SHJ25-011 UHC AMENDMENT 1 - PARTIALLY EXECUTED

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BEHAVIORAL HEALTH SERVICES AND PAYMENT ADDENDUM WASHINGTON MEDICAID AND CHIP BENEFIT PLANS This Behavioral Health Services and Payment Addendum (this "Addendum") sets forth the terms and conditions under which Medical Group will participate in one or more behavioral health networks to provide Covered MITSUD Services (as defined below) to Customers enrolled in Washington Medicaid and CHIP Benefit Plans. This Addendum applies to the Washington Medicaid network. In the event of a conflict between the terms and conditions in this Addendum and the terms of the Agreement, including all other addenda, appendices and attachments, the terms in this Addendum will control Medical Group's provision of Covered MH/SUD Services, except that the terms of any regulatory requirements appendix will control over any conflicting terms of this Addendum, as applicable. This Addendum does not apply to Covered Services other than Covered MH/SUD Services. ARTICLE 1 Definitions Unless otherwise defined in this Article 1, capitalized terms used in this Addendum have the meanings assigned to them in the Agreement. For purposes of this Addendum, the following definitions will apply: CMHC: A Community Mental Health Center. CMHC Provider: An employee of a CMHC who provides MH/SUD Services, but is not a CMHC Supervising Provider. CMHC Supervising Provider: A psychiatrist, psychologist, social worker, family or other therapist duly - licensed and qualified in the state in which MH/SUD Services are provided to Customers who practices as an employee of CMHC and has been approved as a CMHC Supervising Provider in writing by United. Covered MH/SUD Services: MH/SUD Services that are (i) Covered Services under a Benefit Plan (ii) provided at a Service Location listed in Appendix 4 of the Agreement as providing MH/SUD Services, and (M) which are set forth in one or more Behavioral Health Service Payment Appendices attached to this Addendum. Emergency Care for Mental Health Condition: Covered MH/SUD Services provided for an individual, that, if not provided, would likely result in the need for crisis intervention or hospital evaluation due to concerns of potential danger to self, others, or grave disability according to chapter 71.05 RCW. Facility -based Provider: A health care professional, who is employed by or under contract or supervision to render MH/SUD Services to Customers. Facility -based Providers include, but are not limited to, emergency room physicians, pathologists, radiologists, anesthesiologists, certified registered nurse anesthetists ("CRNAs"), and intensivists. Facility Participating Provider: A health care professional, facility, or other organization that has a written Facility Participating Provider Agreement in effect with United, directly or through another entity, to provide MH/SUD Services to Customers. Group: Group -based Provider, and Group Participating Provider. Gen.Amd.SMGA.BS WA.06.25 - 7 - United1lealthcare Confidential and Proprietary