CARE1ST -FULL PACKET - C-26-19-020-3-00.PDF

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MEMORANDUM OF UNDERSTANDING
Between

MARICOPA COUNTY CORRECTIONAL HEALTH SERVICES
AND Carel1st Health Plan of Arizona, a Wellcare Co.

rag 22,

Fe Fa

This Memorandum of Understanding (“MOU”) is entered into pursuant to the applicable
Arizona Health Care Cost Containment System (AHCCCS) Contracts with ACC HEALTH
PLAN, between Carelst Health Plan of Arizona, a Wellcare Co. herein referred to as
(Carelst) and MARICOPA COUNTY by and through its DEPARTMENT OF
CORRECTIONAL HEALTH SERVICES, herein referred to as (CHS).

Carel st and CHS desire to enter into a MOU to establish a collaborative protocol for
effective communication, coordination and continuity of care for individuals eligible for
services provided by Carelst who are also served by CHS.

1. PURPOSE:

The purpose of this MOU is to establish a collaborative protocol, as described in
Attachment A for effective communication, coordination and continuity of care as
outlined in AMPM Policy 1020 and 1050, for individuals eligible for services provided
by Carel st who are also served by CHS. This MOU shall in no way change, modify,
or amend the contract between AHCCCS and Care] st and does not create liability from
one party to the other by a party’s failure to comply with the protocol. Should any
information within this MOU conflict with any terms or conditions within the
AHCCCS contract, the AHCCCS contract shall prevail.

2. DEFINITIONS:
As used throughout this MOU, the following terms shall have the meanings set forth below:
A. MOU means this document and all attachments and amendments hereto.

B. County means Maricopa County.

C. CHS means the person, firm, individual or organization employed or contracted
with Maricopa County Department of Correctional Health Services.

D. Criminal Justice Information refers to any confidential information collected by
criminal justice agencies on individuals consisting of identifiable descriptions and
notations of arrests, detentions, indictments, information, or other formal criminal
charges, and any disposition arising therefrom, as well as confidential pre-
booking or booking personal identifiable information, including date of birth,
social security number, age, demographic information, ‘projected release dates and
release date information as defined in 5.U.S.C. § 552 and 5 U.S.C. § 552a.

E. Director means the Director of CHS.

F. Medical Director means the Medical Director of CHS.

G.

Authorized Use means Protected Health Information provided by CHS to Carelst
that shall be used and/or disclosed only as authorized by law including, but not
limited to the treatment of individuals identified as homeless as needed in order to
reduce recidivism. Except when otherwise required by law, disclosures of PHI
pursuant to this MOU are subject to a minimum necessary determination by CHS
(45 CFR § 164.502(b)). When reasonable to do so, CHS may rely upon the
representations of Carelst as to what information is the minimum necessary for
their lawful purpose (45 CFR § 164.514(d) (3) (ii)). Information regarding
substance use or abuse shall not be disclosed without the express written
authorization of the individual.

HIPAA refers collectively to the Health Insurance Portability and Accountability
Act of 1996, codified at 42 U.S.C. § 1320d et seq., and the Health Information
Technology for Economic and Clinical Health Act, enacted as Title XIII of the
American Recovery and Reinvestment Act of 2009, codified at 42 U.S.C. § 17921
et seq., and any current and future regulations promulgated thereunder, including
but not limited to 45 C.F.R. Parts 160 and 164.

TechCare™ refers to the electronic health record software system licensed by the
County and maintained by CHS.

Protected Health Information (PHI) shall have the same meaning as defined
under HIPAA and includes any information about health status, provision of
health care or any individually identifiable information including Social Security
Number, Age, Sex, Date of Birth, Patient Identification Number, Medical Record
Documentation either paper or electronic, diagnosis, procedural information and
any other information directly linked and identifiable to a specific individual
under the care, safety and medical supervision of CHS.

3. SPECIAL TERMS AND CONDITIONS:

A.

