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PARTICFATING PROYIDAR AGREEIVIENT SCHEDT]LE A C ONTRACTED PROVIDER-SPECITfIC PRO VISIONS Provider ancl Contracted Providers shall comply with the applicable provisions of this Schedule A, 1. Hospitals. If Provicler or a Contracted Provider is a hospital (T{ospital'), the following provisions apply: 1.1 24 Hour Coverage. Each Hospital sha1l be available to provide CoverEd Services to Covered Persons 24 hours per day, 7 days per week 1.2 Emergency Care. Each Hospital shall provide Energency Care (as hereafter defined) in accordance with Regulatory Requirements, The Contracted Provider shall noti$ Company's medical management departrnent of any emergency room admissions by electronic file sent within 24 hours orby the next business day of sueh admission. "Energency Care" (or derivative thereof) has, as to each particular Product, the meaning set forth in the applicable Coverage Agreerront or Produot Attachment. If there is no definition in zuch documents, "Emergency Caro" means inpatient and/or outpatient Covered Services furnished by a qualified provider that are needed to evaluate or stabilize an Emergency Medical Condition. "Emergency Medical Condition" means a medical condition manifesting itself by acute symptoms of sufficiEnt severity (including severe pain) that a prudent layperson, who possesses an av€rage knowledge of health and medicing could reasonably expect the absence of irnmediate medical attention to result in the following: (i) placing the health of the individual (oq with respect to a pregnant woman, the health of the woman or her unbom child) in serious jmpardy; (ii) serious impairment to bodily functions; or (iii) serious dysfunction of any bodily organ or part. 1.3 StaffPrivileses. Each Hospital shall assist in granting staflprivileges or other appropriate access to Company's Partioipating Providers who are qualifled medical or osteopathic physicians, provided they meet the reasonable standards of practice and credentialing standards establishecl by the Hospital's medical staff and bylaws, rules, and regulations. 1.4 Discharge Planning. Each Hospital agrees to cooperate with Company's system for the coordinated dischargo planning ofCovered Persons, including the planning ofany necessary continuing care. 1.5 Cred_qrtialins Criteria. Each Hospital shall (a) currently, and for the duration of this Agreement, remain accredited by the Joint Commission or American Osteopathic Association, as applicable; and (b) ensure that all employees of Hospital perform their duties in accordance with all applicable looal, State and federal licensing requirements and standards of professional ethics and practice. 1.6 National Commitlg: for Ouality Assurance (."NCQA') Accreditation of Health Plans Stanclmds. Each Hospital agrees to: i) cooperate with Quality Management ffrd ImFrovement ('QI') aotivities; ii) maintain the confidentiality of a Covered Persons information ancl records pursuant to the agreemont; and iii) al1ow the Company to use Hospital's perfonnance data. 2. Practitioners, If Provider or Contracted Provicler is a physician or other health oare practitioner (including physician extenders) ('Praotitioner'), the following provisions apply: 2.1 Contracted Profossional Oualifications. At all times during the term of this Agreement, Practitioner shall, as applicablg maintain medical staffmembership and admitting privileges with at least one hospital that is a Partioipating ?rovider (?articipating Hospital') with respect to each Product in which the Practitioner participates. Upon Company's request, Practitioner shall fumish evidence of the foregoing to Company. If Praotitioner does not have such admitting privileges, Provider or the Practitioner shal1 provide Company with a written statement from another Participating Proviiler who has such admitting privileges, in good standing, certifying PPA WA - Kittitas County Public Hmlth - A5.07-2025 - ICMProviderAgreetncnt_360268 Page 19 of 24