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CONFIDENTIAL AND PROPRIETARY Client. Indian River County Amendment Numtxv P201710013626 SCHEDULE IA SCOPE OF SERVICES—SUPPLEMENTAL PAYMENT RECOVERY ASSISTANCE SERVICES The Tcrms and Conditions of the Agreement and this Schedule apply to all services rendered by PST under this Schedule. 1. TERM 1.1 Initial Term of Schedule. The initial term of this Schedule is three years (the -Schedule Term") beginning December I, 2016 lthe "Commencement Date'). 1.2 Automatic Renewal. This Schedule will automatically renew for one year terms unless (i) either party delivers to the other written notice of termination at least 90 days prior to the expiration of the then -current term. or (ii) as otherwise set forth in the Agreement. 1.3 No Cause Termination. Either party may terminate this Schedule IA at any time and for any reason or no reason upon 90 days prior written notice to the other party. SCOPE OF SERVICES 2.1 Scone. PST will provide supplemental payment assistant services as specified below based on information provided by Client 1'or professional ambulance services rendered by Client in accordance with the terms of the Agreement and this Schedule. 2.2 Responsibilities. Each party agrees to perform its respective responsibilities identified below in a timely and diligent manner. Client acknowledges and agmcs that PST's performance of the Services described herein is dependent upon Client's performance of its responsibilities as set forth in this Schedule. 2.2.1 PST Responsibilities. As part of the PST's Supplemental Payment Assistance Services. PST's responsibilities under this Schedule will include: (a) Advising and assisting Client with enrolling in the Florida Ambulance Supplemental Payment Program. (b) Assisting Client with enrolling in the Florida Ambulance Supplemental Payment Program (c) Managing the program applications and required cost reports for Client in accordance with the ASPP: (d) Managing the ASPP pre -cost report submittal process for Client. which may also include: • Developing and submitting the Provider Approval materials to the Florida Agency For Health Care Administration ("ARCA") agency on behalf of Client: • Developing and submitting the Cost Allocation Model and Report to ARCA on behalf of Client I'or review as pan of the ASPP; • Changing and finalizing the Cost Allocation Model during AHCA's review of the Cost Allocation Model and Report. to meet AHCA's requirements to move forward with the cost report submittal. (e) Assisting Client in developing cost models for EMS transports for submission to ASPP; (f) Assisting Client with submitting other annual reports as my required by the ASPP; (g) Ensuring that cost report preparers) engaged on behalfofClient by PST are certified in accordance with all applicable rules. laws and regulations: and (h) Ensuring that it utilizes separate stafT eor all billing and cost report preparation services provided to Client. 2.2 .2 Client Responsihilities. Client acknowledges and understands that inaccurate or false data submissions. even advertent ones, can lead to a false claim charge or Medicaid program exclusion. Therefore. Client agrees that it will use best efforts to: mgr 2af 3 P89