TERM OF MOU: This MOU shall begin upon approval of the Board of
Supervisors and when all signatures are affixed and fully executed by both
parties and shall terminate a year thereafter unless otherwise terminated or
amended as provided herein. By mutual written amendment executed by the
Parties’ authorized representatives, this MOU may be extended for supplemental
periods of 12 months, up to maximum of 48 months.

TERMINATION: This MOU may be terminated by either party with prior
written notice to the other party. Such Notice of Termination shall be effective
thirty (30) calendar days after mailing by certified mail, return receipt requested,
to the other party; provided, however, that CHS may terminate this MOU, in
whole or in part, immediately upon providing either written or verbal notice
when CHS deems the health or welfare of a patient is endangered. Either party
may terminate this agreement immediately upon providing written or verbal

notice when it deems that performance would be in violation of the law or order
of a court of law.

AMENDMENTS: Any changes or amendments to this MOU shall be effective
only if made in writing and signed by both parties. All such changes or
amendments shall be handled by formal amendment and approved by CHS
authorized representative, the CHS Procurement Services Office, and Care1st.

CAREIST & CHS’S RESPONSIBILITIES: Carelst and CHS shall cooperate
hereunder in a professional manner that conforms to all local, state and federal
codes and rules and within the standard of practice for the scope of each of the
parties’ responsibilities. Carelst and CHS shall comply with all federal, state
and local laws, ordinances, rules and regulations applicable to each party’s
performance under this MOU. There are no financial responsibilities assigned
by the MOU; the MOU is simply intended to allow Carelst and CHS to work
together to better address the needs of the community.

COMPLIANCE MONITORING: CHS and Care! st shall each monitor their
own respective compliance with, and performance under, the terms and
conditions of this MOU. Notwithstanding the foregoing, each party may
conduct quality assurance audits from time to time to assess the proper access
and utilization of their respective electronic health records application
systems.

RETENTION OF RECORDS: Carel st and CHS agree to maintain records
and other relevant documents to this MOU for five (5) years following the
termination of the MOU; provided however, if any audit questions are
unresolved at the end of that five year period, all records and documents
relating to such audit questions shall be maintained until those audit questions
are resolved.

NON-DISCRIMINATION: To the extent applicable, Carelst, in accordance
with ARS § 41-1461, et seq., shall provide equal employment opportunities for
all persons, regardless of race, color, creed, religion, sex, age, national origin,
disability or political affiliation. Care| st shall comply with the Americans with
Disabilities Act.

EMPLOYMENT VERIFICATION: To the extent applicable, the parties shall
comply with ARS § 41-4401, all Federal immigration laws and regulations
relating to employees, including compliance with A.R.S. § 23-214, Subsection
A.

GOVERNING LAWS: This MOU shall be governed by the laws of the State of
Arizona.

INDEMNIFICATION: To the fullest extent permitted by law, each party shall
defend, indemnify, and hold harmless the other party, its agents,

representatives, officers, directors, officials, and employees for, from and
against all claims, damages, losses and expenses, including, but not limited to,
attorneys’ fees, court costs, expert witness fees, and the cost of appellate
proceedings, relating to, arising out of, or alleged to have resulted from the
negligent acts, errors, omissions or mistakes relating to the performance of
this MOU. Each party’s duty to defend, indemnify and hold harmless the
other party, its agents, representatives, officers, directors, officials, and
employees shall arise in connection with any claim, damage, loss or expense
that is attributable to bodily injury, sickness, disease, death, or injury to,
impairment, or destruction of property, including loss of use resulting
therefrom, caused by any negligent acts, errors, omissions or mistakes in the
party’s performance of this MOU including any person for whose acts, errors,
omissions or mistakes a party may be legally liable.

CONFLICTS OF INTEREST: To the extent applicable, this MOU is subject to
the provisions of A.R.S. § 38-511 relating to conflicts of interest.

