Common use of Subcontractor Requirements Clause in Contracts

Subcontractor Requirements. Per Attachment C, Section 19, if the Contractor chooses to subcontract work under this agreement, the Contractor must first fill out and submit the Subcontractor Compliance Form (Appendix I – Required Forms) in order to seek approval from the State prior to signing an agreement with a third party. Upon receipt of the Subcontractor Compliance Form, the State shall review and respond within five (5) business days. A fillable PDF version of this Subcontractor Compliance Form is available upon request from the DVHA Business Office. Under no circumstance shall the Contractor enter into a sub-agreement without prior authorization from the State. The Contractor shall submit the Subcontractor Compliance Form to: Xxxxx Xxxxx, Contracts and Grants Administrator Business Office, Contracting Unit Department of Vermont Health Access xxxxx.xxxxx@xxxxxxx.xxx Should the status of any third party or Subrecipient change, the Contractor is responsible for updating the State within fourteen (14) days of said change. The maximum dollar amount payable under this agreement is not intended as any form of a guaranteed amount. The Contractor will be paid for products or services actually performed as specified in Attachment A up to the maxi mum allowable amount specified in this agreement. State of Vermont payment terms are Net 30 days from date of invoice, payments against this contract will comply with the State’s payment terms. The payment schedule for delivered products, or rates for services performed, and any additional reimbursements, are included in this attachment. The following provisions specifying payments are: 1. This contract is funded by federal grants and is subject to federal approval by the Centers for Medicare and Medicaid Innovation (CMMI). No reimbursement shall be provided under this agreement without federal approval for the task, service, or product for which reimbursement is claimed. The maximum amount payable under this contract for services and expenses shall not exceed $800,000. Work performed between February 1, 2017 and the execution of this restated and amended agreement that is in conformity with Attachment A shall be billed under this agreement. 2. The State intends to pay the Contractor for deliverables specified in Attachment A at the rates presented below or no more than the sub-contracted rate plus an administrative fee. The Contractor may xxxx up to $30,000 for this category: 3. The State will pay for the following sub-contractors according to the table below (note: these amounts are not- to-exceed amounts and actuals may be lower): 4. No expenses, benefits or insurance will be reimbursed by the State.

Subcontractor Requirements. Per Attachment C, Section 1915, if the Contractor chooses to subcontract work under this agreement, the Contractor must first fill out and submit the Subcontractor Compliance Request for Approval to Subcontract Form (Appendix I – Required Forms) in order to seek approval from the State prior to signing an agreement with a third party. Upon receipt of the Subcontractor Compliance Request for Approval to Subcontract Form, the State shall review and respond within five (5) business days. A fillable PDF version of this Subcontractor Compliance Form is available upon request from the DVHA Business Office. Under no circumstance shall the Contractor enter into a sub-agreement without prior authorization from the State. The Contractor shall submit the Subcontractor Compliance Request for Approval to Subcontract Form to: Xxxxx Xxxx Xxxxx, Contracts and Grants Administrator Management Specialist Business Office, Contracting Unit Department of Vermont Health Access xxxxx.xxxxx@xxxxxxx.xxx Xxxx.Xxxxx@xxxxxxx.xxx Should the status of any third party or Subrecipient change, the Contractor is responsible for updating the State within fourteen (14) days of said change. 4. The maximum dollar amount payable under this agreement is not intended as any form of a guaranteed amount. The Contractor will be paid for products or services actually performed as specified Attachment B: By replacing in Attachment A up to the maxi mum allowable amount specified in this agreement. State of Vermont payment terms are Net 30 days from date of invoice, payments against this contract will comply its entirety with the State’s payment terms. The payment schedule for delivered products, or rates for services performed, and any additional reimbursements, are included in this attachment. The following provisions specifying payments arerevised version: 1. This contract is funded by federal grants and is subject to federal approval by the Centers for Medicare and Medicaid Innovation (CMMI). No reimbursement shall be provided under this agreement without federal approval for the task, service, or product for which reimbursement is claimed. The maximum amount payable under this contract for services and expenses shall not exceed $800,000275,000. a. In 2014, the State received initial federal funding approval for this contract in the amount of $650,000 for work through August 31, 2016. Work performed between February Based on actual spending in 2014 and 2015, this amount has been reduced to $175,000. b. In December 2015, the State received federal approval for the time period January 1, 2017 and 2016- June 30, 2016, in the execution amount of this restated and amended agreement $50,000. c. In Spring 2016, the State will seek federal approval for the time period of July 1, 2016-August 31, 2016, in the amount of $50,000. Contractor may not begin work for that time period without written authorization from the State of Vermont. Approval for funding is in conformity with Attachment A shall be billed under this agreementcontingent on CMMI authorization. 2. The State intends to pay the Contractor for deliverables specified in Attachment A at the rates presented below or no more than the sub-contracted rate plus an administrative fee. The Contractor may xxxx up to $30,000 Key Personnel for this categorycontract are: a. Xxxxx Xxxx, H.I.S. Professionals, Contractor b. Xxxxx XxXxx, MKM Consulting, Sub-Contractor c. Xxxxxxxx Xxxxxx, Newgrange IT Consulting LLC, Sub-Contractor 3. The State will shall pay the Contractor at a per hour rate, inclusive of all expenses except for the following sub-contractors travel. The personnel authorized under this contract shall xxxx according to the table below (notefollowing: these amounts are not- to-exceed amounts Task/Role Rate Program Management Rates $215.00 DA/SSA Data Quality and actuals may be lower): Repository Planning & Stakeholder Engagement DA/SSA Reporting Needs Assessment DA/SSA Data Workbook DQR Repository DA/SSA Data Quality work 4. No expenses, benefits or insurance will be reimbursed by the State.

