SHJ25-009 KCJ AND CHPW - PARTIALLY EXECUTED

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2.6.1.1 Facility shall cooperate in CHPW's collection, production and distribution of comparative data for quality assurance and utilization review. CHPW may use such data regarding Facility and its Facility -Based Providers' performance in activities such as quality improvement, public reporting to consumers, preferred status designations and other activities that promote transparency to consumers and Members. 2.6.1.2 Facility shall cooperate and communicate freely with CHPW regarding quality issues and notify CHPW of any Member's medical situation that may benefit from case management using the process set forth in the Provider Manual. 2.6.2 Facility shall endorse and adopt procedures for verifying the correct patient, the correct procedure and the correct surgical site. Such procedures shall meet or exceed those set forth in the Universal Protocol developed by the Joint Commission. 2.7 Member Complaint Procedures. Facility shall comply with CHPW's Member complaint and appeals procedures that are set forth in the Provider Manual, for resolution of a Member's complaints or appeals that may arise from Facility's provision of services or CHPW's denial of coverage. Facility shall notify CHPW of Member complaints and appeals that it receives. Facility shall cooperate with CHPW in the investigation and resolution of Member complaints and appeals regarding Facility's provision of services. 2.8 Record Keeping and Access. Facility shall prepare, maintain, and retain accurate Member health records including appropriate medical, administrative and financial records related to this Agreement and to Covered Services provided hereunder in accordance with the Provider Manual, industry standards, applicable state and federal sponsored health programs, and applicable federal and state statutes and regulations. Such records shall be maintained for the maximum period required by federal or state law as set forth in Section 5.5, below. CHPW shall have continued access to Facility's records necessary for CHPW to perform its obligations hereunder, to administer its Benefit Plans, and to comply with federal or state law or regulations and applicable accreditation requirements. CHPW prefers electronic copies of such information, data and records, but Facility may provide hard copies at its own expense. 2.9 Member Copayments, Coinsurance and Deductibles. 2.9.1 Facility shall collect and may retain Member Cost Sharing amounts authorized under the applicable CHPW Benefit Plan for Covered Services. 2.9.2 Members enrolled in a CHPW Medicare Advantage Special Needs Plan and for whom a state provides coverage ("Dual Eligible Enrollees') will not be required to pay any Cost Sharing amounts for Covered Services covered by Medicare Parts A and B when the state Medicaid program is required to pay. 2.9.2.1 In lieu of collecting such Cost Sharing under the Medicare Advantage Benefit Plan, Facility should either (i) bill such Cost Sharing amounts to the appropriate state Medicaid source or (ii) forego collecting cost sharing amounts and accept the Medicare Advantage Benefit Plan reimbursement as payment in full. 2020 Facility Agmt —Template Page 8 of 51 Contract #(Contract #)-{PRC Agreement ID}