ARBITRATION: To the extent applicable, the parties, in accordance with ARS
§12-1518, agree to resolve all disputes arising out of or relating to this MOU
through arbitration, after exhausting applicable administrative review except as
may be required by other applicable statutes. This provision does not apply to
provider claims disputes or member appeals regarding covered services provided
by Carel st.

PUBLIC RECORDS: Notwithstanding any other provision of this MOU to the
contrary, the Parties acknowledge that CHS is subject to A.R.S. 39-121 through
39-128 regarding public records. Any provision regarding confidentiality is
limited to the extent necessary to comply with the provisions of Arizona law.
The parties acknowledge that Carelst is not a public agency subject to public
records laws but is a private corporation.

CONFIDENTIALITY OF RECORDS:

3.14.1 The parties will utilize data sharing agreements (including Attachment
B) and Administrative Orders that permit the sharing of written, verbal
and electronic information, and will comply with all applicable
Administrative Orders, State and federal law, rules or regulations, as
amended from time-to-time, including but not limited to Health
Insurance Portability and Accountability Act (HIPAA) requirements that
permit the sharing of written, verbal and electronic information (as of the
effective date of those regulations), and 42 CFR Part 2 relative to alcohol
and substance abuse treatment. Third parties requesting information held
by CHS should be referred to CHS.

3.14.2 Each party agrees not use or disclose any PHI received from the other in

any manner that would constitute a violation of this MOU or federal or
state law. Each party shall take reasonable measures to ensure that its

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3.14.3

3.14.4

3.14.5

3.14.6

directors, officers, employees, vendors, contractors, and agents use or
disclose PHI received from the other party in accordance with the
provisions of this MOU and federal and state law. Each party further
agrees to implement all appropriate safeguards reasonably necessary to
maintain the confidentiality of the information accessed through the
TechCare™ system.

Information pertaining to substance abuse will only be shared upon
obtaining a release of information from the individual in compliance with
42 CFR Part 2.

The Parties acknowledge that before each of the Parties’ Authorized
Users may have access to the other party’s electronic health records
application system, Authorized Users may be required to read and agree
to the terms of the respective party’s user/confidentiality agreement.
Each party agrees to work cooperatively to fulfill this requirement and
return copies of the executed agreements, as necessary.

Care1ST acknowledges that it and its Authorized Users might be given
access by CHS via TechCare™ to Criminal Justice Information for the
sole purpose of safely and securely providing and/or coordinating
treatment and/or healthcare services to patients incarcerated in the
Maricopa County Jail. Care1ST agrees that it will not use or disclose
Criminal Justice Information for any other purpose, and will treat all
Criminal Justice Information as confidential as required by state and
federal laws at all times and take reasonable measures to maintain the
security and confidentiality of such information. CarelST agrees to
instruct its staff concerning the confidential nature of Criminal Justice
Information and the applicable prohibitions against its use and
disclosure.

REPORTING OF UNAUTHORIZED USE OR DISCLOSURE OF PHI:

CHS and Care] st shall, within twenty-four (24) hours of becoming aware
or has reason to believe of an unauthorized use or disclosure of
TechCare™ PHI by either organization; or any of its Authorized Users,
officers, directors, employees, vendors, contractors, agents or by a third
party. Such notice shall be made to the following:

MARICOPA COUNTY CORRECTIONAL HEALTH SERVICES
(CHS)

Attn: BIT Team
Title:
Address: 234 N Central Avenue, Suite 5350
City, State Zip: Phoenix, AZ 85004
Phone: (602) 506-0897
Email: CHSHIMTEAM@Maricopa.gov
and CHSBIT@Maricopa.gov

CARE1ST

Chief Compliance Office

Address: 432 N. 44" St, Suite 100
City, State Zip: Phoenix, AZ 85008
Phone: 602-778-8302

Fax: N/A

Email: pdsolgio@care1staz.com

Copy To:

Department: HIPAA HITECH Privacy Specialist
oO. ASSIGNMENT AND DELEGATION:

3.15.1 Neither party may assign this MOU without the express, written, prior
consent of both parties, which shall not be unreasonably withheld or
delayed. No consent shall be required where there is an assignment of
the AHCCCS contract by AHCCCS to an affiliated entity of Care] st.