Subcontractor Requirements. Per Attachment C, Section 1915, if the Contractor chooses to subcontract work under this agreement, the Contractor must first fill out and submit the Subcontractor Compliance Form (Appendix I – Required Forms) in order to seek approval from the State prior to signing an agreement with a third party. Upon receipt of the Subcontractor Compliance Form, the State shall review and respond within five (5) business days. A fillable PDF version of this Subcontractor Compliance Form is available upon request from the DVHA Business Office. Under no circumstance shall the Contractor enter into a sub-agreement without prior authorization from the State. The Contractor shall submit the Subcontractor Compliance Form to: Xxxxx Xxxx Xxxxx, Contracts and Grants Administrator Management Specialist Business Office, Contracting Unit Department of Vermont Health Access xxxxx.xxxxx@xxxxxxx.xxx Xxxx.Xxxxx@xxxxxxx.xxx Should the status of any third party or Subrecipient change, the Contractor is responsible for f or updating the State within fourteen (14) days of said change. The maximum dollar amount payable under this agreement is not intended as any form of a guaranteed amount. The Contractor will be paid for products or services actually performed as specified in Attachment A up to the maxi mum maximum allowable amount specified in this agreement. State of Vermont payment terms are Net 30 days from date of invoice, payments against this contract will comply with the State’s payment terms. The payment schedule for delivered products, or rates for services performed, and any additional reimbursements, are included in this attachment. Work performed between January 1, 2016 and the signing or execution of this agreement that is in conformity with Attachment A may be billed under this agreement. The following provisions specifying payments are: 1. This contract is funded by federal grants and is subject to federal approval by the Centers for Medicare and Medicaid Innovation (CMMI). No reimbursement shall be provided under this agreement without federal approval for the task, service, or product for which reimbursement is claimed. The maximum amount payable under this contract for services and expenses shall not exceed $800,000. Work performed between February 284,850. a. In December 2015, the State received federal approval for the time period January 1, 2017 and 2016- June 30, 2016 in the execution amount of this restated and amended agreement $123,500. b. In Spring 2016, the State will seek federal approval for the time period of July 1, 2016- December 31, 2016 in the amount of $161,350. Contractor may not begin work for that time period without written authorization from the State of Vermont. Approval for funding is in conformity with Attachment A shall be billed under this agreementcontingent on CMMI authorization. 2. The State intends to pay the Contractor for deliverables specified in Attachment A at the rates presented below or no more than the sub-contracted rate plus an administrative fee. The Contractor may xxxx up to $30,000 for this category: 3. The State will pay shall invoice for the following subdeliverables after the State Program Manager has issued written approval of their satisfactory completion: Deliverable Deliver by Date Amount One (1) remote planning session in January 2016 On or before January 31st, 2016 $8,500 Eight (8) bi-contractors according weekly, 1-hour planning calls between January 2016 and March 2016 On or before March 31st, 2016 $8,700 Updates to the table below (note: these amounts are not- toContractor’s Care Coordination Fundamentals course to align with State’s preferences On or before March 31st, 2016 $12,600 Development of new curriculum On or before March 31st, 2016 $18,900 Two 3-exceed amounts day, in-person training sessions on Category 1 topics for up to 120 participants On or before June 30th, 2016 $56,000 Travel associated with two 3-day, in-person training sessions for up to 120 participants On or before June 30th, 2016 $10,400 One 3-day, in-person training session on Category 1 topics for up to 60 participants Between July 1st and actuals may be lower): 4December 31st, 2016 $28,000 Travel associated with one 3-day, Between July 1st and December $5,200 in-person training session on Category 1 topics for up to 60 participants 31st, 2016 Webinar 1 and 2 On or before June 30th, 2016 $8,400 Webinars 3, 4 & 5 Between July 1st and December 31st, 2016 $12,600 One 2-day, in-person Advanced Care Coordination training session on Category 3 topics for up to 40 participants Between July 1st and December 31st, 2016 $29,250 Travel associated with one 2-day, in-person Advanced Care Coordination training session on Category 3 topics for up to 40 participants Between July 1st and December 31st, 2016 $3,300 One 1-day, in-person Care Coordination training for Managers and Supervisors for up to 40 participants Between July 1st and December 31st, 2016 $25,000 One 2-day, in-person Train-the- Trainer workshop for up to 40 participants Between July 1st and December 31st, 2016 $29,500 Travel associated with one 2-day, in-person Train-the-Trainer workshop for up to 40 participants Between July 1st and December 31st, 2016 $3,300 Contractor/State check-in meetings between March and June 2016 Between March 1st and June 30th, 2016 $5,040 Contractor/State check-in meetings between July and December 2016 Between Jul71st and December 31st, 2016 $7,560 Clearinghouse Management and Logistics Between July 1st and December 31st, 2016 $12,600 Total $284,850 3. No expenses, benefits or insurance will be reimbursed by the State.

