SHJ25-014 MOLINA HEALTHCARE RENEWAL - PARTIALLY EXECUTED

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delivery by e-mail, the notice is deemed given on the date sent. All notices are deemed given if delivered as specified in this section. b. Names & Addresses. The name, mailing address, e-mail address, and facsimile number set forth under the Signature Page will be the particular party's information for delivery of notice. Each party may change its information through written notice in compliance with this section without amending this Agreement. 5.6 Amendments. a. Regulatory Amendments. Health Plan may, without Provider's consent, immediately amend this Agreement to maintain consistency and/or compliance with any state or federal law, policy, directive, or government sponsored program requirement. b. Non -Regulatory Amendments. Notwithstanding the Regulatory Amendments section, Health Plan may otherwise amend this Agreement upon sixty (60) days prior written notice to Provider. If Provider does not deliver to Health Plan a written notice of rejection of the amendment within that sixty (60) day period, the amendment shall be deemed accepted by and shall be binding upon Provider. In the event that the amendment is considered a "material amendment" as defined in RC W 48.39.005, Provider shall have the right to reject the amendment and such rejection will not affect the existing terms of the Agreement. 5.7 Assignment. Provider may not assign, transfer, subcontract or delegate, in whole or in part, any rights, duties, or obligations under this Agreement without the prior written consent of Health Plan. Subject to the foregoing, this Agreement is binding upon, and inures to the benefit of the Health Plan and Provider and their respective successors in interest and assigns. Neither the acquisition of Health Plan nor a change of its legal name shall be deemed an assignment. 5.8 Dispute Resolution Process. a. Submission of Non -Claims Payment Related Disputes i. Provider shall submit any dispute (other than a dispute relating to Claims Payment, which are subject to Section 2.8(g)) to Health Plan in writing within sixty (60) days of when the issue arises. ii. Provider shall submit such disputes to the attention of Health Plan's Provider Services Department. b. Health Plan Response to Non -Claims Payment Related Disputes i. Health Plan shall use best efforts to acknowledge by phone, e-mail or other writing, receipt of a dispute (other than a dispute relating to Claims, which are subject to Section 2.8(g)) within seven (7) business days. ii. Health Plan's decision regarding disputes shall be communicated within sixty (60) days of Health Plan's receipt of Provider's written correspondence requesting review. If additional time is required, Health Plan shall communicate this information to Provider within sixty (60) days. iii. Health Plan shall use its best efforts to investigate and resolve disputes within sixty (60) days of Health Plan's receipt of Provider's written correspondence. c. Nonbinding Mediation. If Health Plan fails to grant or reject Provider's request for review of a dispute within thirty (30) days after it is received, the Provider may proceed as if the complaint has been rejected. If Provider is dissatisfied with Health Plan's final resolution of a dispute, Provider may submit the dispute to nonbinding mediation pursuant to chapter 7.07 RCW. Nonbinding mediation shall not be utilized to adjudicate matters that primarily involve review of Provider's professional competence or professional conduct and shall not be available as a mechanism for appeal of any determinations made as to such matters. 5.9 Corrective Action, Fair Hearing Plan, and Reporting to the State of Washington Medical Commission and the NPDB. Provider has a procedural right to appeal in the event that Health Plan's peer review committee recommends filing a report to the Washington Medical Commission and the MHWPROV22.3 MHWHA/Revised Jan 2024 Page 15 of25