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ATTACHMENT A: Medicaid <br />EXHIBIT A-1 <br />APPLE HEALTII <br />PARTICIPATING PROVIDER AGREEMENT ATTACHMENT <br />This Apple Health Participating Provider Agreement Attachment (this "Attachment") is incorporated into the <br />participating provider agreement (the "Agreement") entered into by and between Kittitas County Public Health <br />("Provider"), an entity described more fully in the signature block of the Agreement, and Coordinated Care of <br />Washington Inc., a health care service contractor ("Health Plan"). <br />Note that this Attachment is based on the 2022 IMC Apple Health contract. <br />Network: All Contracted Providers under this Agreement will participate as Participating Providers in and become <br />part of the CCCWA network. "CCCWA network" refers to Health Plan's registered network name with the <br />Washington State Office of the Insurance Commissioner (OIC). <br />ARTICLE I <br />RECITALS <br />1.1. Health Plan has contracted with the State of Washington Health Care Authority (HCA) to arrange <br />for the provision of integrated physical and behavioral health care services to Covered Persons under the Apple Health <br />Program. <br />1.2. This Attachment is intended to supplement the Agreement by setting forth the parties' rights and <br />responsibilities related to the provision of Covered Services to Covered Persons as it pertains to the Apple Health <br />Program (defined herein). In the event of a conflict between the terms and conditions of the Agreement and the terms <br />and conditions of this Attachment, this Attachment shall govern as to the Apple Health Program. <br />1.3. Provider agrees and understands that Covered Services shall be provided in accordance with the State <br />Contract(s) (defined herein), Payor requirements, any applicable State handbooks or policy and procedure guides, <br />and all applicable State and federal laws and regulations. To the extent Provider is unclear about Provider's duties <br />and obligations, Provider shall request clarification from Health Plan. <br />ARTICLE II <br />Capitalized terms used and not otherwise defined herein shall have the meanings given to them in the Agreement or <br />the State Contract. The definitions listed below will supersede any meanings contained elsewhere in the Agreement <br />with regard to this Attachment. Citations to the State Contract and other governmental authority requirements are <br />provided herein for convenience only and shall not affect the meaning or interpretation of the terms of the Agreement. <br />Such citations may become outdated as these requirements are amended from time to time. <br />2.1. Apple Health Program shall mean the Medicaid managed care program known as Apple Health, <br />including both integrated managed care and integrated foster care, as applicable based on service area. <br />2.2. Covered Person shall have the meaning set forth in the Agreement. <br />2.3. HCA means the State of Washington IIealth Care Authority and its employees and authorized agents. <br />2.4. Medically Necessary means health care services that: (a) are reasonably calculated to prevent, <br />diagnose, correct, cure, alleviate or prevent worsening of conditions in the Covered Person that endanger life, or <br />cause suffering or pain, or result in an illness or infirmity, or threaten to cause or aggravate a handicap, or cause <br />PPA WA - Kittitas County Public Health - 05.07.2025-1CMProviderAgreement_360268 Page I of 12 <br />