3.15.2 This Agreement MOU does not imply authority to perform any tasks, or
accept responsibility.

4. SECTIONS AND OTHER HEADINGS CONTAINED IN THIS MOU ARE
FOR REFERENCE PURPOSES ONLY AND SHALL NOT AFFECT IN ANY
WAY THE MEANINING OR INTERPRETATION OF THIS MOU.

A. This MOU may be executed in two or more counterparts, each of which shall be
deemed an original but all of which together shall constitute the same instrument.
Faxed, copied and scanned signatures are acceptable as original signatures.

B. ENTIRE MOU: This MOU contains the entire understanding of the parties
hereto, and it supersedes all proposals, oral or written, and all other documents
or communications between the parties relative to the subject matter herein
covered, unless such documents or communications are specifically included by
reference.

C. NOTICES: All notices under this MOU given by either party to the other
shall be in writing and shall be delivered in person or sent by U.S. Postal Service,
postage prepaid and addressed to the following individuals:

MARICOPA COUNTY CORRECTIONAL HEALTH SERVICES (CHS)
Attn: Tania Lynch

Title: CHS Department Director
Address: 234 N. Central Avenue, Suite 5000

6

City, State Zip: Phoenix, AZ 85004
Phone: (602) 372-4632
Email: tania.lynch@maricopa.gov

CARE1ST HEALTH PLAN OF ARIZONA, A WELLCARE CO.

Attn: Scott Cummings

Title: Plan President

Address: 432 N 44" Ste 100

City, State Zip: Phoenix, AZ 85008
Phone: 602-778-1860

Email: SCummings@carelstaz.com

5. INCORPORATION OF DOCUMENTS: The Parties agree that the following
attachments are made part of this MOU:

A. Attachment A, Collaborative Understanding
B. Attachment B, Data Link Agreement

6. ACKNOWLEDGMENT: By signing below, Care1st and CHS each acknowledge
their own respective role and responsibilities pursuant to this MOU.

* Remainder of Page Intentionally Left Blank *

IN WITNESS WHEREOF, the parties have executed this Agreement as of the respective
dates written below.

Carelst
Authorized ividual: ,

ae (Es ze

Name: Scott sar io
Title: Pl President,

Date:_ & cis (ni

Maricopa County Correctional
Health Services -

Namer~/ 9 w1a Fo.02 ly

Title: S/o J)
Date: g

MARICOPA COUNTY
BOARD OF SUPERVISORS

BIQ CL

Name: BILL GATES

Title: Chairman, Board of Supervisors

Date: MAY 1.6 2018

ATTEST:

VY FRAN McCARROLL

Clerk of the Board osonlt
Date: MAY 1.6 2019

APPROVED AS TO FORM:

Name: _Dwinn Bressler

Title: Deputy County Attorney
Date:__ + |Z 1 |

(.- 2le- 14-020-%-00
Attachment B

DATA LINK AGREEMENT BETWEEN
MARICOPA COUNTY CORRECTIONAL HEALTH SERVICES AND
CARE\1st HEALTH PLAN OF ARIZONA, A WELLCARE CO.

This Data Link Agreement ("Agreement") is by and between Carelst Health Plan of
Arizona, a WellCare Co. (“Carelst”), and Maricopa County (the “County”), by and
through its Department of Correctional Health Services ("CHS") (collectively
"Parties," or individually "Party").

PURPOSE OF THE AGREEMENT

This Agreement will govern the operation and Parties’ participation in the Jail Data
Link Program (“Data Link”). Data Link enables the transfer of information between
CHS and Carelst data processing systems pursuant to the Memorandum of
Understanding between the Parties.

This Agreement will enable the Parties to expedite the identification of Members in
the care and custody of the Maricopa County Sheriff's Office and coordinate
behavioral and/or physical health care for those Members.

