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EXHIBIT B-1-A <br />MEDICAID <br />REIMBURSEMENT RATES <br />1. Rates. Subject to the terms and conditions of the Agreement, reimbursement rates for <br />Covered Services billed under Facility's tax ID number for the Apple Health program <br />shall be the lesser of billed charges or the following and will be less any applicable Cost <br />Sharing Amounts: <br />Network Name: CHPW AH Network <br />Inpatient Services: {Rate - Medicaidl% of HCA's Fee Schedule. <br />Outpatient Services: {Rate - Medicaidl% of HCA's Fee Schedule. <br />Professional Services: {Rate - Medicaidl% of HCA's Fee Schedule. <br />2. Payment. All payments under this Agreement shall be made in accordance with the <br />terms of this Agreement, the Provider Manual and the applicable billing instructions and <br />policy guidelines published and periodically updated by applicable state and federal <br />agencies as set forth in Section 4 of the Agreement. <br />Effective Date: <br />(CHPW TO COMPLETE) <br />2020 Facility Exh BI A - McaidRates Page 29 of 51 Contract #{Contract #}-{PRC Agreement 11)l <br />