Common use of Contract Templates Clause in Contracts

Contract Templates. Contract templates must be issued exactly as approved (WAC 284-170-480(2)(a)). “For public” Filings: A Washington State specific template must include all forms, exhibits, and appendices (minus the provider compensation schedule) filed on the Form Schedule tab. A national template with a Washington State Regulatory Appendix must include all forms, exhibits, regulatory appendix (minus the provider compensation schedule), etc., filed on the Form Schedule tab. If you are filing a “for public” document only, please provide a detailed explanation in the General Information section. A contract template addendum or amendment to the core agreement template must be filed for approval and include a copy of the core agreement and all subsequent addenda or amendments filed on the Form Schedule tab. “Not for public” Filings: The compensation schedule(s) must be filed on the Form Schedule tab. Changes to a previously filed and approved provider compensation agreement modifying the compensation amount or terms related to compensation must be filed and are deemed approved upon filing if there are no other changes to the previously approved provider contract or compensation agreement (WAC 284-170-480(2)(a)(iii)). If you are filing to update contract template compensation per WAC 284-170-480(2)(a)(iii), you are not required to refile the “for public” submission concurrently if there are no changes to the “for public” contract template agreement. The Filing Description field must clearly state that no “for public” filing is required. The “Corresponding Filing Tracking Number” field in SERFF must point back to the most recent approved or deemed “for public” template filing (RCW 48.43.730(2)(b)). Revised template compensation exhibits must have a unique form number. A strikeout and/or underline (redline) version is not required for compensation exhibits. All negotiated contracts and compensation agreements must be filed with the commissioner for approval thirty calendar days prior to use and include all contract documents between the parties (WAC 284-170-480(2)(b)(i)). This means that if either a contract or a compensation agreement is negotiated (outside of approved variability), both the contract and compensation agreement must be filed and include a new, unique form number. “For public” Filings: The filing must include the provider– or facility- specific agreement documents that will include, but may not be limited to: core agreement, exhibits, and any regulatory appendices filed on the Form Schedule. A contract addendum or amendment to the core agreement must be filed for approval and include a copy of the core agreement and all subsequent addenda or amendments (minus provider compensation exhibits) filed on the Form Schedule tab (WAC 284-170-480(2)(b)(i)). Revised negotiated agreements must include a strikeout and/or underline (redline) version showing the changes to the documents (WAC 284-170-480(2)(a)(i)). This document must be filed on the Supporting Documentation tab. If you are filing a “for public” document only, please provide a detailed explanation in the General Information section as to why a corresponding “not for public” filing is not required (e.g., changes only made to “for public” portion of contract).