SHJ25-014 MOLINA HEALTHCARE INTERIM AGREEMENT- PARTIALLY EXECUTED

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19. Upon termination of this Agreement without cause, Provider will continue to render Covered Reentry Initiative Services to Members until the earliest of the following: (1) the date Covered Reentry Initiative Services being rendered to Member by Provider are completed or medically appropriate provisions have been made by Health Plan for another provider to assume responsibility for providing such Covered Reentry Initiative Services; or (2) sixty (60) days following notice to the Member of Provider's contract termination. The provision of such Covered Reentry Initiative Services and the reimbursement to Provider for such Covered Reentry Initiative Services shall be subject to all applicable terms of this Agreement on the same basis as Covered Reentry Initiative Services provided during the term of this Agreement. 20. Provider will satisfy and be in compliance with all of the requirements in WAC 284-170-421(5). 21. Provider will ensure that all of its subcontractors will satisfy and be in compliance with all of the requirements in WAC 284-170-421(5). 22. Telemedicine Services. i. Pursuant to RCW 48.43.735(8) and its implementing regulations, if Provider intends to bill a Member or Health Plan for an audio -only telemedicine service, Provider must obtain Member consent for the billing in advance of service being delivered. ii. Beginning January 1, 2023, Provider must have an established relationship with the Member to be eligible for reimbursement for audio -only telemedicine (RCW 48.43.735). iii. "Established Relationship" means the provider providing audio -only telemedicine has access to sufficient health records to ensure safe, effective, and appropriate care services and: (i) For health care services included in the essential health benefits category of mental health and substance use disorder services, including behavioral health treatment: (A) The covered person has had, within the past three years, at least one in -person appointment, or at least one real-time interactive appointment using both audio and video technology, with the provider providing audio -only telemedicine or with a provider employed at the same medical group, at the same clinic, or by the same integrated delivery system operated by a carrier licensed under chapter 48.44 or 48.46 RCW as the provider providing audio - only telemedicine; or (B) The covered person was referred to the provider providing audio -only telemedicine by another provider who has had, within the past three years, at least one in -person appointment, or at least one real-time interactive appointment using both audio and video technology, with the covered person and has provided relevant medical information to the provider providing audio -only telemedicine; (ii) For any other health care service: (A) The covered person has had, within the past two years, at least one in -person appointment, or, until January 1, 2024, at least one real-time interactive appointment using both audio and video technology, with the provider providing audio -only telemedicine or with a provider employed at the same medical group, at the same clinic, or by the same integrated delivery system operated by a carrier licensed under chapter 48.44 or 48_46 RCW as the provider providing audio -only telemedicine; or (B) The covered person was referred to the provider providing audio -only telemedicine by another provider who has had, within the past two years, at least one in -person appointment, or, until January 1, 2024, at least one real-time interactive appointment using both audio and video technology, with the covered person and has provided relevant medical information to the provider providing audio -only telemedicine; 23. Drug Utilization Review. Health Plan maintains documented drug utilization management criteria to align with RCW 48.43.420 and WAC 284-43-2020(2) and can be found on Health Plan's website, https://www.molinamarketplace.com/marketplace/wa/en-us/Providers/Drug-List. MHWCBHSSCA.082025 Revised Aug 2025 (MHW) Page 12 or 12