Subcontractor Requirements. Per Attachment C, Section 1915, if the Contractor chooses to subcontract work under this agreement, the Contractor must first fill out and submit the Subcontractor Compliance Request for Approval to Subcontract Form (Appendix I – Required Forms) in order to seek approval from the State prior to signing an agreement with a third party. Upon receipt of the Subcontractor Compliance Request for Approval to Subcontract Form, the State shall review and respond within five (5) business days. A fillable PDF version of this Subcontractor Compliance Form is available upon request from the DVHA Business Office. Under no circumstance shall the Contractor enter into a sub-agreement without prior authorization from the State. The Contractor shall submit the Subcontractor Compliance Request for Approval to Subcontract Form to: Xxxxx Xxxx Xxxxx, Contracts and Grants Administrator Management Specialist Business Office, Contracting Unit Department of Vermont Health Access xxxxx.xxxxx@xxxxxxx.xxx Xxxx.Xxxxx@xxxxxxx.xxx Should the status of any third party or Subrecipient change, the Contractor is responsible for updating the State within fourteen (14) days of said change. 5. The maximum dollar amount payable under this agreement is not intended as any form of a guaranteed amount. The Contractor will be paid for products or services actually performed as specified Attachment B: By replacing in Attachment A up to the maxi mum allowable amount specified in this agreement. State of Vermont payment terms are Net 30 days from date of invoice, payments against this contract will comply its entirety with the State’s payment terms. The payment schedule for delivered products, or rates for services performed, and any additional reimbursements, are included in this attachment. The following provisions specifying payments arerevised version: 1. This contract is funded by federal grants and is subject to federal approval by the Centers for Medicare and Medicaid Innovation (CMMI). No reimbursement shall be provided under this agreement without federal approval for the task, service, or product for which reimbursement is claimed. The maximum amount payable under this contract for services and expenses shall not exceed $800,000. Work performed between February 20,500. a. In October 2015, the State received federal approval for this contract for the time period of March 1, 2017 and 2015 through December 31, 2015 in the execution amount of this restated and amended agreement that is $17,000. b. In December 2015, the State received federal approval for the time period of January 1, 2016 through June 30, 2016 in conformity with Attachment A shall be billed under this agreementthe amount of $3,500. 2. The State intends to pay Task Orders may be developed using either hourly rates or fixed price deliverables. When developing Task Orders with hourly rates, the Contractor for deliverables specified in following rates shall be used. Hourly/fixed rates are inclusive of all expenses. Reimbursement under Part B of Attachment A for ongoing obligations not requiring a Task Order shall be at the rates presented below or no more than the sub-contracted following rate plus an administrative fee. The Contractor may xxxx up which is inclusive of all travel expenses related to $30,000 for this categoryagreement: 3. The State will pay for the following sub-contractors according to the table below (note: these amounts are not- to-exceed amounts and actuals may be lower): 4. No expenses, benefits or insurance will be reimbursed by the State. 4. Contractor bills monthly for work done each month, there are no monthly minimums or maximums. If Contractor doesn’t perform work in a given month, the State shall not be charged.

Subcontractor Requirements. Per Attachment C, Section 1915, if the Contractor chooses to subcontract work under this agreement, the Contractor must first fill out and submit the Subcontractor Compliance Form (Appendix I – Required Forms) in order to seek approval from the State prior to signing an agreement with a third party. Upon receipt of the Subcontractor Compliance Form, the State shall review and respond within five (5) business days. A fillable PDF version of this Subcontractor Compliance Form is available upon request from the DVHA Business Office. Under no circumstance shall the Contractor enter into a sub-agreement without prior authorization from the State. The Contractor shall submit the Subcontractor Compliance Form to: Xxxxx Xxxxx, Contracts and Grants Administrator Management Specialist Business Office, Contracting Unit Department of Vermont Health Access xxxxx.xxxxx@xxxxxxx.xxx Xxxxx.Xxxxx@xxxxxxx.xxx Should the status of any third party or Subrecipient change, the Contractor is responsible for updating the State within fourteen (14) days of said change. The maximum dollar amount payable under this agreement is not intended as any form of a guaranteed amount. The Contractor will be paid for products or services actually performed as specified in Attachment A up to the maxi mum maximum allowable amount specified in this agreement. State of Vermont payment terms are Net 30 days from date of invoice, payments against this contract will comply with the State’s payment terms. The payment schedule for delivered products, or rates for services performed, and any additional reimbursements, are included in this attachment. Work performed between April 1, 2016 and the signing or execution of this agreement that is in conformity with Attachment A may be billed under this agreement. The following provisions specifying payments are: 1. This contract is funded by federal grants and is subject to federal approval by the Centers for Medicare and Medicaid Innovation (CMMI). No reimbursement shall be provided under this agreement without federal approval for the task, service, or product for which reimbursement is claimed. 2. The total maximum amount payable under this contract for services and expenses shall not exceed $800,000229,600. 3. Work performed between February 1Contractor invoices shall be submitted no more frequently than monthly, 2017 but no later than quarterly, and shall include the number of hours worked during the specified billing period and the execution of this restated and amended agreement that is in conformity with Attachment A shall be billed under this agreement. 2total amount billed. The State intends to shall pay the Contractor at the following rates: a. $40.00 per hour for Technical Staff. b. $55.00 per hour for the Program Manager. 4. Invoices shall be based on the scope of work, hourly rates for key personnel listed in #2, deliverables specified in Attachment A at the rates presented below or no more than the sub-contracted rate plus an administrative fee. The Contractor may xxxx up to $30,000 for this category: 3. The State will pay for A, as well as the following subbudget table: Contract Period Beginning 04/01/2016 ending 12/31/2016 Quantity Cost Budget Salary IT Project Manager 0.2 FTE $ 65,000 $ 13,000 Information Management 0.2 FTE $ 65,000 $ 13,000 Project Manager 0.15 FTE $ 90,000 $ 13,400 Fringe Benefits (max = 33%) $ 13,002 Contracts - Non-contractors according to the table below Clinical Store & Forward $ 76,610 Equipment Contract - Interactive Voice Response (note: these amounts are not- toIVR) Solution $ 40,000 Training Staff Training $ 658 Materials Med-exceed amounts and actuals may be lower): 4O-Wheels 50 $ 490 $ 24,500 Tamper Proof Pill Dispensers 25 $ 590 $ 14,750 Subtotal Direct $ 208,920 Administrative Costs $ 20,680 Subtotal Indirect $ 20,680 Total $ 229,600 5. No expenses, benefits or insurance will be reimbursed by the State.

