SHJ25-009 KCJ AND CHPW - PARTIALLY EXECUTED

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EXHIBIT B-2-B MEDICARE ADVANTAGE REQUIRED PROVISIONS The Centers for Medicare and Medicaid Services ("CMS") requires that specific terms and conditions be incorporated into agreements between a Medicare Advantage Organization and a First Tier Entity and between a First Tier Entity and Downstream Entity to comply with the Medicare laws, regulations, and CMS instructions, including, but not limited to, the Medicare Prescription Drug, Improvement and Modernization Act of 2003, Pub. L. No. 108-173, 117 Stat. 2066 ("MMA"); and Except as provided herein, all other provisions of the Agreement or other agreements between Community Health Plan of Washington ("CHPW" or "MA Organization") and Facility not inconsistent with this Exhibit B-2-B shall remain in full force and effect. This Exhibit B-2-B shall supersede and replace any inconsistent provisions to such agreements with regard to services provided to Members of a Medicare Advantage Benefit Plan. To ensure compliance with required CMS provisions, this Exhibit B-2-B shall continue concurrently with the term of such agreements. Definitions. The following definitions apply to this Exhibit B-2-B: Centers for Medicare and Medicaid Services ("CMS"): the agency within the Department of Health and Human Services that administers the Medicare program. Completion of Audit: completion of audit by the Department of Health and Human Services, the Government Accountability Office, or their designees of a Medicare Advantage Organization, Medicare Advantage Organization contractor or related entity. Downstream Entity: any party that enters into a written arrangement, acceptable to CMS, with persons or entities involved with the MA benefit, below the level of the arrangement between an MA organization and a First Tier Entity. These written arrangements continue down to the level of the ultimate provider of both health and administrative services. Final Contract Period: the final term of the contract between CMS and the Medicare Advantage Organization. First Tier Entity: any party that enters into a written arrangement, acceptable to CMS, with an MA organization or applicant to provide administrative services or health care services for a Medicare eligible individual under the MA program. Facility is a First Tier Entity for purposes of this Agreement. Medicare Advantage ("MA"): an alternative to the traditional Medicare program in which private plans run by health insurance companies provide health care benefits that eligible beneficiaries would otherwise receive directly from the Medicare program. 2020 Facility Exh B2B - MAProv Page 43 of 51 Contract #{Contract #}-(PRC Agreement ID)