SHJ25-014 MOLINA HEALTHCARE RENEWAL - PARTIALLY EXECUTED

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PROVIDER SERVICES AGREEMENT This Provider Services Agreement ("Agreement") is entered by and between Molina Healthcare of Washington, Inc., a Washington corporation ("Health Plan"), and County of Kittitas DBA Kittitas County ("Provider"). The purpose of this Agreement is to make available Covered Services to Members according to the terms and conditions set forth below. RECITALS A. Health Plan arranges for the provision of certain health care services to Members pursuant to contracts with various government sponsored health programs. Health Plan intends to participate in additional government sponsored health programs and offer other health Products as the opportunities become available. B. Health Plan arranges for the provision of certain health care services to Members by entering into provider service agreements with individual physicians, groups of physicians, individual practice associations, hospitals, clinics, ancillary health providers, and other health providers. C. Provider is licensed to render certain health care services and desires to provide such services to Health Plan's Members in connection with Health Plan's contractual obligations to provide and/or arrange for Covered Services for Health Plan's Members. Now, therefore, in consideration of the promises, covenants and warranties stated herein, Health Plan and Provider agree as follows: ARTICLE ONE - DEFINITIONS 1.1 Capitalized words or phrases in this Agreement shall have the meaning set forth below. a. Advance Directive is a Member's written instructions, recognized under state law, relating to the provision of health care when the Member is not competent to make a health care decision as determined under state law. Examples of Advance Directives are living wills and durable powers of attorney for health care. b. Affiliate means an entity owned or controlled by Health Plan or Molina Healthcare, Inc. C. Agreement means this Provider Services Agreement, all attachments and incorporated documents or materials. d. Capitated Provider is a Provider who receives a monthly premium from Health Plan for each Member assigned to Provider. Capitated Provider may be responsible for payment of some or all covered health services (professional, institutional, pharmacy) incurred by Member. e. Centers for Medicare and Medicaid Services ("CMS") is the Centers for Medicare and Medicaid Services, an administrative agency of the United States Government, responsible for administering the Medicare program and certain parts of the Medicaid, CHIP, Medicare -Medicaid Program, and the Health Insurance Marketplace. f. Claim means an invoice for services rendered to a Member by Provider, submitted in a format approved by Health Plan and with all service and encounter information required by Health Plan. g. Clean Claim means a Claim for Covered Services that has no defect, impropriety, lack of any required substantiating documentation, or particular circumstance requiring special treatment that prevents timely payment from being made on the Claim. h. Covered Services mean those health care services that are Medically Necessary, are within the normal scope of practice and licensure of Provider and are benefits of the Health Plan Product or a Health Plan affiliate's Product which covers the Member. i. Downstream Entity means any party that enters into a written arrangement, acceptable to CMS, with persons or entities involved with Medicare or, Medicaid Products, below the level of the MHWPROV22.3 MHWPSA/Revised Jan 2024 Page 2 of 25