Subcontractor Requirements. Per Attachment C, Section 1915, if the Contractor chooses to subcontract work under this agreement, the Contractor must first fill out and submit the Subcontractor Compliance Form (Appendix I – Required Forms) in order to seek approval from the State prior to signing an agreement with a third party. Upon receipt of the Subcontractor Compliance Form, the State shall review and respond within five (5) business days. A fillable PDF version of this Subcontractor Compliance Form is available upon request from the DVHA Business Office. Under no circumstance shall the Contractor enter into a sub-agreement without prior authorization from the State. The Contractor shall submit the Subcontractor Compliance Form to: Xxxxx Xxxx Xxxxx, Contracts and Grants Administrator Management Specialist Business Office, Contracting Unit Department of Vermont Health Access xxxxx.xxxxx@xxxxxxx.xxx Xxxx.Xxxxx@xxxxxxx.xxx Should the status of any third party or Subrecipient change, the Contractor is responsible for updating the State within fourteen (14) days of said change. 4. The maximum dollar amount payable under this agreement is not intended as any form of a guaranteed amount. The Contractor will be paid for products or services actually performed as specified Attachment B: By replacing in Attachment A up to the maxi mum allowable amount specified in this agreement. State of Vermont payment terms are Net 30 days from date of invoice, payments against this contract will comply its entirety with the State’s payment terms. The payment schedule for delivered products, or rates for services performed, and any additional reimbursements, are included in this attachment. The following provisions specifying payments arerevised version: 1. FUNDING and PERIOD OF PERFORMANCE AUTHORIZATON REQUIREMENT: This contract is funded by a federal grants grant and is subject to federal approval by from the Centers Center for Medicare and Medicaid Innovation (CMMI). No reimbursement shall be provided under this agreement without federal approval for the task, service, or product for which reimbursement is claimed. The maximum amount payable under this contract for services and expenses shall not exceed $800,000. Work performed between February 15,250. a. In July, 2015 federal approval was received for the time period of July 1, 2017 and 2015-December, 31, 2015 in the execution amount of this restated and amended agreement that $11,000. b. In February, 2016 federal approval was sought retroactively for the time period of December 1, 2015 – December 31, 2015 in the amount of $4,250. Approval for funding is in conformity with Attachment A shall be billed under this agreementcontingent on CMMI approval. 2. The State intends to pay Contractor invoices shall be submitted monthly and shall detail the Contractor for hours worked during the specified billing period and the total amount billed. Invoicing is dependent upon acceptance of mutually agreed upon deliverables completed as specified in Attachment A at the rates presented below or no more than the sub-contracted rate plus an administrative fee. The Contractor may xxxx up to $30,000 for this category:A. 3. The State Contractor will pay for the following sub-contractors be paid according to the table below following schedule: o Stage 3: $5,500 upon completion of half-day coaching workshops. o Stage 4: $5,500 to be billed as follows: • $250/session for each individual coaching session with the eight (note8) Key Leader Facilitators and two (2) Project Leaders. o Ad Hoc services as requested by the State: these amounts $4,250. o These fees are not- toinclusive of all training expenses except for space, which will be borne separately by the State. 4. The following persons are identified as key personnel under this agreement: Liz Dallas, Executive Director Xxx Xxxxxx, Director of Coaching and Training Xxxx Xxxx, Coach and Trainer 5. Non-exceed amounts and actuals performance: Failure to attend scheduled status meeting or not being available without prior written approval by the State’s single point of contact shall result in a reduction in payment of 10% of the total monthly invoice for the month in which nonperformance occurred. Failure to demonstrate progress toward deliverables or to meet deliverable due dates as established in the work plan may result in a reduction of payment of up to 10% of the total monthly invoice. Deliverable due dates may be lower): 4revised upon mutual agreement of both parties. 6. No expenses, benefits or insurance will be reimbursed by the State.

Subcontractor Requirements. Per Attachment C, Section 1915, if the Contractor chooses to subcontract work under this agreement, the Contractor must first fill out and submit the Subcontractor Compliance Request for Approval to Subcontract Form (Appendix I – Required Forms) in order to seek approval from the State prior to signing an agreement with a third party. Upon receipt of the Subcontractor Compliance Request for Approval to Subcontract Form, the State shall review and respond within five (5) business days. A fillable PDF version of this Subcontractor Compliance Form is available upon request from the DVHA Business Office. Under no circumstance shall the Contractor enter into a sub-agreement without prior authorization from the State. The Contractor shall submit the Subcontractor Compliance Request for Approval to Subcontract Form to: Xxxxx Xxxx Xxxxx, Contracts and Grants Administrator Management Specialist Business Office, Contracting Unit Department of Vermont Health Access xxxxx.xxxxx@xxxxxxx.xxx Xxxx.Xxxxx@Xxxxxxx.xxx Should the status of any third party or Subrecipient change, the Contractor is responsible for updating the State within fourteen (14) days of said change. The maximum dollar amount payable under this agreement is not intended as any form of a guaranteed amount. The Contractor will be paid for products or services actually performed as specified in Attachment A up to the maxi mum maximum allowable amount specified in this agreement. State of Vermont payment terms are Net 30 days from date of invoice, payments against this contract will comply with the State’s payment terms. The payment schedule for delivered products, or rates for services performed, and any additional reimbursements, are included in this attachment. The following provisions specifying payments are: 1. This contract is funded by federal grants and is subject to federal approval by the Centers for Medicare and Medicaid Innovation (CMMI). No reimbursement shall be provided under this agreement without federal approval for the task, service, or product for which reimbursement is claimed. The maximum amount payable under this contract for services and expenses shall not exceed $800,000400,000. Work performed between February 1, 2017 2016 and the execution of this restated and amended agreement that is in conformity with Attachment A shall may be billed under this agreement. 2. The State intends to pay the Contractor for deliverables specified in Attachment A at the rates presented below or no more than the sub-contracted rate plus an administrative fee. The Contractor may xxxx up to $30,000 for this category:. 3. The State will pay for the following sub-contractors according to the table below (note: these amounts are not- to-exceed amounts and actuals may be lower): below: 4. No expenses, benefits or insurance will be reimbursed by the State. 5. Invoices. All requests for reimbursements shall be made using the Invoice – Contracts Agreements form attached, see Appendix I – Required Forms, or a similar format agreed upon by the State and Contractor. An email will be sent to the Contractor, upon request, with an invoice template in Excel format. All payments are subject to payment terms of Net 30 days. The Contractor shall submit invoices to the State monthly, and shall be accompanied by a status report and shall reflect the total number of hours worked per staff person, per objective as specified in the work plan in Attachment A. The State shall reimburse the Contractor for Subcontractor costs up to the total maximum amount of this agreement. 1. Entire Agreement: This Agreement, whether in the form of a Contract, State Funded Grant, or Federally Funded Grant, represents the entire agreement between the parties on the subject matter. All prior agreements, representations, statements, negotiations, and understandings shall have no effect.

