HomeMy WebLinkAbout20171107.tiffRESOLUTION
RE: APPROVE MEMORANDUM OF UNDERSTANDING AND AUTHORIZE CHAIR TO
SIGN - ACCESS MANAGEMENT SERVICES, LLC
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Memorandum of Understanding
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Human Services, and Access
Management Services, LLC, commencing January 1, 2017, and ending December 31, 2017, with
further terms and conditions being as stated in said memorandum of understanding, and
WHEREAS, after review, the Board deems it advisable to approve said memorandum of
understanding, a copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Memorandum of Understanding between the County of Weld, State of
Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the
Department of Human Services, and Access Management Services, LLC, be, and hereby is,
approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said memorandum of understanding.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 24th day of April, A.D., 2017, nunc pro tunc January 1, 2017.
BOARD OF COUNTY COMMISSIONERS
WELD COI,INTY, COLORADO
ATTEST:d $E ;g1
Weld County Clerk to the Board
BY:
AP
iaty Clerk to the Boar
ED AST
ounty Att . rney
Julie A. Cozad, Chaiirr9-, (�
Steve Moreno, Pro-Tem
Sean Conway
XCUSED
ike Freeman
arbara Kirkmeyer,
Date of signature: a/ 11(t '7
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2017-1107
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entree I ce3
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: March 28, 2017
TO: Board of County Commissioners — Pass -Around
FR: Judy A. Griego, Director, Human Services
RE: Weld County Department of Human Services' Memorandum of
Understanding (MOU) with Access Management Services LLC
Please review and indicate if you would like a work session prior to placing this item on the Board's agenda.
Request Board Approval of the Departments' Memorandum of Understanding (MOU) with Access
Management Services LLC. Access, hereinafter referred to as Medical Assistance Site (MA site) is a
designated eligibility site certified by the Colorado Department of Health Care Policy and Financing (CDHCPF)
to accept and process the Colorado Medical Assistance Application and the Colorado Application for Public
Assistance. The Department desires to coordinate the MA Site for the processing of Application for the Child
Health Plan Plus and Health First Colorado. This agreement is non -financial and shall commence on January 1,
2017 through December 31, 2017.
I do not recommend a Work Session. I recommend approval of this MOU.
Sean P. Conway
Julie A. Cozad, Chair
Mike Freeman
Barbara Kirkmeyer
Steve Moreno, Pro -Tern
Approve Schedule
Recommendation Work Session
'
S.�
yin
Mkt
Other/Comments:
2017-1107
HRoogg'
Pass -Around Memorandum; March 28, 2017 - CMS ID 1083 Page 1
MEMORANDUM OF UNDERSTANDING BETWEEN ACCESS MANAGEMENT SERVICES LLC
AND WELD COUNTY DEPARTMENT OF HUMAN SERVICES
This Agreement is made and entered into between Access Management Services, LLC,
hereinafter referred to as "Medical Assistance Site" or "MA Site" and Weld County Department of
Human Services, hereinafter referred to as "WCDHS" effective January 1, 2017.
Whereas, MA Site is a designated eligibility site certified by the Colorado Department of Health
Care Policy and Finance, hereinafter referred to as CDHCPF, to accept and process the Colorado Medical
Assistance Application and the Colorado Application for Public Assistance, hereinafter both are referred
to as "Applications", for programs administered by CDHCPF; and
Whereas, WCHDS desires to coordinate the MA Site for the processing of Application for the
Child Health Plan Plus and Health First Colorado, hereinafter both are referred to as "Medical Assistance
Programs" or "MA Programs".
Now Therefore in consideration for the mutual promises set forth herein, the parties agree as
follows:
Agreement Terms and Conditions
1. MA Site Responsibilities. MA Site agrees to:
a. Process Applications using the Colorado Benefit Management System, hereinafter
referred to as "CBMS", to make the final determination of eligibility and enrollment for
the MA Programs.
b. Comply with all federal and state status, rules, procedures, regulations, manuals, agency
letters, supplemental directives and/or trainings from CDHCPF or WCDHS.
c. Ensure all staff members assisting clients are adequately trained and educated to make
eligibility determinations.
d. Stay informed of program updates and changes through resources including training
materials, monthly bulletins published on CDHCPF website, and in -person program
training.
e. Process Applications and determine eligibility utilizing CBMS within ten (10) business
days of receipt of a complete Application and within forty-five (45) calendar days of
receipt of an incomplete Application.
f. Works all applicable interfaces when processing Applications.
g. Utilize the Work Number when determining eligibility.
h. Send suspected Medical Assistance Program fraud referrals to WCDHS within forty-five
(45) calendar days of suspicion, using WCDHS approved form, via a secured e-mail.
i. Send all communications directly to a program applicant, unless such applicant
authorizes WCDHS or another representative to receive communication.
j. Provide customer service assistance via telephone for applications sent by WCDHS,
Monday — Friday, 8:00am to 4:00pm, Mountain Standard Time (excluding official State
of Colorado holidays) at 720-744-5335 / 1-844-626-6708.
k. Provide scheduled appointments on Tuesday and Thursday between the hours of 9:00am
— 2:00pm to assist clients in applying for MA programs.
