12. CCC 5.10.900 Severability, is hereby repealed in its entirety.

Section 13. Codification. Only Sections 1 through 11, above, of this Ordinance shall be codified.

Section 14. Severability. The provisions of this ordinance are declared separate and severable. If any section, paragraph, clause, or phrase of this ordinance is for any reason held to be unconstitutional or invalid, such decision shall not affect the validity of the remaining portions of this ordinance. The Board of Commissioners hereby declares that it would have passed this ordinance and each section, paragraph subsection, clause or phrase thereof irrespective of the fact that any one or more sections, paragraph subsections, clauses or phrases may subsequently be found to be unconstitutional or invalid.

Section 15. Savings clause. Chapter 5.10 CCC and Ordinance No. 2000 (04/21/70) are hereby amended and repealed as set forth above. Such amendment and repeal shall not be construed as affecting any currently existing agreement, license, right or registration acquired under ordinance or resolution, or portions thereof, nor as affecting any ongoing proceeding or enforcement instituted upon any rule, regulation, or order promulgated thereunder, nor as to any administrative action taken thereunder. Further, it is not the intention of these actions to reenact any ordinance or portions or sections of ordinances or resolutions previously replaced, repealed or amended, unless this ordinance specifically states such intent to reenact such replaced, repealed or amended ordinances and resolutions.

Section 16. Effective Date. These regulations are in the public interest and shall take effect immediately upon adoption by the Board.

PASSED IN REGULAR SESSION THIS ___ day of____________, 2025, after a public hearing was held on _________________, 2025, pursuant to Notice published in the Longview Daily News on ______________, 2025.

APPROVED AS TO FORM:BOARD OF COUNTY COMMISSIONERS RYAN JURVAKAINEN, Prosecuting AttorneyCOWLITZ COUNTY, WASHINGTON

Douglas Jensen, Chief Civil DeputyRichard Dahl, Chairman

ATTEST:Steven L. Ferrell, Commissioner

Kelly Grayson, Clerk of the BoardSteve Rader, Commissioner