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EXHIBIT B-2-A <br />MEDICARE ADVANTAGE <br />REIMBURSEMENT RATES <br />Rates. Subject to the terms of the Agreement, reimbursement rates for Covered Services <br />billed under Facility's tax ID number for the Medicare Advantage benefit plans listed <br />below shall be the lesser of billed charges or the following and will be less any applicable <br />Cost Sharing Amounts: <br />A. CHPW Medicare Advantage and Medicare Advantage Prescription Drug Plans <br />Network Name: CHPW MA Network <br />Inpatient Services: {Rate - Medicarel% of Medicare Fee Schedule. <br />Outpatient Services: {Rate - Medicare}% of Medicare Fee Schedule. <br />Professional Services: {Rate - Medicarel% of Medicare Fee Schedule. <br />B. CHPW Medicare Advantage Special Needs Plan <br />Network Name: CHPW SNP Network <br />Inpatient Services: {Rate - SNPJ% of Medicare Fee Schedule. <br />Outpatient Services: (Rate - SNPI% of Medicare Fee Schedule. <br />Professional Services: fRate - SNP}% of Medicare Fee Schedule. <br />2. Payment. This Exhibit 13-2-A reflects the CMS "Medicare Advantage" rates. 1 CHPW <br />will adjust payments to Facility consistent with any adjustment that CMS applies to <br />CHPW as a Medicare Advantage Organization. All payments under this Agreement shall <br />be made in accordance with the terms of this Agreement, the Provider Manual and the <br />applicable billing instructions and policy guidelines published and periodically updated <br />by applicable state and federal agencies as set forth in Section 4 of the Agreement. <br />Effective Date: <br />(CHPW TO COMPLETE) <br />'Medicare Managed Care GME, IMF, and Allied Health payments are paid through the Medicare cost reporting process, and are <br />therefore excluded from these referred payment rates. In addition, Sole Community Hospitals (SCH) and Medicare Dependent <br />Hospitals (MDH) receive a supplemental payment if their inflated and case mix adjusted base -year cost, referred to as their <br />Hospital Specific Rate (HSR) exceed the Medicare Operating MSDRG and Outlier payments under traditional Medicare Part A <br />fee for service. SCH and MDI-1 special payment adjustments are excluded from these referred payment rates. <br />2020 Facility Exh 132A - MARates Page 42 of 51 Contract #(Contract it) -{PRC Agreement ID} <br />