TERM

The Term of this Agreement shall begin upon approval of the Board of Supervisors
and when all signatures are affixed and fully executed by all parties and continue for
10 years.

TERMINATION

The Agreement may be terminated by either Party with or without cause, upon thirty
(30) day written notice to the other Party(s); provided, however, that any Party may
terminate this Agreement or suspend access to Member information, in whole or in
part, immediately upon providing the other Party written notice when the Party giving
notice deems the health or welfare of a Member is endangered, or to prevent the
unauthorized access to or use of Member confidential information or unauthorized use
of the service or datasystem.

Either Party may terminate this Agreement immediately upon providing written notice
when it deems that performance would be in violation of the law or order of a court of
law.

Parties may terminate this Agreement as provided in A.R.S. § 38-511.

AMENDMENT

Any changes to this Agreement shall be in writing and signed by both Parties.

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Data Link Agreement - Maricopa County & Carel st Health Plan of Arizona, a WellCare Co.

» RENEWAL

The Agreement may be extended for an additional ten (10)-year period upon written
agreement of the Parties.

. DEFINITIONS

For purposes of this Agreement, the terms listed below are defined as follows:

Authorized Use means the access given by CHS to Carelst to Jail Information and/or
Confidential Information that Carelst would not be entitled to otherwise have, for the
sole purpose of coordinating behavioral and medical health services for Carelst
Members who are in the care and custody of the Maricopa County Sheriffs Office
(“MCSO”). Authorized Use shall also include access given by Carelst to CHS to
Confidential Information concerning Carelst Members that CHS would not be entitled
to or otherwise have, for the sole purpose of coordinating behavioral and medical
health services for Carelst Members who have been or will be in the care and custody
of MCSO.

Confidential Information means any information that identifies a Member orrelates to
the Member's participation in Carelst, the Member's physical or mental health or
condition, the provision of health care to the Member, or payment for the provision of
health care to the Member. Confidential information includes, without limitation,
“individually identifiable health information," as defined in 45 C.F.R. §160.103 of
HIPAA and "non-public personal information," as defined in laws or regulations
promulgated under the Gramm-Leach-Bliley Act of 1999.

Member means a person determined to be eligible to receive behavioral health and
and/or physical health services paid for, in whole or in part, from funds available to
Carelst through its contract with the Arizona Health Care Cost Containment System
(“AHCCCS”).

. Jail Information means any pre-booking or booking information of an individual in

the care and custody of MCSO and may also include confidential criminal justice
information collected by criminal justice agencies on individuals consisting of
identifiable descriptions and notations of arrests, detentions, indictments, information,
or other formal criminal charges, and any disposition arising therefrom, as well as
confidential pre-booking or booking personal identifiable information, including date
of birth, social security number, age, demographic information, projected release dates
and release date information as defined in 5.U.S.C. § 552 and 5 U.S.C. § 552a..

Carelst, means a managed care organization under contract with AHCCCS to

coordinate the delivery of behavioral health and physical health services for members
enrolled or assigned by AHCCCS to Carel st Health Plan.

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Data Link Agreement - Maricopa County & Care| st Health Plan of Arizona, a WellCare Co.

f. Seriously Mentally Ill (“SMI”) is defined the same as in A.R.S. § 36-550(4).
7. LIMITED USE

The Parties acknowledge that they will be given access to Jail Information and/or
Confidential Information for the purpose of Authorized Use. The Parties agree that
they will: (1) not use any Jail Information or Confidential Information outside the scope
of Authorized Use; and (2) treat all Jail Information or Confidential Information as
confidential as required by state and federal laws at all time.

8. RESTRICTION ON REDISCLOSURE

The Parties will instruct their staff concerning the confidential nature of Jail
Information or Confidential Information, as applicable, and the applicable prohibitions
against its use or disclosure.

