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calendar days of the request, including the foliowing transactions: (1) Any sale or exchange, or leasing of any property betwee,n Provider and such a party; @ Any furnishing for consideration of goods, services (including management services), or facilities between Provider and such a pafty but not including salaries paid to employees for services provided in the normal oourse of their employment; and (3) Any lending of money or other extension of credit between Provider and suoh a pafiy. 3.55. Information on Persons Convicted of Crimes. If the Provider is not au individual practitioner or a group of pracfitioners, hovider shall investigate and disclose to Health Plan, at Agreement execution or renewal, and upon request by Health Plan of the identified person who has been convicted of a criminal offense related to that person's involvement in anyprogram uncler Medicare, Medicaid" orthe Title XX services program sincethe inoeption of those progftuns and who is: (a) A person who has an ownership or sontrol interest in Proviiler; (b) An agent or person who has been delegated the authority to obligate or aot on behalf of Provider; and (c) An agent, managing employee, general nrmager, business manager, administrator, director, or other individual who exercises operational or managerial control over, or who directly or indirectly conducts the day-to-day operation of, Provider, 3.56. Matemity Newb-o-rn Length of Stay: Storilizations and Hysterectomies. A1l hospital delivery matemity oare provided urder the Agreement shall bE in ascord with RCW 48.43.115. All sterilizations and hysterectomies providecl rurder the Agreemenf shall be in compliance wlIh42 C.F,R, $ 441 Subpart F, and Provider shall use a "Consent for Sterilizatiod' form (I-IHS-687) or its equivalent in connection therewith. A hysterectomy requires the "Hysterectomy Consent and Patient Information" form (HCA 13-365). 3.57. Grievance and Appeals. Health Plan shall maintain a grievance and appeals system in accordance with the requirements of the State Conlrae), and llealth Plan shall provide the following information regarding Health Plan's gflwance and appeal system to Provider: (a) The toll-free numbers tb file oral grievances and appeals; (b) The availability of assistance in filing a grievance ol appeal; (c) The Covered Person's right to request continuation of Medicaid benefits during an appeal or hearing and if the Hoalth Plan's adverse benefit determination is r.pheld, that the Covered Personmay be responsible to pay for the continued benefits; (d) The Covered Person's right to file grievances and appeals and their requirements and timeflames for lfiling; (e) The Covered Person's right to a hearing, how to obtain a hearing and rcpresentation rules at ahearing; and (0 Providermay file a grievance or request an adjudicative proceeding onbehalfofa Covered. Percon in accordance with the State Contract. PPA WA - Kittihs County Public Health - 05.0?.2025 - ICMProviderAgreement_360268 Page I 1 of12