I. Resolve applicant disputes over eligibility determinations through CDHCPF approved
dispute resolution and hearing procedures.
M0U 2016-2016 CA/WCDHS
1
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m. All applications, in which clients are requesting other non -MA Program assistance, must
be sent to WCDHS within two (2) business days of receipt, along with all supporting
documentation provided by the clients, using the approved secured MA Site website.
n. Participate in quarterly or ad hoc meetings, at the request of WCDHS, to discuss
workflow management, eligibility and customer service related topics.
2. WCDHS Responsibilities. WCDHS agrees to:
a. Send complete or incomplete Applications and supporting document(s) to MA Site
within five (5) business days from the date of Application. [Applications sent later than
five (5) days from that date of Application will not be accepted and will be returned to
WCDHS for processing.] MA Site and WCDHS will agree upon the quantity sent, prior
to WCDHS sending any Applications and supporting documents.
b. Provide Applications to MA Site by
i. Encrypted email or scan to: medapp@medassistsolutions.org
ii. Fax to: 303-649-2980
iii. Using MA Site's secured website
c. Ensure all Applications are date stamped upon date of receipt.
d. Photocopy original or certified copy document(s) and date stamp each supporting
document with the following:
i. Name of document
ii. Name and signature of staff who viewed documents
iii. Agency address
iv. Agency phone number
v. Date certified
e. Participate in quarterly or ad hoc meetings, at the request of MA Site, to discuss
workflow management, eligibility and customer service related topics.
3. Term and Termination. This agreement shall commence on January I, 2017 through December
31, 2017. Either party may terminate this Agreement by providing thirty (30) calendar days
written notice to the other party. Termination shall not relieve the other party of obligations
arising under this Agreement in connection to actions performed under the Agreement prior to
termination.
4. HIPAA and HITECH Compliance. The Parties agree to appropriately safeguard protected
health information to the extent required by the provisions of the Health Insurance Portability and
Accountability Act of 1996 ("HIPPA"), the Health Information Technology for Economic and
Clinical Health Act, (Division A, Title XIII and Division B, Title IV, of the American Recovery
and Reinvestment Act of 2009, Pub. L. 111-115) ("HITECH") and the regulations promulgated
thereunder, as have been amended from time to time.
5. Amendment. This Agreement may be amended, modified, renewed, or supplemented only by a
written instrument signed by both Parties, and any amendment may pertain to one or more of the
provisions of this Agreement without affecting the other provisions of the Agreement.
6. Confidentiality. Both parties shall comply with all federal, state and county laws and regulations
governing confidentially, subject to statutory exceptions applicable to criminal investigations and
proceedings.
MOU 2016-2016 CA/WCDHS
2
7. Immunity. Nothing in the Agreement shall be construed as a waiver by either party of
immunity provided by common law or by statute, specifically including the Colorado
Governmental Immunity Act, Section 24-10-101. et.seq. C.R.S., as it may be amended
from time to time.
8. Third Party Beneficiaries. It is expressly understood and agreed that the
enforcement of the terms and conditions of this agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties
and nothing in this agreement shall give or allow any claim or right of action
whatsoever by any other person not included in this agreement. It is the express
intention of the undersigned parties that any entity other than the undersigned
parties receiving services or benefits under this agreement shall be an incidental
beneficiary only.
9. Entire Agreement. This Agreement represents the entire understanding between Parties with
respect to the subject matter, and supersedes all prior negotiations, representations, and/or
contracts, whether oral or written
IN WTNESS HEREOF, the Parties hereto have executed this Agreement indicating their
voluntary and full agreement, on the dates set forth below:
Medical Assistance Site
9ctta s�y$t%nsd
(Signature)
Bethany Nimes
(Print Name)
Vice President MAS
(Title)
1-11-2016
(Date)
Weld County
Julie A. Cozad
(Print Name)
Chair, Board of Weld
County Commissioners
(Title)
APR 242D17
(Date)
M0U 2016-2016 CA/WCDHS
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