Common use of Substitution of Alternative Methodology and/or Fee Terms Clause in Contracts

Substitution of Alternative Methodology and/or Fee Terms. In the event that any LEA Billing fee arrangements or and part thereof are or become inconsistent with applicable federal or state laws or regulations, or court order, or that any time survey methodology other than RMTS is approved by DHCS for use by Client in determining the percentage of allowable costs for reimbursement, Paradigm will on thirty (30) days written notice provide substitute fee arrangements and/or substitute time survey services consistent with applicable law regulation or court order. Any such substitute fee arrangements shall not increase the total amount Client would otherwise have been required to pay Paradigm for services under this Agreement. "Max Interim $s to Client" below lists the maximum interim claim value per unit, according to current Medi-Cal reimbursement rates, when performed by a qualified provider; however, not all interim claims will be reimbursed at these rates. Paradigm's fees for Interim Approved Claims will be capped, not to exceed 7% of the dollar value of Interim Approved Claims. Audiologist Assessment $ 122.40 $ 15.01 Audiologist Treatment $ 56.11 $ 6.88 Health Aide Treatment $ 5.28 $ 0.65 Licensed Vocational Nurse Treatment $ 6.15 $ 0.75 School Nurse, NP, PHN Assessment $ 84.10 $ 10.31 School Nurse, RN, NP, PHN Treatment $ 12.02 $ 1.47 School Counselor Assessment $ 12.87 $ 1.58 School Psychologist Assessment $ 308.84 $ 37.87 School Psychologist, Licensed MFT, Lic./Cred. SW Treatment $ 47.18 $ 5.79 Associate Marriage Family Therapist Treatment $ 19.36 $ 2.37 Licensed MFT, Lic./Cred. SW Assessment $ 12.87 $ 1.58 Associate Clinical Social Worker Treatment $ 19.36 $ 2.37 Speech-Language Pathologist Assessment $ 67.08 $ 8.22 Speech-Language Pathologist Treatment $ 42.35 $ 5.19 Speech-Language Therapy Assistant Treatment $ 17.60 $ 2.16 Occupational Therapist Assessment $ 141.32 $ 17.33 Occupational Therapist Treatment $ 46.61 $ 5.72 Occupational Therapy Assistant Treatment $ 20.06 $ 2.46 Physical Therapist Assessment $ 145.40 $ 17.83 Physical Therapist Treatment $ 40.39 $ 4.95 Physical Therapy Assistant Treatment $ 16.89 $ 2.07 Registered Dietician, Respiratory Therapist Assessment $ 12.02 $ 1.47 Registered Dietician, Respiratory Therapist Treatment $ 12.02 $ 1.47 O&M Specialist Assessment $ 12.27 $ 1.50 O&M Specialist Treatment $ 12.27 $ 1.50 Targeted Case Management Treatment $ 12.02 $ 1.47 Transportation - $ 10.20 $ 1.25