Subcontractor Requirements. Per Attachment C, Section 1915, if the Contractor chooses to subcontract work under this agreement, the Contractor must first fill out and submit the Subcontractor Compliance Request for Approval to Subcontract Form (Appendix I – Required Forms) in order to seek approval from the State prior to signing an agreement with a third party. Upon receipt of the Subcontractor Compliance Request for Approval to Subcontract Form, the State shall review and respond within five (5) business days. A fillable PDF version of this Subcontractor Compliance Form is available upon request from the DVHA Business Office. Under no circumstance shall the Contractor enter into a sub-agreement without prior authorization from the State. The Contractor shall submit the Subcontractor Compliance Request for Approval to Subcontract Form to: Xxxxx Xxxx Xxxxx, Contracts and Grants Administrator Management Specialist Business Office, Contracting Unit Department of Vermont Health Access xxxxx.xxxxx@xxxxxxx.xxx Xxxx.Xxxxx@Xxxxxxx.xxx Should the status of any third party or Subrecipient change, the Contractor is responsible for updating the State within fourteen (14) days of said change. The maximum dollar amount payable under this agreement is not intended as any form of a guaranteed amount. The Contractor will shall be paid reimbursed for products or services actually performed provided to Partner Health Care Entities as specified in Attachment A up to the maxi mum maximum allowable amount specified in this agreement. State of Vermont payment terms are Net 30 days from date of invoice, payments against this contract . It is anticipated that each Partner Health Care Entity will comply with pay a share of its agreed Contractor fees and the State’s payment terms. The payment schedule for delivered products, or rates for services performed, and any additional reimbursements, are included State will provide a subsidy in this attachmentorder to incentivize the Partner Health Care Entities to utilize the Contractor system. The following provisions specifying payments are: 1. This contract is funded by federal grants and is subject to federal approval by the Centers for Medicare and Medicaid Innovation (CMMI). No reimbursement shall be provided under this agreement without federal approval for the task, service, or product for which reimbursement is claimed. The maximum amount payable under this contract for services and expenses shall not exceed $800,0001,008,500. Contractor agrees that in no event shall the combined costs for subsidies and consent policy technology development (if any), exceed $100,000 in 2015 and $908,500 in 2016. Work performed between February November 1, 2017 2015 and the execution of this restated and amended agreement that is in conformity with Attachment A shall may be billed under this agreement. a. For Performance Period 2, the State of Vermont received approval for $100,000 for this contract effective November 1, 2015. Vermont sought additional approval for $400,000 for January –June 2016. b. For Performance Period 3, the State of Vermont will seek approval from CMMI in early Spring 2016 for the period July-December 2016 for the amount of $508,500. 2. The State intends to pay State, using federal SIM Grant funding, will subsidize 70% of all Partner Health Care Entities costs for the Contractor for deliverables specified in Attachment A at the rates presented below or no more than the sub-contracted rate plus an administrative feeterm of this Contract. The Contractor may xxxx up offer certain promotional discounts to $30,000 Partner Health Care Entities or change Partner Health Care Entities’ pricing based on assessment of local market dynamics and negotiations with the Partner Health Care Entities. Contractor shall provide the State with a copy of each agreement for this category:services that it enters into with a Partner Health Care Entity and shall notify the State immediately upon the termination of any such agreement. 3. Contractor invoices shall be submitted monthly and shall include the number of providers connected and receiving pings and the total amount billed. The State invoices should be in the template provided in attachment xx. The invoices should include a deliverables achieved document (DAD), which is provided in attachment xx. On a monthly basis, Contractor will pay submit invoices to each Partner Health Care Entity that contracts for Contractor services. The invoices will specify the total cost of service for the following sub-contractors according month and itemize the portion of expenses to be subsidized by the State, and the portion to be paid by the Partner Health Care Entity. The overall project estimate is based on the table below (notebelow: these amounts are not- to-exceed amounts and actuals may be lower): Cost to State through June $504,250 4. No expenses, benefits or insurance will be reimbursed by the State.