9. DATA DESTRUCTION

The Parties agree that when the intended use of the data has been completed, it shall
sanitize (overwrite three times, degauss, or other reasonable and customary method of
removing data) electronic media prior to disposal or release for reuse by unauthorized
individuals. Inoperable electronic media shall be destroyed (cut up, shredded, or other
reasonable and customary method of removing or destroying data). The Parties shall
maintain written documentation of the steps taken to sanitize or destroy electronic
media. The Parties shall ensure the sanitation or destruction is witnessed or carried out
by authorized personnel.

10. HIPAA

The Parties warrant that they are familiar with the requirements of HIPAA, as amended
by the Health Information Technology for Economic and Clinical Health Act (HITECH
Act) of 2009, and accompanying regulations and will comply with all applicable
HIPAA requirements in the course of this Agreement. Further, the Parties will
cooperate in the course of performance of this Agreement so that each will be in
compliance with HIPAA, including cooperation and coordination with the
Government Information Technology Agency (GITA), Statewide Information
Security and Privacy Office (SISPO) Chief Privacy Officer and HIPAA Coordinator
and other compliance officials required by HIPAA and its regulations, as well as
executing any documents that are reasonably necessary to be in compliance with
HIPAA, including, but not limited to, business associate agreements.

11. NON-AVAILABILITY OF FUNDS
Although this Agreement is non-financial, if any action is taken by any federal, state,

local agency or any other agency or instrumentality to suspend, decrease or terminate

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Data Link Agreement - Maricopa County & Care| st Health Plan of Arizona, a WellCare Co.

its fiscal obligation affecting the capacity of the County or Carelst to continue this
Agreement, any party hereto may amend, suspend, decrease or terminate its
obligations under or in connection with this Agreement.

12, COMPLIANCE

The parties warrant they are in compliance with the provisions in A.R.S. § 41-4401

(e- verify).
13. WARRANTY

There is no implied warranty of any kind under this Agreement, including any
representation of accuracy, timeliness, completeness, or appropriateness of the
information provided. Continuous, uninterrupted access to the information to be
provided hereunder is not guaranteed. In the event of delay caused by system issues,
the Parties agree to work together in a reasonable manner to share information via a
reasonable alternative means, if possible, until any system issues are resolved.

14. INDEMNIFICATION

(a) To the fullest extent permitted by law, Carelst shall, indemnify, defend save and hold
harmless the County, including its officers, officials, agents, and employees
(hereinafter referred to as "County") from and against any and all claims, actions,
liabilities, damages, losses, or expenses (including court costs, attorneys’ fees, and
costs of claim processing, investigation and litigation) (hereinafter referred to as
"Claims") caused, or alleged to be caused, in whole or in part, by Carelst’s breach of this
Agreement. It is the specific intention of the Parties that the County shall, in all
instances, except for Claims arising from the negligent or willful acts or omissions of
the County, be indemnified by Carelst against any and all claims described in this
paragraph. It is agreed that Care1st will be responsible for primary loss investigation,
defense and judgment costs where this paragraph is applicable.

(b) To the fullest extent permitted by law, the County shall, indemnify, defend save and
hold harmless Carelst, including their officers, officials, agents, and employees
(hereinafter referred to as "Indemnitee") from and against any and all claims, actions,
liabilities, damages, losses, or expenses (including court costs, attorneys’ fees, and
costs of claim processing, investigation and litigation) (hereinafter referred to as
"Claims") caused, or alleged to be caused, in whole or in part, by the County’s breach
of this Agreement. It is the specific intention of the Parties that Carelst shall, in all
instances, except for Claims arising from the negligent or willful acts or omissions of
the Carelst, be indemnified by the County against any and all claims described in this
paragraph. It is agreed that the County will be responsible for primary loss
investigation, defense and judgment costs where this paragraph is applicable.

15. INSURANCE

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Data Link Agreement - Maricopa County & Carelst Health Plan of Arizona, a WellCare Co.

16.

17.

18.

