SHJ25-009 KCJ AND CHPW - PARTIALLY EXECUTED

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Outpatient Services: {Rate - Exchaneel% of Medicare Fee Schedule for all Covered Services described therein; and {Rate - Exchaneel% of the Washington State Health Care Authority's ("HCA's") Apple Health (Medicaid) Fee Schedule for all Covered Services for which no Medicare fee exists. Professional Services: {Rate - Exchaneel% of Medicare Fee Schedule for all Covered Services described therein; and {Rate - Exchaneel% of the Washington State Health Care Authority's ("HCA's") Apple Health (Medicaid) Fee Schedule for all Covered Services for which no Medicare fee exists. 2. Payment. A. CHPW will adjust payments to Facility consistent with adjustments that CMS and/or HCA applies to their respective fee schedule(s). 1 CHPW will pay, or require the applicable third party plan sponsor to pay, Facility for Covered Services rendered to Members in accordance with the terms of this Agreement, the Provider Manual, the applicable Benefit Plan, and billing instructions and policy guidelines published and periodically updated by applicable state and federal agencies. B. Facility shall seek and accept payment from CHPW, or the applicable plan sponsor, for Covered Services in accordance with the terms of this Agreement, the Provider Manual, the applicable Benefit Plan, and billing instructions and policy guidelines published and periodically updated by applicable state and federal agencies. Facility shall have the right to bill, charge, or collect a deposit directly from a Member for any applicable deductible, co -payment, or coinsurance, or for any services that is not a Covered Service. In no event may Facility bill or collect form a Member any difference between Facility's charges and the amount described in this Exhibit B-4-A for Covered Services. Effective Date: (CHPW TO COMPLETE) 'Medicare Managed Care GME, IMF, and Allied Health payments are paid through the Medicare cost reporting process, and are therefore excluded from these referred payment rates. In addition, Sole Community Hospitals (SCH) and Medicare Dependent Hospitals (MDH) receive a supplemental payment if their inflated and case mix adjusted base -year cost, referred to as their Hospital Specific Rate (HSR) exceed the Medicare Operating MSDRG and Outlier payments under traditional Medicare Part A fee for service. SCH and MDH special payment adjustments are excluded from these referred payment rates. 2021 Facility Exh 134A— 3PHBERates Page 49 of 51 Contract #{Contract #}-{PRC Agreement ID}