HCA Agreement definition
Examples of HCA Agreement in a sentence
Deadline to Request Advance Payment Option Sovereign Nation may request the advance payment option by submitting written notification to both the HCA Agreement Manager and the SLA Manager no less than 30 days prior to the start of the applicable State Fiscal Year (SFY).
You may contact the HCA Agreement Manager on page one of this Agreement for assistance in obtaining a copy of those regulations.
Provider will submit a reconciliation report to the HCA Agreement Manager via email at ▇▇▇@▇▇▇.▇▇.▇▇▇.
Invoices must be submitted with the applicable A-19 form and include the following information, as applicable: The HCA Agreement number, SLA number, and SLA amendment number; Sovereign Nation name, address, and phone number; Description of services; Date(s) of delivery; Applicable taxes; and Total invoice price.
Tribal Plan Submission Process The Sovereign Nation must develop and submit to the HCA Agreement Manager via email, no later than April 1 prior to each state fiscal year, an Annual Tribal Plan as outlined here, using the HCA provided templates and instructions provided here:including Indian Nation agreements (INA) and scope of work for behavioral health services | Washington State Health Care Authority.
For clarification regarding any of these elements or details specific to the federal funds in this Agreement, contact the HCA Agreement Manager listed on the Cover Page of this Agreement.
Risk Assessments may be repeated throughout the project period as determined by the HCA Agreement and/or SLA Managers.
For clarification regarding any of these elements or details specific to the federal funds in this Agreement, contact the HCA Agreement Manager listed on the first page of this Agreement.
In the event that changes to the terms of the HCA’s BH-ASO Agreement renders this Agreement invalid in any way after the effective date of the HCA Agreement with CSD’s Spokane County Regional Behavioral Health - Administrative Services Organization (SCRBH - ASO) Division and prior to its normal completion, CSD may terminate this Agreement, subject to re-negotiation (if applicable) under those new special terms and conditions.
SERVICE LEVEL AGREEMENT for [BRIEF PROGRAM TITLE] Services HCA Agreement Number: Service Level Agreement Number: THIS SERVICE LEVEL AGREEMENT (SLA) is made between the Washington State Health Care Authority, hereinafter referred to as "HCA," and the party whose name appears below, hereinafter referred to as the "Sovereign Nation".