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

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information to Covered Persons regarding treatment options and alternatives, as well as information on complaints and appeals, in a manner appropriate to the Covered Person's condition and ability to understand. Provider shall provider physical access, reasonable accommodations, and accessible equipment for Covered Persons with physical or mental disabilities. United shall support and provide resources to Provider to comply with the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care to all Covered Persons. Provider shall provide physical access, reasonable accommodations, and accessible equipment for Covered Persons with physical or mental disabilities. 3.22 Marketing. Provider agrees to comply with the prohibition against direct and/or indirect door- to- door, telephonic, or other cold -call marketing of enrollment. As required under State or federal law and the State Contract, any marketing materials developed and distributed by Provider as related to the performance of the Agreement must be developed at the sixth grade reading level and submitted to Carrier to submit to the State Program for prior approval. 3.23 Fraud, Waste and Abuse Prevention. Provider shall cooperate fully with Carrier's policies and procedures designed to protect program integrity and prevent and detect potential or suspected fraud, waste, and abuse in the administration and delivery of services under the State contract and shall cooperate and assist the State Program and any other State or federal agency charged with the duty of preventing, identifying, investigating, sanctioning or prosecuting suspected fraud, waste, and abuse in state and/or federal health care programs. Provider shall immediately refer credible allegations of fraud to HCA and the Medicaid Fraud Control Division (MFCD) as required in the State Contract. In accordance with Carrier's policies and the Deficit Reduction Act of 2005 (DRA), Provider shall have written policies for its employees, contractors or agents that: (a) provide detailed information about the federal False Claims Act (established under sections 3729 through 3733 of title 31, United States Code), including, if such Provider receives annual payments under the State Program of at least $5,000,000, Provider must establish certain minimmn written policies and information communicated through an employee handbook relating to the Federal False Claims Act in accordance with 42 CFR §438.600; (b) cite administrative remedies for false claims and statements (established under chapter 38 of title 31, United States Code) and whistleblower protections under federal and state laws; (c) reference state laws pertaining to civil or criminal penalties for false claims and statements; and (d) with respect to the role of such laws in preventing and detecting fraud, waste, and abuse in federal health care programs (as defined in section 112813(f)), include as part of such written policies, detailed provisions regarding Provider's policies and procedures for detecting and preventing fraud, waste, and abuse. Provider agrees to train its staff on the aforesaid policies and procedures. 3.24 Compliance with Medicaid Laws and Regulations. Provider agrees to abide by the Medicaid laws, regulations and program instructions to the extent applicable to Provider in Provider's performance of the Agreement. Provider understands that payment of a Claim by Carrier or the FICA is conditioned upon the Claim and the underlying transaction complying with such laws, regulations, and program instructions (including, but not limited to, federal requirements on fraud, waste and abuse, disclosure, debarment, termination and exclusion screening), and is conditioned on the Provider's compliance with all applicable conditions of participation in Medicaid. Provider understands and agrees that each Claim the Provider submits to Carrier constitutes a certification that the Provider has complied with all applicable Medicaid laws, regulations and program instructions in connection with such Claims and the services provided therein. Provider's payment of a claim will be denied if Provider is terminated or excluded from participation in federal health care programs. Provider's payment of a Claim may be temporarily UHC/SYATE PROGRAMS REGAPX WA.02.25 36