Subcontractor Requirements. Per Attachment C, Section 1915, if the Contractor Grantee chooses to subcontract work under this agreement, the Contractor Grantee must first fill out and submit the Subcontractor Compliance Request for Approval to Subcontract Form (Appendix I – Required Forms) in order to seek approval from the State prior to signing an agreement with a third party. Upon receipt of the Subcontractor Compliance Request for Approval to Subcontract Form, the State shall review and respond within five (5) business days. A fillable PDF version of this Subcontractor Compliance Form is available upon request from the DVHA Business Office. Under no circumstance shall the Contractor Grantee enter into a sub-agreement without prior authorization from the State. The Contractor Grantee shall submit the Subcontractor Compliance Request for Approval to Subcontract Form to: Xxxxx Xxxxx, Contracts and Grants Administrator Business Office, Contracting Unit Xxxxxxx Xxxxxxx Department of Vermont Health Access xxxxx.xxxxx@xxxxxxx.xxx 000 Xxxxxxxxx Xxxx, Xxxxx 000 Xxxxxxxxx, XX 00000 Xxxxxxx.Xxxxxxx@xxxxx.xx.xx Xxxxxx Xxxxxxxxx Blueprint Assistant Director Department of Vermont Health Access 000 Xxxxxxxxx Xxxx, Xxxxx 000 Xxxxxxxxx, Xxxxxxx 00000 Xxxxxx.Xxxxxxxxx@xxxxx.xx.xx Should the status of any third party or Subrecipient change, the Contractor Grantee is responsible for updating the State within fourteen (14) days of said change. The maximum dollar amount payable under this agreement is not intended as any form of a guaranteed amount. The Contractor will be paid State agrees to compensate the Grantee for products or services actually performed as specified in Attachment A up to the maxi mum allowable amount specified in maximum amounts stated below, provided such services are within the scope of the grant and are authorized as provided for under the terms and conditions of this agreementgrant. State of Vermont payment terms are Net 30 00 days from date of invoice, ; payments against this contract grant will comply with the State’s payment terms. The payment schedule for delivered products, or rates for services performed, and any additional reimbursements, are included in this attachment. The following provisions specifying payments are: 1. This contract is funded by federal grants and is subject to federal approval by : The Grantee shall invoice the Centers for Medicare and Medicaid Innovation (CMMI). No reimbursement shall be provided under this agreement without federal approval for the task, service, or product for which reimbursement is claimed. The maximum amount payable under this contract for services and expenses shall not exceed $800,000. Work performed between February 1, 2017 and the execution of this restated and amended agreement that is in conformity with Attachment A shall be billed under this agreement. 2. The State intends to pay the Contractor for deliverables specified in Attachment A at the rates presented below or no more than the sub-contracted rate plus an administrative fee. The Contractor may xxxx monthly up to the sum of $30,000 6,000 per 1.0 FTE for this category: 3project management activities based on expenses incurred and completion of grant deliverables. The In addition to the monthly payments, the Grantee can invoice the State will pay for milestone payments. Eligibility for the following sub-contractors according to milestone payments is contingent upon proven ongoing contribution of CHT patient encounter data into the table below (note: these amounts are not- to-exceed amounts and actuals may be lower): 4. No expenses, benefits State’s clinical registry or insurance will be reimbursed other designated data collection tool as specified by the State. Data may be entered manually, via an interface from an EHR, or via a flat file data transfer from an EHR or another data collection system. For milestone payment eligibility, encounter data should be entered and up-to-date at least 30 days prior to the end of each quarter.

Subcontractor Requirements. Per Attachment C, Section 1915, if the Contractor Grantee chooses to subcontract work under this agreement, the Contractor Grantee must first fill out and submit the Subcontractor Compliance Request for Approval to Subcontract Form (Appendix I – Required Forms) in order to seek approval from the State prior to signing an agreement with a third party. Upon receipt of the Subcontractor Compliance Request for Approval to Subcontract Form, the State shall review and respond within five (5) business days. A fillable PDF version of this Subcontractor Compliance Form is available upon request from the DVHA Business Office. Under no circumstance shall the Contractor Grantee enter into a sub-agreement without prior authorization from the State. The Contractor Grantee shall submit the Subcontractor Compliance Request for Approval to Subcontract Form to: Xxxxx Xxxxx, Contracts and Grants Administrator Business Office, Contracting Unit Xxxxxxx Xxxxxxx Department of Vermont Health Access xxxxx.xxxxx@xxxxxxx.xxx 000 Xxxxxxxxx Xxxx, Xxxxx 000 Xxxxxxxxx, XX 00000 Xxxxxxx.Xxxxxxx@xxxxx.xx.xx Xxxx Xxxxxx Blueprint Assistant Director Department of Vermont Health Access 000 Xxxxxxxxx Xxxx, Xxxxx 000 Xxxxxxxxx, Xxxxxxx 00000 Miki. Xxxxxx@xxxxx.xx.xx Should the status of any third party or Subrecipient change, the Contractor Grantee is responsible for updating the State within fourteen (14) days of said change. The maximum dollar amount payable under this agreement is not intended as any form of a guaranteed amount. The Contractor will be paid State agrees to compensate the Grantee for products or services actually performed as specified in Attachment A up to the maxi mum allowable amount specified in maximum amounts stated below, provided such services are within the scope of the grant and are authorized as provided for under the terms and conditions of this agreementgrant. State of Vermont payment terms are Net 30 00 days from date of invoice, ; payments against this contract grant will comply with the State’s payment terms. The payment schedule for delivered products, or rates for services performed, and any additional reimbursements, are included in this attachment. The following provisions specifying payments are: 1. This contract is funded by federal grants and is subject to federal approval by : The Grantee shall invoice the Centers for Medicare and Medicaid Innovation (CMMI). No reimbursement shall be provided under this agreement without federal approval for the task, service, or product for which reimbursement is claimed. The maximum amount payable under this contract for services and expenses shall not exceed $800,000. Work performed between February 1, 2017 and the execution of this restated and amended agreement that is in conformity with Attachment A shall be billed under this agreement. 2. The State intends to pay the Contractor for deliverables specified in Attachment A at the rates presented below or no more than the sub-contracted rate plus an administrative fee. The Contractor may xxxx monthly up to the sum of $30,000 6,000 per 1.0 FTE for this category: 3project management activities based on expenses incurred and completion of grant deliverables. The In addition to the monthly payments, the Grantee can invoice the State will pay for milestone payments. Eligibility for the following sub-contractors according to milestone payments is contingent upon proven ongoing contribution of CHT patient encounter data into the table below (note: these amounts are not- to-exceed amounts and actuals may be lower): 4. No expenses, benefits State’s clinical registry or insurance will be reimbursed other designated data collection tool as specified by the State. Data may be entered manually, via an interface from an EHR, or via a flat file data transfer from an EHR or another data collection system. For milestone payment eligibility, encounter data should be entered and up-to-date at least 30 days prior to the end of each quarter.

