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PARTICIPATING PROVIDER AGREEMENT <br />This Participating Provider Agreement (together with all Attachments and amendments, this "Agreement") <br />is made and entered by and between Kittitas County Public Health ("Provider"), Coordinated Care Corporation, a <br />health maintenance organization ("CCC") and Coordinated Care of Washington, Inc. ("CCW ') (each a "Party" and <br />collectively the "Parties"). This Agreement is effective as of the date designated by Health Plan (as defined herein) <br />on the signature page of this Agreement ("Effective Date"). <br />WHEREAS, Provider desires to provide certain health care services to individuals in products offered by or <br />available from or through a Company or Payor (as hereafter defined), and Provider desires to participate in such <br />products as a Participating Provider (as defined herein), all as hereinafter set forth. <br />WHEREAS, Health Plan desires for Provider to provide such health care services to individuals in such <br />products, and Health Plan desires to have Provider participate in certain of such products as a Participating Provider, <br />all as hereinafter set forth. <br />NOW, THEREFORE, in consideration of the recitals and mutual promises herein stated, the Parties hereby <br />agree to the provisions set forth below. <br />ARTICLE I -DEFINITIONS <br />When appearing with initial capital letters in this Agreement (including an Attachment), the following quoted <br />and underlined terms (and the plural thereof, when appropriate) have the meanings set forth below. Citations to the <br />Revised Code of Washington (RCW) and other governmental authority requirements are provided herein for <br />convenience only and shall not affect the meaning or interpretation of the terms of the Agreement. Such citations <br />may become outdated as these requirements are amended from time to time. <br />1.1. "Affiliate" means a person or entity directly or indirectly controlling, controlled by, or under <br />common control with Health Plan. <br />1.2. "Attachment" means any document, including an addendum, schedule or exhibit, attached to this <br />Agreement as of the Effective Date or that becomes attached pursuant to Section 2.2 or Section 8.7, all of which are <br />incorporated herein by reference and may be amended from time to time as provided in this Agreement. <br />1.3. "Clean Claim" means a claim for payment that has no defect or impropriety, including any lack of <br />any required substantiating documentation, or particular circumstances requiring special treatment that prevents <br />timely payments from being made on the claim. <br />1.4. "Company" means (collectively or individually, as appropriate in the context) Health Plan and its <br />Affiliates, except those specifically excluded by Health Plan. <br />1.5. "Compensation Schedule" means at any given time the then effective schedule(s) of maximum rates <br />applicable to a particular Product under which Provider and Contracted Providers will be compensated for the <br />provision of Covered Services to Covered Persons. Such Compensation Schedule(s) will be set forth or described in <br />one or more Attachments to this Agreement, and may be included within a Product Attachment. <br />1.6. "Contracted Provider" means a physician, hospital, health care professional or any other provider of <br />items or services that is employed by or has a contractual relationship with Provider and that provides Covered <br />Services. The term "Contracted Provider" includes Provider for those Covered Services provided by Provider. <br />1.7. "Coverage Agreement" means any agreement, program or certificate entered into, issued or agreed <br />to by Company or Payor, under which Company or Payor furnishes administrative services or other services in <br />PPA WA - Kittitas County Public Health - 05.07.2025 - ICMProviderAgreement_360268 Page I of 24 <br />