Substitution of Alternative Methodology and/or Fee Terms. In the event that any LEA Billing fee arrangements or and part thereof are or become inconsistent with applicable federal or state laws or regulations, or court order, or that any time survey methodology other than RMTS is approved by DHCS for use by Client in determining the percentage of allowable costs for reimbursement, Paradigm will on thirty (30) days written notice provide substitute fee arrangements and/or substitute time survey services consistent with applicable law regulation or court order. Any such substitute fee arrangements shall not increase the total amount Client would otherwise have been required to pay Paradigm for services under this Agreement. "Max Interim $s to Client" below lists the maximum interim claim value per unit, according to current Medi-Cal reimbursement rates, when performed by a qualified provider; however, not all interim claims will be reimbursed at these rates. Paradigm's fees for Interim Approved Claims will be capped, not to exceed 7% of the dollar value of Interim Approved Claims. This cap on fees for LEA Billing Claims Management are discounted as part of a bundled offering with the licensing of our software, Student Health Network (SHN), acknowledging the integrated value of our services. Audiologist Assessment $ 122.40 $ 15.01 Audiologist Treatment $ 56.11 $ 6.88 Health Aide Treatment $ 5.28 $ 0.65 Licensed Vocational Nurse Treatment $ 6.15 $ 0.75 School Nurse, NP, PHN Assessment $ 84.10 $ 10.31 School Nurse, RN, NP, PHN Treatment $ 12.02 $ 1.47 School Counselor Assessment $ 12.87 $ 1.58 School Psychologist Assessment $ 308.84 $ 37.87 School Psychologist, Licensed MFT, Lic./Cred. SW Treatment $ 47.18 $ 5.79 Associate Marriage Family Therapist Treatment $ 19.36 $ 2.37 Licensed MFT, Lic./Cred. SW Assessment $ 12.87 $ 1.58 Associate Clinical Social Worker Treatment $ 19.36 $ 2.37 Speech-Language Pathologist Assessment $ 67.08 $ 8.22 Speech-Language Pathologist Treatment $ 42.35 $ 5.19 Speech-Language Therapy Assistant Treatment $ 17.60 $ 2.16 Occupational Therapist Assessment $ 141.32 $ 17.33 Occupational Therapist Treatment $ 46.61 $ 5.72 Occupational Therapy Assistant Treatment $ 20.06 $ 2.46 Physical Therapist Assessment $ 145.40 $ 17.83 Physical Therapist Treatment $ 40.39 $ 4.95 Physical Therapy Assistant Treatment $ 16.89 $ 2.07 Registered Dietician, Respiratory Therapist Assessment $ 12.02 $ 1.47 Registered Dietician, Respiratory Therapist Treatment $ 12.02 $ 1.47 O&M Specialist Assessment $ 12.27 $ 1.50 O&M Specialist Treatment $ 12.27 $ 1.50 Targeted Case Management Treatment $ 12.02 $ 1.47 Transportation - $ 10.20 $ 1.25

Substitution of Alternative Methodology and/or Fee Terms. In the event that any LEA Billing fee arrangements or and part thereof are or become inconsistent with applicable federal or state laws or regulations, or court order, or that any time survey methodology other than RMTS is approved by DHCS for use by Client in determining the percentage of allowable costs for reimbursement, Paradigm will on thirty (30) days written notice provide substitute fee arrangements and/or substitute time survey services consistent with applicable law regulation or court order. Any such substitute fee arrangements shall not increase the total amount Client would otherwise have been required to pay Paradigm for services under this Agreement. "Max Interim $s to Client" below lists the maximum interim claim value per unit, according to current Medi-Cal reimbursement rates, when performed by a qualified provider; however, not all interim claims will be reimbursed at these rates. Paradigm's fees for Interim Approved Claims will be capped, not to exceed 7% of the dollar value of Interim Approved Claims. Audiologist Assessment $ 122.40 $ 15.01 Audiologist Treatment $ 56.11 $ 6.88 Health Aide Treatment $ 5.28 $ 0.65 Licensed Vocational Nurse Treatment $ 6.15 $ 0.75 School Nurse, NP, PHN Assessment $ 84.10 $ 10.31 School Nurse, RN, NP, PHN Treatment $ 12.02 $ 1.47 School Counselor Assessment $ 12.87 $ 1.58 School Psychologist Assessment $ 308.84 $ 37.87 School Psychologist, Licensed MFT, Lic./Cred. SW Treatment $ 47.18 $ 5.79 Associate Marriage Family Therapist Treatment $ 19.36 $ 2.37 Licensed MFT, Lic./Cred. SW Assessment $ 12.87 $ 1.58 Associate Clinical Social Worker Treatment $ 19.36 $ 2.37 Speech-Language Pathologist Assessment $ 67.08 $ 8.22 Speech-Language Pathologist Treatment $ 42.35 $ 5.19 Speech-Language Therapy Assistant Treatment $ 17.60 $ 2.16 Occupational Therapist Assessment $ 141.32 $ 17.33 Occupational Therapist Treatment $ 46.61 $ 5.72 Occupational Therapy Assistant Treatment $ 20.06 $ 2.46 Physical Therapist Assessment $ 145.40 $ 17.83 Physical Therapist Treatment $ 40.39 $ 4.95 Physical Therapy Assistant Treatment $ 16.89 $ 2.07 Registered Dietician, Respiratory Respiratroy Therapist Assessment $ 12.02 $ 1.47 Registered Dietician, Respiratory Respiratroy Therapist Treatment $ 12.02 $ 1.47 O&M Specialist Spcialist Assessment $ 12.27 $ 1.50 O&M Specialist Spcialist Treatment $ 12.27 $ 1.50 Targeted Target Case Management Treatment $ 12.02 $ 1.47 Transportation - $ 10.20 $ 1.25