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2.2 Cooperation with MH/SUD Provider Manual, MH/SUD Protocols, MH/SUD Payment <br />Policies. Medical Group will be bound by, accept, strictly comply with, and cooperate with <br />applicable MH/SUD Protocols and applicable MH/SUD Payment Policies, as may be set forth in <br />the MH/SUD Provider Manual. The MH/SUD Protocols and MH/SUD Payment Policies will be <br />made available to Medical Group online or upon request. Some or all MH/SUD Protocols and <br />MH/SUHD Payment Policies also may be disseminated in the MH/SUD Provider Manual or in <br />other communications. Currently, the MH/SUD Protocols and MH/SUD Payment Policies may be <br />found at www.UHCProvider.com. United will notify Medical Group of Medical Group's failure to <br />comply with the applicable MH/SUD Protocols or applicable MH/SUD Payment Policies may <br />result in loss of or reduction of payment or reimbursement to Medical Group or the imposition of <br />other corrective action by United To the extent that the provisions of the MH/SUD Provider Manual <br />differ from this Addendum or the Agreement, the terms and conditions of the Agreement and this <br />Addendum govern. For purposes of Covered MH/SUD Services, the MH/SUD Protocols and the <br />MH/SUD Payment Policies control and supersede all other Protocols, Payment Policies or <br />administrative manuals or guides, with the exception of Additional Manuals, if applicable as <br />described in the Agreement. <br />2.3 Continuity of Care; Referral to Other Health Professionals. Medical Group will furnish <br />Covered MH/SUD Services, providing continuity of care and ready referral of Customers to other <br />participating providers as may be appropriate and consistent with the standards of care in the <br />community. As appropriate, Medical Group will coordinate and exchange Customer data with <br />Customer's primary care provider ("PCP"), to properly accomplish person -centered, integrated <br />care. If a Customer requires additional services or evaluation, including Emergency Care for Mental <br />Health Condition, Medical Group agrees to refer Customer to Customer's PCP or another <br />participating provider in accordance with the terms and conditions of Customer's Benefit Plan. <br />Medical Group will refer Customers requiring Emergency Care for Mental Health Condition to the <br />"94-l" emergency response system. <br />2.4 Payment of Services. All payments obligated by Payer will be paid to Medical Group in accordance <br />with the terms of the applicable Behavioral Health Services Payment Appendix to this Addendum and in <br />accordance with applicable MH/SUD Payment Policies. Medical Group agrees to continue to provide <br />MH/SUD Services to Customers who have exhausted his/her covered benefits under the Benefit Plan and <br />agrees not to collect or charge more than the contracted rate for those MH/SUD Services. Medical Group may <br />bill the Customer directly for those MH/SUD Services for which there is no longer any coverage under the <br />Benefit Plan, provided the Medical Group obtained the Customer's prior written consent. <br />Each party agrees to defend, indemnify and hold the other party harmless for any claims, damages, actions, or <br />judgments arising from any employee or contractor related to the provision ofMFI/SUD Services to Customers. <br />ARTICLE 3 <br />MH/SUD Submission of Claims. <br />Medical Group will submit claims for Covered MH/SUD Services to United in a manner and format <br />prescribed by United. [Medical Group agrees that claims received by United after the relevant time period(s) <br />set forth in the Agreement may be rejected for payment, at United's and/or Payer's sole discretion. <br />Gen.Amd.SMGA.BF/. WA. 06.25 - 9 - UnUedflealthcare <br />Confidential and Proprietary <br />