Subcontractor Requirements. Per Attachment C, Section 19, if the Contractor chooses to subcontract work under this agreement, the Contractor must first fill out and submit the Subcontractor Compliance Form (Appendix I – Required Forms) in order to seek approval from the State prior to signing an agreement with a third party. Upon receipt of the Subcontractor Compliance Form, the State shall review and respond within five (5) business days. A fillable PDF version of this Subcontractor Compliance Form is available upon request from the DVHA Business Office. Under no circumstance shall the Contractor enter into a sub-agreement without prior authorization from the State. The Contractor shall submit the Subcontractor Compliance Form to: Xxxxx Xxxxx, Contracts and & Grants Administrator Business Office, Contracting Unit Department of Vermont Health Access xxxxx.xxxxx@xxxxxxx.xxx Xxxxx.Xxxxx@xxxxxxx.xxx Should the status of any third party or Subrecipient change, the Contractor is responsible for updating the State within fourteen (14) days of said change. The maximum dollar amount payable under this agreement is not intended as any form of a guaranteed amount. The Contractor will be paid for products or services actually performed as specified in Attachment A up to the maxi mum maximum allowable amount specified in this agreement. State of Vermont payment terms are Net 30 days from date of invoice, payments against this contract will comply with the State’s payment terms. The payment schedule for delivered products, or rates for services performed, and any additional reimbursements, are included in this attachment. Work performed between April 1, 2016 and the signing or execution of this agreement that is in conformity with Attachment A may be billed under this agreement. The following provisions specifying payments are: 1. This contract is funded by federal grants and is subject to federal approval by the Centers for Medicare and Medicaid Innovation (CMMI). No reimbursement shall be provided under this agreement without federal approval for the task, service, or product for which reimbursement is claimed. 2. The maximum amount payable under this contract for services and expenses shall not exceed $800,000. Work performed between February 1, 2017 and the execution of this restated and amended agreement that is in conformity with Attachment A shall be billed under this agreement100,0000. 2. The State intends to pay the Contractor for deliverables specified in Attachment A at the rates presented below or no more than the sub-contracted rate plus an administrative fee. The Contractor may xxxx up to $30,000 for this category: 3. The State will pay Invoices shall be based on the scope of work and deliverables in Attachment A, as well as the following budget table: Personnel Portion of backbone staff salary: Xxxxx Xxxxxx – Opioid Alliance Project Director and Opioid Alliance Data Manager (to be hired) $45,000 Fringe Portion of backbone staff fringe/benefits for the following sub-contractors according to the table below (noteProject Director and Data Manager $19,000 Equipment/Software Project Director and Data Manager office equipment and usage, including: these amounts are not- to-exceed amounts computer hardware, software, communications, network access, and actuals may be lower): network protection $10,000 Other Direct Costs To support collective impact training, action team activities, carecoordination, and case management as needed $26,000 Direct $100,000 Indirect $0 4. No expenses, benefits or insurance will be reimbursed by the State.

Subcontractor Requirements. Per Attachment C, Section 1915, if the Contractor chooses to subcontract work under this agreement, the Contractor must first fill out and submit the Subcontractor Compliance Request for Approval to Subcontract Form (Appendix I – Required Forms) in order to seek approval from the State prior to signing an agreement with a third party. Upon receipt of the Subcontractor Compliance Request for Approval to Subcontract Form, the State shall review and respond within five (5) business days. A fillable PDF version of this Subcontractor Compliance Form is available upon request from the DVHA Business Office. Under no circumstance shall the Contractor enter into a sub-agreement without prior authorization from the State. The Contractor shall submit the Subcontractor Compliance Request for Approval to Subcontract Form to: Xxxxx Xxxx Xxxxx, Contracts and Grants Administrator Management Specialist Business Office, Contracting Unit Department of Vermont Health Access xxxxx.xxxxx@xxxxxxx.xxx Xxxx.Xxxxx@xxxxxxx.xxx Should the status of any third party or Subrecipient change, the Contractor is responsible for updating the State within fourteen (14) days of said change. The maximum dollar amount payable under this agreement is not intended as any form of a guaranteed amount. The Contractor will be paid for products or services actually performed as specified in Attachment A up to the maxi mum maximum allowable amount specified in this agreement. State of Vermont payment terms are Net 30 00 days from date of invoice, payments against this contract will comply with the State’s payment terms. The payment schedule for delivered products, or rates for services performed, and any additional reimbursements, are included in this attachment. Work performed between January 1, 2016 and the signing or execution of this agreement that is in conformity with Attachment A may be billed under this agreement. The following provisions specifying payments are: 1. This contract is funded by federal grants and is subject to federal approval by the Centers for Medicare and Medicaid Innovation (CMMI). No reimbursement shall be provided under this agreement without federal approval for the task, service, or product for which reimbursement is claimed. The maximum amount payable under this contract for services and expenses shall not exceed $800,000. Work performed between February 180,000. a. In December 2015, the State sought federal approval for the time period January 1, 2017 and 2016- June 30, 2016 in the execution amount of this restated and amended agreement $90,000. The Contractor may not begin work for that time period without written authorization from the State of Vermont. Approval for funding is contingent on CMMI authorization. b. In Spring 2016, the State will seek federal approval for the time period of July 1, 2016- December 31, 2016 in conformity with Attachment A shall be billed under this agreementthe amount of $90,000. Contractor may not begin work for that time period without written authorization from the State of Vermont. Approval for funding is contingent on CMMI authorization. 2. Hourly rate is inclusive of all expenses. The State intends to shall pay the Contractor for deliverables specified in Attachment A at the rates presented below or no more than the sub-contracted rate plus an administrative fee. The Contractor may xxxx up to of: a. Xxxxx Xxxxxxx: $30,000 for this category:265/hour b. Xxxxxxx Xxxxxxxxxxxxx: $235/hour c. Xxxx Xxxxxx: $235/hour 3. The State will pay for the following sub-contractors according to the table below (note: these amounts are not- to-exceed amounts and actuals may be lower): 4. No expenses, benefits or insurance will be reimbursed by the State. 4. Up to ten percent (10%) indirect charges are the maximum allowable indirect charge limit for this contract. 5. Contractor bills monthly for work done each month, there are no monthly minimums or maximums. If Contractor doesn’t do any work in a given month, the State shall not be charged.

