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ATTACHMDNT A: Medicaid EXIilBIT A.T APPLE HEALTH PARTICIPATING PROVIDER AGREEMENT ATTACHMENT This Apple Health Participating Provider Agreemeni Attachment (tbis "Auachmenf') is incorporated into the participating provider agreernent (the "Agreemenf) entered into by and betweor Kittitas County Public Health ("Provider"), an entity described more fully in the signature block of the Agreemenf and Coordinated Care of Washington Inc., a health care service contractor ('IIeaIth PIan'). Note that this Attacbment is based on the 2022IJrVIC Apple Health contract. Network: A11 Conlracted Providers under this Agreement will participate as Participating Providers in and beoome part of the CCCWA network. "CCC\ryA network" refers to Health Plan's registered network name with the Washington State Office of the Insurance Commissioner (OIC). ARTICT,E I RECTTALS 1.1. Health Plan has contracted with the State of Washington Health Care Authority (HCA) to arrange fortheprovisionof integratedphysical andbehavioral health care servicesto Covered PersonsundertheAppleHealth Program. 1.2. This Attachment is intended to supplement the Agreement by setting forth the parties' rights and responsibilities related to the provision of Covered Services to Covered Persons as it pertains to the Apple Health Program (defured herein). In the event of a conflict between the terms and conditions of the Agreernent and the terms and conditions of this Attachment, this Attachment shall govern as to the Apple Health Program. 1.3. Provider agrees and understands that Covered Services shall beprovided in accordance with the State Contrac(s) (defined herein), Payor requirements, any applicabie State handbooks or policy and procedure guides, and all applicable State and federal laws and regulations. To the extent Provider is unclEar about Provider's duties and obligations, Provider shall request clarification from Health Plan. ARTICLE II DEFINITIONS Capitalized terms used and not otherwise defined herein shall have the meanings glven to them in the Agreement or the State Contract. The definitions listed below will supersede any meanings contained elsewhere in the Agreement with regard to this Attachment. Citations to the State Contract and other govemmental authority requirements are provided herein for convenience only ancl shall not affect the meaning or interpretation of the teflns of the Agreement. Such citations may become outdated as these requirements are amended from time to time. 2.1.. AppL Health Program shall mean the Medicaid managed care program known as Apple Health, including both integrated managed care and integrated bster care, as applicable based on service area. 2.2. Covered Person shall have the 66aning set fbrth in the Agreement. 2,3, HCAmeans the State of Washingtonllealth Care Authority and its enrployees and authorized agents. 2.4. Medicu$y Necessary means health care services that: (a) are reasonably calculatecl to prevent, diagnose, correct, cure, alleviate or prevent worsening ofconditions in the Covered Person that endanger life, or cause suffering or pain, or result in an illness or infimrity, or threaten to cause or aggravate a handicap, or cause PPA WA - Kittitas County Public Health - 05.0?.2025 - ICMProviderAgreernent_360268 Page I of 12