MURIEL BOWSER
MAYOR
June 10, 2024
Honorable Phil Mendelson
Chairman
Council of the District of Columbia
John A. Wilson Building
1350 Pennsylvania Avenue, NW, Suite 504
Washington, DC 20004
Dear Chairman Mendelson:
Pursuant to section 451 of the District of Columbia Home Rule Act (D.C. Official Code § 1-
204.51) and section 202 of the Procurement Practices Reform Act of 2010 (D.C. Official Code §
2-352.02), enclosed for consideration and approval by the Council of the District of Columbia is
proposed Modification No. M0015 to Contract No. CW84998 with Health Management
Associates, Inc. (“HMA”) to exercise option year four in the not-to-exceed amount of $1,528,849.
The period of performance is from August 14, 2024 through August 13, 2025.
Under the proposed modification, HMA will continue to provide individualized technical
assistance and training/coaching to support Medicaid providers’ efforts to provide whole person
care. The individualized technical assistance and training/coaching will explicitly seek sustained
improvement on three core competencies for practice transformation: (1) delivering patient-
centered care across the care continuum to improve patient outcomes, including the use of
evidence-based approaches to diagnose and treat behavioral health conditions; (2) using data and
population health analytics to improve care; and (3) engaging leadership to support person-
centered, value-based care.
My administration is available to discuss any questions you may have regarding the proposed
contract modification. In order to facilitate a response to any questions you may have, please have
your staff contact Marc Scott, Chief Operating Officer, Office of Contracting and Procurement, at
(202) 724-8759.
I look forward to the Council’s favorable consideration of this contract modification.
Sincerely,
Muriel Bowser
 GOVERNMENT OF THE DISTRICT OF COLUMBIA
Office of Contracting and Procurement
Pursuant to section 202(c-3) of the Procurement Practices Reform Act of 2010, as amended, D.C.
Official Code § 2-352.02(c-3), the following contract summary is provided:
COUNCIL CONTRACT SUMMARY
(Option)
(A) Contract Number: CW84998
Proposed Contractor: Health Management Associates, Inc.
Contract Amount (Option Period Four): Not-to-exceed (NTE) $1,528,849
Term of Contract: August 14, 2024 through August 13, 2025
Type of Contract: Labor Hour
(B) Identifying number of the underlying contract, including the identifiers assigned to the
underlying contract by the council for the base period and any subsequent option periods:
Base Period Amount: NTE $932,125
(August 14, 2020 through August 13, 2021)
Option Period One Amount: NTE $1,471,955
(August 14, 2021 through August 13, 2022)
(Council Approval CA24-0174)
Option Period Two Amount: NTE $1,488,784
(August 14, 2022 through August 13, 2023)
(Council Approval CA24-0538)
Option Period Three Amount: NTE $1,507,536
(August 14, 2023 through August 13, 2024)
(Council Approval CA25-0252)
Option Period Four Amount: NTE $1,528,849
(August 14, 2024 through August 13, 2025)
1
(C) A certification that Citywide Clean Hands database indicates that the proposed contractor is
current with its District taxes. If the Citywide Clean Hands Database indicates that the
proposed contractor is not current with its District taxes, either: (1) a certification that the
contractor has worked out and is current with a payment schedule approved by the District;
or (2) a certification that the contractor will be current with its District taxes after the District
recovers any outstanding debt as provided under D.C. Official Code § 2-353.01(b):
On March 18, 2024, the Citywide Clean Hands database certified that the contractor is current with
its District taxes.
(D) A certification that the proposed contract is within the appropriated budget authority for the
agency for the fiscal year and is consistent with the financial plan and budget adopted in
accordance with D.C. Official Code §§ 47-392.01 and 47-392.02:
The Department of Health Care Finance Agency Fiscal Officer certified that funding in the amount
of NTE $1,528,849 is available to support the contract for integrated care technical assistance.
2
 Government of the District of Columbia
Office of the Chief Financial Officer 1101 4th Street, SW
Office of Tax and Revenue Washington, DC 20024
Date of Notice: March 18, 2024 Notice Number: L0011570231
HEALTH MANAGEMENT ASSOCIATES INC FEIN: **-***9727
120 N WASHINGTON SQ STE 705 Case ID: 1920220
LANSING MI 48933-1632
CERTIFICATE OF CLEAN HANDS
As reported in the Clean Hands system, the above referenced individual/entity has no outstanding
CO
liability with the District of Columbia Office of Tax and Revenue or the Department of Employment
Services. As of the date above, the individual/entity has complied with DC Code § 47-2862, therefore
this Certificate of Clean Hands is issued.
TITLE 47. TAXATION, LICENSING, PERMITS, ASSESSMENTS, AND FEES
CHAPTER 28 GENERAL LICENSE
SUBCHAPTER II. CLEAN HANDS BEFORE RECEIVING A LICENSE OR PERMIT
D.C. CODE § 47-2862 (2006)
PY
§ 47-2862 PROHIBITION AGAINST ISSUANCE OF LICENSE OR PERMIT
Authorized By Melinda Jenkins
Branch Chief, Collection and Enforcement Administration
To validate this certificate, please visit MyTax.DC.gov. On the MyTax DC homepage, click the
“Validate a Certificate of Clean Hands” hyperlink under the Clean Hands section.
