Iowa Department of Human Services - MED-18-029 - Contract Declarations and Execution - Contract Purpose

Aug 31, 2026

Contract Declarations and Execution for the Iowa Department of Human Services (MED-18-029) under IA Health Link. The contract purpose is to deliver high-quality, integrated healthcare for Iowa Medicaid, Iowa Health and Wellness Plan, and hawk-i, improving care quality and health outcomes for Medicaid and CHIP enrollees. It emphasizes member choice, access, safety, independence, and responsibility, requiring least-restrictive service delivery and coordinated physical, behavioral, and LTSS benefits. The agreement establishes how deliverables are defined, monitored, reviewed, and tied to performance measures and compliance requirements.

LanguageEnglish

CategoryLetters

FormatDOCX

Pages318

Reading Time1 h 51 min

AccessFree to download

CONTRACT DECLARATIONS AND EXECUTION

SECTION 1: SPECIAL TERMS

1.1 Special Terms Definitions

Contract Purpose

1.3 Scope of Work

1.3.1 Deliverables, Performance Measures, and Monitoring Activities

1.3.2 Monitoring, Review, and Problem Reporting

1.3.2.1 Agency Monitoring Clause

1.3.2.2 Agency Review Clause

1.3.3 Contract Payment Clause

Iowa Department of Human Services – MED-18-029 IA Health Link Attachment F – Contract Declarations and Execution CONTRACT DECLARATIONS AND EXECUTION This Contract must be signed by all parties before the Contractor provides any Deliverables. The Agency is not obligated to make payment for any Deliverables provided by or on behalf of the Contractor before the Contract is signed by all parties. This Contract is entered into by the following parties: This Contract consists of the above information, the attached General Terms for Services Contracts, Special Terms, and all Special Contract Attachments. In consideration of the mutual covenants in this Contract and for other good and valuable consideration, the receipt, adequacy and legal sufficiency of which are hereby acknowledged, the parties have entered into this Contract and have caused their duly authorized representatives to execute this Contract. SECTION 1: SPECIAL TERMS 1.1 Special Terms Definitions. Special Terms Definitions are stated in Exhibit A to Appendix 1, Scope of Work. Contract Purpose. The purpose of the Contract is to deliver high quality healthcare services for the Iowa Medicaid, Iowa Health and Wellness Plan, and Healthy and Well Kids in Iowa (hawk-i) programs. The Agency seeks to improve the quality of care and health outcomes for Medicaid and CHIP enrollees while leveraging the strength and success of current initiatives. The program has been designed to emphasize member choice, access, safety, independence, and responsibility. Contractors shall provide high quality healthcare services in the least restrictive manner appropriate to a member’s health and functional status. Contractors shall be responsible for delivering covered benefits, including physical health, behavioral health and long-term services and supports (LTSS) in a highly coordinated manner. The program is intended to integrate care and improve quality outcomes and efficiencies across the healthcare delivery system, in turn decreasing costs through the reduction of unnecessary, inappropriate, and duplicative services. 1.3 Scope of Work. 1.3.1 Deliverables, Performance Measures, and Monitoring Activities. The Contractor shall provide all of the requirements stated in the Scope of Work (the “SOW”) attached as Appendix 1 and incorporated into this Contract. The SOW includes all of the Exhibits to the SOW and those Exhibits are incorporated into this Contract as part of the SOW. 1.3.2 Monitoring, Review, and Problem Reporting. The provisions of this Section 1.3.2 are in addition to any Agency activity, reporting, or procedures specifically allowed or required in the SOW. If there is a conflict between the provisions of this Section and the SOW, the SOW supersede the provisions of this Section. 1.3.2.1 Agency Monitoring Clause. The Contract Manager or designee will: Verify Invoices and supporting documentation itemizing work performed prior to payment; Determine compliance with general contract terms, conditions, and requirements; and Assess compliance with Deliverables, performance measures, or other associated requirements in accordance with the monitoring activities set forth in Section 2.18 of Special Contract Appendix 1, Scope of Work. 1.3.2.2 Agency Review Clause. The Contract Manager or designee will use the results of monitoring activities and other relevant data to assess the Contractor’s overall performance and compliance with the Contract. At a minimum, the Agency will conduct a review annually; however, reviews may occur more frequently at the Agency’s discretion. As part of the review(s), the Agency may require the Contractor to provide additional data, may perform on-site reviews, and may consider information from other sources. The Agency may require one or more meetings to discuss the outcome of a review. Meetings may be held in person. During the review meetings, the parties will discuss the Deliverables that have been provided or are in process under this Contract, ach

FAQs

When must the contract be signed, and what happens before signing?

All parties must sign before the Contractor provides any deliverables. The Agency is not obligated to pay for deliverables provided before the contract is signed by all parties.

What is the contract’s purpose for Iowa Medicaid and related programs?

Deliver high-quality healthcare services for Iowa Medicaid, Iowa Health and Wellness Plan, and hawk-i, improving care quality and health outcomes for Medicaid and CHIP enrollees.

How does the Agency monitor and review the Contractor’s performance?

The Contract Manager or designee verifies invoices and supporting documentation, determines compliance with contract requirements, and assesses deliverables and performance measures. Reviews occur at least annually and may include additional data requests and on-site reviews.

Aug 31, 2026

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