SHJ25-007 Kittitas County and Wellpoint Agreement - PARTIALLY EXECUTED

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Continuation of Care provision(s) and applicable Regulatory Requirements, any references to services, reimbursement, or participation in Networks related to the Medicaid Program are hereby terminated in full and shall have no further force and effect. 6.4 Continuation of Care. In addition to the Continuation of Care Upon Termination provision of the Agreement, in the event of the termination of this Attachment for any reason except termination of this Attachment for cause by Wellpoint any Medicaid Member who is suffering from and receiving active health care services or who is an inpatient shall have the right to continue to receive health care services from Providerfor a period of up to sixty (60) days from the date of the termination of this Attachment or until the Medicaid Member's discharge from inpatient facilities up to ninety (90) days, whichever time is greater. Any Medicaid Member who is pregnant and receiving treatment in connection with that pregnancy at the time of termination of this Agreement may continue to receive health care services from Provider for the remainder of her pregnancy and six (6) weeks post-partum. 6.4.1 During the continuity of care provision described in this section above, Provider shall continue to provide services in accordance with the terms of this Attachment applicable immediately prior to the termination of this Attachment, and Wellpoint shall continue to meet all of the obligations of this Attachment. Provider will maintain and share, as appropriate, records for Medicaid Members in accordance with professional standards. Provider shall comply with 42 CFR §438.208(b)(5). 6.4.2 A Medicaid Member shall not have the right to continuation of care if the termination of this Attachment is for loss of Provider license, or if the termination of this Agreement is due to reasons related to quality of health care services rendered, health, safety or welfare of Medicaid Members. ARTICLE VII GENERAL PROVISIONS 7.1 Inconsistencies. In the event of an inconsistency between terms and conditions of this Attachment and the terms and conditions as set forth in the Agreement, the terms and conditions of this Attachment shall govern. Except as set otherwise forth herein, all other terms and conditions of the Agreement remain in full force and effect. Notwithstanding the Entire Agreement provision of the Agreement, the parties acknowledge and agree that the provider manual is not incorporated by reference into this Attachment as it relates Provider's participation in Wellpoint's Medicaid Network and it not deemed part of the entire Attachment. In the event of a) a conflict between the provisions of this Attachment and the Agreement, or b) any inconsistency or ambiguity in this Attachment, such conflict, inconsistency or ambiguity shall be resolved by giving precedence in the following order: i) state or federal law, rule, regulation or ordinance (Regulatory Requirement); ii) this Attachment; and iii) the Agreement. 7.2 Disclosure Requirements. In accordance with Regulatory Requirements, and State Agency requirements, if applicable, Provider agrees to disclose to Wellpoint complete ownership, control and relationship information ("Disclosures") in accordance with 42 CFR 455.100 through 455.106. Provider shall provide required Disclosures to Wellpoint at the time of initial contract, upon contract renewal, andlorupon request by Wellpoint. Providerfurther agrees to notify Wellpoint within fourteen (14) days of any changes to the Disclosures. Failure to provide Disclosures as required under Regulatory Requirements shall be deemed a material breach of this Attachment and the Agreement. 7.3 Survival of Attachment. Provider further agrees that: (1) the hold harmless and continuation of care sections shall survive the termination of this Attachment or disenrollment of the Medicaid Member; and (2) these provisions supersede any oral or written contrary agreement now existing or hereafter entered into between Provider and a Medicaid Member or persons acting on their behalf that relates to liability for payment for, or continuation of, Medicaid Covered Services provided under the terms and conditions of these provisions. 7.4 Provider Education 7.4.1 Provider shall participate in training when requested by HCA. Provider's requests for HCA to allow an exception to participation in required training must be in writing and include a plan for how the required information will be provided to Provider's targeted staff. 7.4.2 If Provider has community behavioral health employees who work directly with Medicaid Members, Provider shall provide such employees with annual training on safety and violence prevention topics described in RCW 49.19.030. Washington Enterprise Provider Agreement Medicaid Attachment 28 1183932156 ©2024 July— Welipolnt Washington, Inc. 05/0512025