Care1st shall maintain insurance as follows: (i) commercial general liability insurance
coverage with minimum limits of $1,000,000 per occurrence and $2,000,000 annual
aggregate; and (ii) professional liability insurance coverage with minimum limits of
$1,000,000 per occurrence and $2,000,000 annual aggregate). Upon written request, a
Party shall provide to the other Party a certificate of insurance evidencing such
insurance coverage. Each Party shall provide thirty (30) calendar days prior written
notice to the other Party of any modification or termination of required insurance.

NOTICES

Any notice required or permitted under this Agreement shall be in writing and shall be
deemed to have been duly given when (a) delivered by hand, courier, or express mail
service (with written confirmation of receipt), (b) sent by facsimile (with provision for
assurance of receipt in a manner typical with respect to communications of that type),
or (c) mailed by registered or certified first class mail, return receipt requested, to the
address set forth below (or to such other Person, address, or facsimile (fax) number as
a Party may, from time to time, designate by written notice):

If to Correctional Health Services:

Correctional Health Services Attn: Department Director
234 N. Central Avenue, Suite 5000

Phoenix, AZ 85003

If to Carelst:

Carelst Health Plan of Arizona, a WellCare Co.
Attn: Scott Cummings

Title: State President

SEVERABILITY

The invalidity, in whole or in part, of any provision of this Agreement shall not void
or affect the validity of any other provision of this Agreement.

RIGHTS IN DATA

The County shall have the use of data and reports resulting from this Agreement
without additional cost or other restriction except as may be established by law or
applicable regulation. Each party shall supply to the other party, upon reasonable
request, any available information that is directly relevant to this Agreement and to the
performance thereunder. Requests shall be made in writing and may not be requested
any more frequently than once a year (a year shall begin from the effective date of this
Agreement), unless required to investigate material breach of this Agreement which
shall be described in the written request.

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Data Link Agreement - Maricopa County & Carel st Health Plan of Arizona, a WellCare Co.

19. RELATIONSHIPS

For all purposes relating to this Agreement, the Parties shall be independent contractors
and not agents or employees of the other party.

20. CONTRACTOR LICENSE REQUIREMENT

Carelst shall procure all permits, insurance, licenses and pay the charges and fees
necessary and incidental to the lawful conduct of its business, and as necessary
complete any required certification requirements, required by any and _ all
governmental or non-governmental entities as mandated to maintain compliance with
and in good standing for all permits and/or licenses. Carel st shall keep fully informed
of existing and future trade or industry requirements, Federal, State and Local laws,
ordinances, and regulations which in any manner affect the fulfillment of this
Agreement and shall comply with the same. Carelst shall immediately notify the
County of any and all changes concerning permits, insurance or licenses affecting
performance under this Agreement.

21. ACKNOWLEDGEMENT

By signing below, the Parties acknowledge their roles and responsibilities pursuant to
this Agreement. The individuals signing below have the authority to bind their
respective parties and execute this Agreement by affixing their signatures to the
Agreement. I

* Remainder of Page Intentionally Left Blank *

IN WITNESS WHEREOEF, the parties have executed this Agreement as of the
respective dates written below.

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Data Link Agreement - Maricopa County & Care1st Health Plan of Arizona, a WellCare Co.

Carelst Health Plan
dividual:

WN (io C

wae ‘cummings

Title: Plan President
Date: A ae 14

MARICOPA COUNTY
BOARD OF SUPERVISORS

By: B.2Q (ed

Name: BILL GATES

Title: Chairman, Board of Supervisors

Date: MAY 1 6 2019

Maricopa County Correctional ATTEST:

HealthServices 7 re.

By: Carne me (ae (aul
FRAN McCARROLL.

Name: Tn WY)

Title: Mi Dis irector
Date: /

Lpm ch
7

Clerk of the Board osesa
Date: MAY 1.6 2019

APPROVED AS TO FORM:

_
By: __( Ge

Name: Daw reve Bicemsclum._

Title: Deputy County Attorney
Date: “tle le A

Data Link Agreement - Maricopa County & Care1st Health Plan of Arizona, a WellCare Co.