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B. MISCELLANEOUS PROVISIONS 1. Company will not make any additional payment for facility or professional services based upon a rural health care designation under the Medicare program, including any designation such as a Critical Access Hospital (CAH), Physician Scarcity Area (PSA) or any other designation, unless the resulting payment is agreed to by Company in advance and in writing. 2. Provider agrees to look solely to Company for compensation for Covered Services provided to Members. Provider agrees to collect directly from Member any outpatient co -payment which may be established from time to time by Company for each office call and for each home visit. The co- payment shall be a credit against the amount due from Company for Covered Services rendered to a Member, without regard to whether the Provider has actually collected any co -payment. 3. For purposes of prompt payment of claims under this MA Addendum only, claims for Covered Services provided to MA Members under this Addendum shall not be subject to any late fees, interest, or other penalties as established by the Agreement or by state law. See 42 CFR § 422.520(b). 4. Consistent with all other MA Member Agreements offered by Company, Company will follow CMS's standards in determining Medical Necessity, including, without limitation, Medicare's national coverage decisions (NCDs) and applicable local medical review policies (LMRPs). 5. This Addendum shall continue, unless terminated according to the process set forth in the Agreement. Either party may terminate this Addendum without terminating the remainder of the Agreement. However, in the event either party terminates the Agreement, this Addendum terminates as well. Any term not defined herein shall have the meaning set forth in the Agreement. The terms of this Addendum shall become a part of, and shall be specifically incorporated into, the terms of the Agreement. In the event of any conflict or inconsistency between the terms of this Addendum and the terms of the Agreement, the terms of this Addendum shall apply. This Addendum supersedes and replaces in its entirety any prior MA Addenda between the parties. MA PPO Professional Reimbursement Addendum Asurisl Al8816854AA Page 2 of 2