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Group -based Provider: A health care professional, psychiatrist, psychologist, therapist or other behavioral <br />health professional who is employed by or under contract or supervision by Group to render MH/SUD <br />Services to Customers. <br />Group Participating Provider: An entity, organization, group, partnership or affiliation however <br />categorized, consisting of health care professionals, facilities, psychiatrists, psychologists, therapists or <br />other behavioral health professionals that is duly -licensed or certified to provided MH/SUD Services within <br />the state such MH/SUD Services are provided, and who has a written Group Participating Provider <br />Agreement in effect with United, directly or through another entity, to provide MH/SUD Services to <br />Customers. <br />Mental Health and Substance Use Disorder Services ("MH/SUD Services"): Health care services, <br />treatment or supplies that are used to treat a mental health or substance abuse illness, condition or disease, <br />MH/SUD Payment Policies: For purposes of this Addendum, MH/SUD Payment Policies are Payment <br />Policies or other guidelines adopted by United for calculating payment of claims for Covered MH/SUD <br />Services provided by Medical Group (including claims from Medical Group under this Addendum). The <br />MH/SUD Payment Policies operate in conjunction with the specific reimbursement rates and terms set forth <br />in the applicable Behavioral Health Services Payment Appendix to this Agreement. Like other Payment <br />Policies, the MH/SUD Payment Policies may change from time to time as discussed in -the Payment of <br />Claims provision of the Agreement. <br />MH/SUD Protocols: For purposes of this Addendum only, MH/SUD Protocols are Protocols limited to <br />those programs and administrative procedures adopted by United or a Payer to be followed Medical Group <br />in providing Covered MH/SUD Services and doing business with United and Payers under this Addendum. <br />These MH/SUD Protocols may include, among other things, credentialing and recredentialing processes, <br />utilization management and care management processes, quality improvement, peer review, Customer <br />grievance or concurrent review. The MH/SUD Protocols may change from time to time as described in the <br />Agreement and this Addendum. <br />MH/SUD Provider Manual: Those provisions of an administrative guide that apply to Covered MH/SUD <br />Services will be made available to Medical Group online, WWW.UHCProvider.com, or upon request. Any <br />changes to the manual will be made consistent with the terms of the Agreement. <br />ARTICLE 2 <br />MH/SUD Services <br />2.1 Provision of MH/SUD Services. Medical Group hereby acknowledges and agrees to cooperate <br />and comply with all of the terms and conditions of this Addendum and the Agreement as a <br />participating provider for the provision of Covered MH/SUD Services to Customers as designated <br />by United or Payer. At the request of a Payer, Medical Group may not be authorized to provide <br />Covered MH/SUD Services for some or all of Payer's Customers. Medical Group will otherwise <br />accept Customers as new patients on the same basis as Group is accepting non -Customers as new <br />patients without regard to race, religion, gender, color, national origin, age or physical or mental <br />health status, or on any other basis deemed unlawful under federal, state or local law. At all times, <br />Medical Group will require any employed or subcontracted MH/SUD providers to comply with the <br />terms and conditions of this Addendum, all MH/SUD Protocols and MH/SUD Payment Policies, <br />as may be sett forth in the MH/SUD Provider Manual and the requirements of all applicable laws <br />and regulations. <br />Gen.Aind.SMGA.BH. WA.06.15 - 8 - UnitedHealtheare <br />Confidential and Proprietary <br />