Subcontractor Requirements. Per Attachment C, Section 1915, if the Contractor chooses to subcontract work under this agreement, the Contractor must first fill out and submit the Subcontractor Compliance Request for Approval to Subcontract Form (Appendix I – Required Forms) in order to seek approval from the State prior to signing an agreement with a third party. Upon receipt of the Subcontractor Compliance Request for Approval to Subcontract Form, the State shall review and respond within five (5) business days. A fillable PDF version of this Subcontractor Compliance Form is available upon request from the DVHA Business Office. Under no circumstance shall the Contractor enter into a sub-agreement without prior authorization from the State. The Contractor shall submit the Subcontractor Compliance Request for Approval to Subcontract Form to: Xxxxx Xxxxx, Xxxxxxx Xxxxxxxxxx Contracts and & Grants Administrator Business Office, Contracting Unit Department of Vermont Health Access xxxxx.xxxxx@xxxxxxx.xxx (DVHA) 000 Xxxxxxxxx Xxxx Xxxxxxxxx, XX 00000-0000 Xxxxxxx.xxxxxxxxxx@xxxxx.xx.xx (o) 000-000-0000 Should the status of any third party or Subrecipient change, the Contractor is responsible for updating the State within fourteen (14) days of said change. The maximum dollar amount payable under this agreement is not intended as any form of a guaranteed amount. The Contractor will be paid for products or services actually performed as specified in Attachment A up to the maxi mum maximum allowable amount specified in this agreement. State of Vermont payment terms are Net 30 days from date of invoice, payments against this contract will comply with the State’s payment terms. The payment schedule for delivered products, or rates for services performed, and any additional reimbursements, are included in this attachment. The following provisions specifying payments are: 1. FUNDING and PERIOD OF PERFORMANCE AUTHORIZATON REQUIREMENT: This contract is partially funded by federal grants and is subject to federal approval by the Centers for Medicare and Medicaid Innovation (CMMI). No reimbursement shall be provided under this agreement without federal approval for the task, service, or product for which reimbursement is claimed. a. Funding for this contract has been approved through December 31, 2015 in the amount of $150,000. Contractor is authorized to conduct work through December 31, 2015. b. In November, 2015 federal approval will be sought for the time period of January 1, 2016 through March 31, 2016 in the amount of $50,000. Contractor may not begin year two, beginning January 1, 2016 and ending March 31, 2016, without written authorization from the State of Vermont. Approval for year two funding is contingent upon CMMI authorization. 2. Contractor’s hourly rate is inclusive of all direct costs but is exclusive of travel. The maximum amount payable State shall pay the Contractor at the following rates: a. Xxxx Xxxxxxxx, Project Director: $240/hour x. X. Xxxxxx, Lead SAS Programmer: $220/hour x. X. Xxxx, X. Xxxxx, X. Xxxxxxx, Senior Consultants: $220/hour d. SAS Programmers: $200/hr 3. REQUIREMENTS FOR TRAVEL AND EXPENDITURE REIMBURSEMENT a. This agreement requires that you attain prior approval for all travel from the State Authorized Representative in this agreement. b. Payments and/or reimbursement for lodging, airfare, training/registration and other expenses shall only be issued after all supporting documentation and receipts are received and accepted by the State. Meals are not an allowable expense under this contract for services agreement. Invoices with approved expenses shall be accompanied by a Travel and Expense Form (Appendix I: Required Forms). c. All travel mileage and associated travel expenses shall not exceed $800,000. Work performed between February 1, 2017 and the execution of this restated and amended agreement that is in conformity with Attachment A shall be billed under this agreement. 2. The State intends to pay the Contractor for deliverables specified in Attachment A approved mileage rates at the rates presented below or no more than time at which the sub-contracted rate plus an administrative feeexpense occurred. The Contractor may xxxx up to $30,000 is responsible for this categorysubmitting invoices in compliance with the current mileage rates, which change periodically. As of April, 2015, these rates are as follows: 3i. Mileage reimbursement = $.575/mile ii. The State will pay for the following sub-contractors according Current rates can be found at: xxxx://xxxxxxxxxxxxxx.xxxxxxx.xxx/salary/compensation/expense_reimbursement. d. This agreement requires that you submit to the table below (note: these amounts are not- to-exceed amounts and actuals may be lower): 4. No expenses, benefits or insurance will be reimbursed by the Stateyour Contract Administrator a copy of your Travel Policies no later than 30 days after contract execution.