SHJ25-011 UNITED HEALTHCARE & KCJ Carceral 2025 Medicaid Contract - PARTIALLY EXECUTED

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Appendix 2 Definitions, Products and Services 1. Customer. Individuals who are enrolled in benefit contracts insured or administered by us or any participating entity are included in our use of the phrase "customer" in this agreement. 2. Participating entities. Participating entities have access to our agreement. A participating entity is an entity obligated to a customer to provide reimbursement for covered services under the customer's benefit contract and authorized by us to access your services tinder our agreement. 3. Products and services. a) We may include you in networks where your patients are enrolled in benefit contracts of the types generally described below: Washington Medicaid and CHIP Benefit Contracts. b) However, this agreement does not apply to the following: - Capitation arrangements for Medicare Advantage Benefit Contracts. (See below for definition of capitation arrangements.) - Capitation arrangements other than for Medicare Advantage Benefit Contracts. (See below for definition of capitation arrangements.) - UnitedHealtheare Community Plan Medicare Advantage Benefit Contracts. - Workers' compensation benefit contracts. - Washington Other Governmental Benefit Contracts. - Benefit contracts for Medicare Select. - Medicaid and CHIP Benefit Contracts for states other than Washington. - TRICARE Benefit Contracts. - Unitedflealtheare Medicare Solutions Medicare Advantage Benefit Contracts. - I -SNP Medicare Advantage Benefit Contracts. - Washington Benefit Contracts for the Uninsured. - Benefit contracts where individuals are offered a network of participating physicians and other health care professionals and must select a primary care physician. Such benefit contracts may or may not include an out -of -network benefit. - Benefit contracts where individuals are offered a network of participating physicians and other health care providers but are not required to select a primary care physician. Such benefit contract may or may not include and out -of -network benefit. - Benefit contracts where individuals are not offered a network of participating physicians and other health care professionals from which they may receive covered services. This agreement does not supersede any existing agreements between the parties and their affiliates that are not identified shove in section 3a of this Appendix. Additionally, this U11CISMGA.03.12. WA Parties bound to confidentiality under Section'About data and confidentiality' -11-