1101 4th Street SW, Suite W270, Washington, DC 20024/Phone: (202) 724-5045/MyTax.DC.gov
 GOVERNMENT OF THE DISTRICT OF COLUMBIA
Department of Health Care Finance
Office of the Chief Financial Officer
MEMORANDUM
TO: Nancy Hapemen
Acting Chief Procurement Officer
Office of Contracting and Procurement
THRU: Delicia V. Moore
Associate Chief Financial Officer
Human Support Services Cluster
FROM: Darrin Shaffer
Agency Fiscal Officer
Department of Health Care Finance
DATE: 5/16/2024
SUBJECT: Certification of Funding for Health Management Associates, Inc
The Office of the Chief Financial Officer hereby certifies that the sum of 1,528,849.00 is included in the District’s
Local Budget and Financial Plan for Fiscal Year 2024 to fund the costs associated with the Department of Health
Care Finance’s (DHCF) Integrated Care Technical Assistance contract with Health Management Associates, Inc.
This certification supports the contract during the period from August 14, 2024 through August 13, 2025.
The fund allocation is as follows:
Vendor: Health Management Associates, Inc. DHCF Contract #: CW84998
Fiscal Year 2024 Funding: 8/14/2024-9/30/2024
Agency DIFS Fund DIFS Cost Center DIFS Program DIFS Account Amount
HT0 1010001 70161 700093 7132001 110,759.36
HT0 4025002 70161 700093 7132001 90,621.29
FY 2024 Contract Total $201,380.65
Fiscal Year 2025 Funding: 10/1/24-8/13/2025
Agency DIFS Fund DIFS Cost Center DIFS Program DIFS Account Amount
HT0 1010001 70267 100207 7132001 730,107.59
HT0 4025002 70267 100207 7132001 597,360.76
FY 2025 Contract Total $1,327,468.35
Upon approval of the District’s Local Budget and Financial Plan by the Council and the Mayor and completion of
the thirty-day Congressional layover, funds will be sufficient to pay for fees and costs associated with the contract.
There is no fiscal impact associated with the contract.
Should you have any questions, please contact me at (202) 442-9079.
441 4th Street, N.W., Suite 960N, Washington, D.C. 20001 (202) 442-5988 FAX (202) 478-1373
AMENDMENT OF SOLICITATION / MODIFICATION OF CONTRACT 1. Contract Number Page of Pages
CW84998 1 2
2. Amendment/Modification Number 3. Effective Date 4. Requisition/Purchase Request No. 5. Solicitation Caption
M0015 August 14, 2024 Integrated Care Technical Assistance
6. Issued by: Code 7. Administered by (If other than line 6)
Office of Contracting and Procurement DEPARTMENT OF HEALTHCARE FINANCE
441 4th Street NW, Suite 330S 441 4th Street, N.W. Suite 900S
Washington, DC 20001 Washington, DC 20001
Lisa Gilmore, Contract Administrator (CA)
8. Name and Address of Contractor (No. street, city, county, 9A. Amendment of Solicitation No.
state and zip code)
9B. Dated (See Item 11)
Kelly Johnson, Vice President 10A. Modification of Contract/Order No.
Health Management Associates, Inc.
120 N. Washington Square, Suite 705 X CW84998
Lansing, MI 48933
proposals@healthmanagement.com
10B. Dated (See Item 13)
Code Facility 8/14/20
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended. is not extended.
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:
(a) By completing Items 8 and 15, and returning __________ copies of the amendment: (b) By acknowledging receipt of this amendment on each copy of the offer
submitted; or (c) BY separate letter or fax which includes a reference to the solicitation and amendment number. FAILURE OF YOUR ACKNOWLEDGMENT TO
BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION
OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such may be made by letter or fax, provided each letter or
telegram makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
12. Accounting and Appropriation Data (If Required)
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACT/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14
A. This change order is issued pursuant to (Specify Authority): 27 DCMR, Chapter 36, Contract Modifications
X The changes set forth in Item 14 are made in the contract/order no. in item 10A.
B. The above numbered contract/order is modified to reflect the administrative changes (such as changes in paying office, appropriation data
etc.) set forth in item 14, pursuant to the authority of 27 DCMR, Chapter 36, Section 3601.2.
C. This supplemental agreement is entered into pursuant to authority of:
D. Other (Specify type of modification and authority)
E. IMPORTANT: Contractor is not is required to sign this document.
14. Description of Amendment/Modification (Organized by UCF Section headings, including solicitation/contract subject matter where feasible.)
Contract No. CW84998 is hereby modified to incorporate the following:
1. Pursuant to Section F.2 of the contract, the District hereby exercises Option Period Four for the period of
performance from August 14, 2024 through August 13, 2025 in the amount not-to-exceed $1,528,849.
2. Attachment A – Option Period Four Price Schedule
All Other Terms and Conditions remain unchanged
Except as provided herein, all terms and conditions of the document is referenced in Item 9A or 10A remain unchanged and in full force and effect.
15A. Name and Title of Signer (Type or print) 16A. Name of Contracting Officer
Jarad Dorsey
15B. Name of Contractor 15C. Date Signed 16B. District of Columbia 16C. Date Signed
(Signature of person authorized to sign) (Signature of Contracting Officer)
Attachment A – Option Period Four Price Schedule
B.3.5 OPTION PERIOD FOUR
Contract Line Labor Category Hourly Estimated Total Amount
Item No. (CLIN) Labor Labor
Rate Hours
4001 Detailed Work Plan $263.65.00 150 $39,548.00
4002 Framework and Tool for Assessing Core 125
$260.90.00 $32,613.00
Competencies
4003 Provider Recruitment and Initial Site
$249.08.00 $149,448.00
Visits 600
4004 Technical Assistance and Training/
$246.59.00 $1,035,668.00
Coaching Sessions 4200
4005 eConsult $236.97.00 750 $177,725.00
4006 Collaborative Learning Opportunities $260.39.00 180 $46,870.00
4007 Annual Site Visit and Report $260.99.00 180 $46,979.00
GRAND TOTAL B.3.5 Not-to-Exceed
Amount
$1,528,849.00